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","roles":{"textData":{}}},{"id":"si12070","class":"TODO::Senthil","instance":"337_24","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si12066_a","class":"TODO::Senthil","instance":"336_25","roles":{"answer":{"title":"Contact the private cancer treatment clinic for more information about the patient, their diagnosis and treatment regime.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si12077","class":"TODO::Senthil","instance":"Text_Caption_60","title":" ","roles":{"textData":{}}},{"id":"si12081","class":"TODO::Senthil","instance":"Text_Caption_61","title":"Contact the medical team for review to determine if the patient should continue with the antineoplastic medications. ","roles":{"textData":{}}},{"id":"si12081","class":"TODO::Senthil","instance":"339_25","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si12077_a","class":"TODO::Senthil","instance":"338_26","roles":{"answer":{"title":"Contact the medical team for review to determine if the patient should continue with the antineoplastic medications.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si12088","class":"TODO::Senthil","instance":"Text_Caption_62","title":" ","roles":{"textData":{}}},{"id":"si12092","class":"TODO::Senthil","instance":"Text_Caption_63","title":"Search for the most suitable protocol for breast cancer with antineoplastic medications starting with “C”, and contact the medical team for the antineoplastic drug to be prescribed. ","roles":{"textData":{}}},{"id":"si12092","class":"TODO::Senthil","instance":"341_26","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si12088_a","class":"TODO::Senthil","instance":"340_27","roles":{"answer":{"title":"Search for the most suitable protocol for breast cancer with antineoplastic medications starting with “C”, and contact the medical team for the antineoplastic drug to be prescribed.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si12099","class":"TODO::Senthil","instance":"Text_Caption_64","title":" ","roles":{"textData":{}}},{"id":"si12103","class":"TODO::Senthil","instance":"Text_Caption_65","title":"Contact the oncology pharmacist for the antineoplastic medication to be dispensed. ","roles":{"textData":{}}},{"id":"si12103","class":"TODO::Senthil","instance":"343_27","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si12099_a","class":"TODO::Senthil","instance":"342_28","roles":{"answer":{"title":"Contact the oncology pharmacist for the antineoplastic medication to be dispensed.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si12110","class":"TODO::Senthil","instance":"Text_Caption_66","title":" ","roles":{"textData":{}}},{"id":"si12114","class":"TODO::Senthil","instance":"Text_Caption_67","title":"The patient will require a treatment delay due to the fever so there is no need to worry about having the antineoplatic drug prescribed.  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You selected the correct response.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"textData":{}}},{"id":"si12677","class":"TODO::Senthil","title":"You did not select the correct response.  The correct answers are: Contact the private cancer treatment clinic for more information about the patient, their diagnosis and treatment regime. Contact the medical team for review to determine if the patient should continue with the antineoplastic medications.   Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide12208q3"},"textData":{}}},{"id":"si12690","class":"TODO::Senthil","title":"You must answer the question before continuing. 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Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide12390q4"},"textData":{}}},{"id":"si12755","class":"TODO::Senthil","title":"You did not select the correct response.  The correct answer is: If you are not sure whether it is a coated or uncoated tablet you should wear full PPE. Cyclophosphamide is a film coated tablet therefore only chemoprotectant gloves are required.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide12390q4"},"textData":{}}},{"id":"si12768","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide12390q4"},"textData":{}}},{"id":"Slide12390","class":"Question Slide","instance":"","thumbnail":"","children":["si20630","si20645","SmartShape_13","SmartShape_30","SmartShape_31","SmartShape_32","Image_9","si12248","si12263","si12274","si12285","si12296","si12380","si21214","si21227","si12768"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide12390"},"question":{"interactionId":"12235","quizId":377,"title":"Multiple Choice","text":"After following up with the treatment clinic, it is determined the patient is receiving cyclophosphamide. Following treatment for their fever the patient’s cyclophosphamide is recommenced. \r\rWhat PPE would you wear when administering this drug?\rNote: More than one answer may be correct\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":true,"correctAnswers":["1","2"],"score":{"weight":1,"penalty":0}}}},{"id":"si19529","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide19528q5"},"textData":{}}},{"id":"si19544","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide19528q5"},"textData":{}}},{"id":"SmartShape_68","class":"TODO::Senthil","instance":"SmartShape_68","title":"ADAC Reassessment ","roles":{"click":{"subtype":"button","question":"Slide19528q5"},"textData":{}}},{"id":"si19306","class":"TODO::Senthil","instance":"Text_Caption_237","title":"You are working in an outpatient clinic today and are assigned to administer day 1 of cycle 2 of antineoplastic drug treatment to a recently diagnosed adolescent patient. You read the patient’s notes and it is documented the patient has already received education about their treatment. When you admit the patient to the clinic, he appears to be unsure about the treatment and is asking you lots of questions. His family states that he is ready for any treatment and the earlier he gets his treatment the more likely he is of being cured.  You do not feel confident conversing with the patient and family as they are speaking in very broken English. What do you do? ","roles":{"textData":{}}},{"id":"si19318","class":"TODO::Senthil","instance":"Text_Caption_238","title":" ","roles":{"textData":{}}},{"id":"si19322","class":"TODO::Senthil","instance":"Text_Caption_239","title":"You administer the antineoplastic drugs as prescribed as the notes indicate education has been provided and the family has asked you to start treatment. ","roles":{"textData":{}}},{"id":"si19318_a","class":"TODO::Senthil","instance":"361_53","roles":{"answer":{"title":"You administer the antineoplastic drugs as prescribed as the notes indicate education has been provided and the family has asked you to start treatment.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19329","class":"TODO::Senthil","instance":"Text_Caption_240","title":" ","roles":{"textData":{}}},{"id":"si19333","class":"TODO::Senthil","instance":"Text_Caption_241","title":"You consult the notes and determine the patient speaks Arabic. You contact the phone / hospital interpreter service and request an Arabic interpreter so as to converse with the patient and family before administering the antineoplastic drug. ","roles":{"textData":{}}},{"id":"si19329_a","class":"TODO::Senthil","instance":"363_54","roles":{"answer":{"title":"You consult the notes and determine the patient speaks Arabic. You contact the phone / hospital interpreter service and request an Arabic interpreter so as to converse with the patient and family before administering the antineoplastic drug.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19340","class":"TODO::Senthil","instance":"Text_Caption_242","title":" ","roles":{"textData":{}}},{"id":"si19344","class":"TODO::Senthil","instance":"Text_Caption_243","title":"You know the ward cleaner speaks Arabic so ask them to act as a translator and interpreter. ","roles":{"textData":{}}},{"id":"si19340_a","class":"TODO::Senthil","instance":"365_55","roles":{"answer":{"title":"You know the ward cleaner speaks Arabic so ask them to act as a translator and interpreter.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19351","class":"TODO::Senthil","instance":"Text_Caption_244","title":" ","roles":{"textData":{}}},{"id":"si19355","class":"TODO::Senthil","instance":"Text_Caption_245","title":"As you are on hold with the phone interpreter service a family member walks in and you take up their offer to interpret for you. ","roles":{"textData":{}}},{"id":"si19351_a","class":"TODO::Senthil","instance":"367_56","roles":{"answer":{"title":"As you are on hold with the phone interpreter service a family member walks in and you take up their offer to interpret for you.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19365","class":"TODO::Senthil","instance":"Text_Caption_246","title":" ","roles":{"textData":{}}},{"id":"si19369","class":"TODO::Senthil","instance":"Text_Caption_247","title":"You provide written information in the patient’s language and ask the patient and family to read about the antineoplastic drug treatment later. 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You selected the correct response.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide19528q5"},"textData":{}}},{"id":"si19463","class":"TODO::Senthil","instance":"SmartShape_27","title":"You did not select the correct response.  The correct answer is:  You consult the notes and determine the patient speaks Arabic. You contact the phone or hospital interpreter service to request an Arabic interpreter so as to converse with the patient and family before administering the antineoplastic drug.   Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide19528q5"},"textData":{}}},{"id":"si19486","class":"TODO::Senthil","instance":"SmartShape_28","title":"You must answer the question before continuing. 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You realise the patient has not been reviewed by the treating team, you are unable to find any pathology results and there is nothing documented in the patient’s notes. The patient tells you they were told to come to the clinic on this day for their next treatment by the clinical trial coordinator they saw after their last treatment.   The treatment has been prescribed and is available in the clinic with today’s date on the prescription chart and antineoplastic drug. What is your response?  Note: More than one answer may be correct ","roles":{"textData":{}}},{"id":"si19641","class":"TODO::Senthil","instance":"Text_Caption_252","title":" ","roles":{"textData":{}}},{"id":"si19645","class":"TODO::Senthil","instance":"Text_Caption_253","title":"Request the patient to attend the outpatient clinic to be reviewed by a medical officer before commencing antineoplastic treatment. ","roles":{"textData":{}}},{"id":"si19645","class":"TODO::Senthil","instance":"63","roles":{"click":{"subtype":"button","question":"Slide19851q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si19641_a","class":"TODO::Senthil","instance":"64","roles":{"answer":{"title":"Request the patient to attend the outpatient clinic to be reviewed by a medical officer before commencing antineoplastic treatment.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19652","class":"TODO::Senthil","instance":"Text_Caption_254","title":" ","roles":{"textData":{}}},{"id":"si19656","class":"TODO::Senthil","instance":"Text_Caption_255","title":"Continue and administer the antineoplastic drugs as prescribed. ","roles":{"textData":{}}},{"id":"si19656","class":"TODO::Senthil","instance":"65","roles":{"click":{"subtype":"button","question":"Slide19851q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si19652_a","class":"TODO::Senthil","instance":"66","roles":{"answer":{"title":"Continue and administer the antineoplastic drugs as prescribed.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19663","class":"TODO::Senthil","instance":"Text_Caption_256","title":" ","roles":{"textData":{}}},{"id":"si19667","class":"TODO::Senthil","instance":"Text_Caption_257","title":"Contact the treating team for further advice. ","roles":{"textData":{}}},{"id":"si19667","class":"TODO::Senthil","instance":"67","roles":{"click":{"subtype":"button","question":"Slide19851q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si19663_a","class":"TODO::Senthil","instance":"68","roles":{"answer":{"title":"Contact the treating team for further advice.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si19674","class":"TODO::Senthil","instance":"Text_Caption_258","title":" ","roles":{"textData":{}}},{"id":"si19678","class":"TODO::Senthil","instance":"Text_Caption_259","title":"Report the incident to the clinical trial co-ordinator responsible for the management of this trial. 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","roles":{"click":{"subtype":"button","question":"Slide20479q8"},"textData":{}}},{"id":"si20414","class":"TODO::Senthil","instance":"SmartShape_52","title":"You did not select the correct response.  The correct answers are: You complete an incident form as per local policies and procedures. You discuss what you saw and what you told the nurse with the ward educators so further education can be provided. You contact the pharmacy department to advise the antineoplastic drug which was leaking was disposed of appropriately and a new bag needs to be dispensed. You ask the nurse to leave the bag on the administration trolley while you go and organise a spill kit and PPE for both of you to wear. You and the nurse put on PPE. The leaking bag is disposed of using the spill kit. You explain to the nurse the importance of correct PPE to minimise occupational exposure to antineoplastic drugs.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide20479q8"},"textData":{}}},{"id":"si20437","class":"TODO::Senthil","instance":"SmartShape_60","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide20479q8"},"textData":{}}},{"id":"Slide20479","class":"Question Slide","instance":"","thumbnail":"","children":["si20480","si20495","SmartShape_71","si20260","si20276","si20287","si20298","si20309","si20320","si20357","si21550","si21563","si20437"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide20479"},"question":{"interactionId":"20216","quizId":377,"title":"Multiple Choice","text":"You walk pass a patient bed bay and a nurse asks you to check the antineoplastic drug she is about to administer to the patient. You notice the nurse is not wearing the correct PPE and the antineoplastic drug is leaking inside the double sealed bag. You do not notice any leaks outside of the bag, the leak is contained within the inner bag.   What do you do? 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Ten minutes into the infusion, you noticed the infusion flow is sluggish and the dressing covering the implanted port needle is loosened with a collection of red fluid underneath. You perform a gravity check (lowering the IV bag with the clamp open below the patient’s IV site) and there is no blood return.What are your next actions?   Note: More than one answer may be correct ","roles":{"textData":{}}},{"id":"si13907","class":"TODO::Senthil","instance":"Text_Caption_156","title":" ","roles":{"textData":{}}},{"id":"si13911","class":"TODO::Senthil","instance":"Text_Caption_157","title":"Remove the first needle and insert a new needle;  continue with the remaining infusion. ","roles":{"textData":{}}},{"id":"si13911","class":"TODO::Senthil","instance":"404_43","roles":{"click":{"subtype":"button","question":"Slide14027q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si13907_a","class":"TODO::Senthil","instance":"403_44","roles":{"answer":{"title":"Remove the first needle and insert a new needle;  continue with the remaining infusion.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si13918","class":"TODO::Senthil","instance":"Text_Caption_158","title":" ","roles":{"textData":{}}},{"id":"si13922","class":"TODO::Senthil","instance":"Text_Caption_159","title":"Stop the infusion, don PPE, check the needle is positioned correctly, and check blood return to confirm patency of the implanted port. ","roles":{"textData":{}}},{"id":"si13922","class":"TODO::Senthil","instance":"406_44","roles":{"click":{"subtype":"button","question":"Slide14027q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si13918_a","class":"TODO::Senthil","instance":"405_45","roles":{"answer":{"title":"Stop the infusion, don PPE, check the needle is positioned correctly, and check blood return to confirm patency of the implanted port.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si13929","class":"TODO::Senthil","instance":"Text_Caption_160","title":" ","roles":{"textData":{}}},{"id":"si13933","class":"TODO::Senthil","instance":"Text_Caption_161","title":"Consider this as a potential extravasation injury and commence immediate management. ","roles":{"textData":{}}},{"id":"si13933","class":"TODO::Senthil","instance":"408_45","roles":{"click":{"subtype":"button","question":"Slide14027q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si13929_a","class":"TODO::Senthil","instance":"407_46","roles":{"answer":{"title":"Consider this as a potential extravasation injury and commence immediate management.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si13940","class":"TODO::Senthil","instance":"Text_Caption_162","title":" ","roles":{"textData":{}}},{"id":"si13944","class":"TODO::Senthil","instance":"Text_Caption_163","title":"Flush the port with 10 to 20mLs of sodium chloride 0.9% using pulsatile action and attempt to gently aspirate blood return. 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