{"metadata":{"generator":"Captivate","generatorVersion":"11.0.1","schemaVersion":"","author":"eviQ education","title":"Antineoplastic Drug Administration Course Non-cancer","description":"Administering antineoplastic drugs","email":"eviqed@eviq.org.au","website":"https://education.eviq.org.au","tags":"","thumbnail":"","source":"assets","durationInFrames":9420,"frameRate":30,"totalSlides":62,"width":995,"height":627,"responsive":false,"scalable":false,"launchFile":"index_scorm.html","isVRProject":false},"contentStructure":[{"id":"si11116","class":"TODO::Senthil","title":"Click to  Begin  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si11114","class":"TODO::Senthil","roles":{}},{"id":"si90204","class":"TODO::Senthil","title":"Click to  Begin  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si90242","class":"TODO::Senthil","title":"Click to  Begin  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_2","class":"TODO::Senthil","instance":"Text_Caption_2","title":"Administering antineoplastic drugs ","roles":{"textData":{}}},{"id":"Button_371","class":"TODO::Senthil","instance":"Button_371","roles":{"click":{"subtype":"button"}}},{"id":"si78143","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si78168","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Text_Caption_399","class":"TODO::Senthil","instance":"Text_Caption_399","title":"Antineoplastic Drug Administration Course  for the non-cancer setting ","roles":{"textData":{}}},{"id":"Text_Caption_417","class":"TODO::Senthil","instance":"Text_Caption_417","title":"Version 3.2 | September 2018 ","roles":{"textData":{}}},{"id":"Image_330","class":"TODO::Senthil","instance":"Image_330","roles":{}},{"id":"Slide5186","class":"Normal Slide","instance":"Welcome","thumbnail":"","children":["si11116","si11114","si90204","si90242","Text_Caption_2","Button_371","si78143","si78168","Text_Caption_399","Text_Caption_417","Image_330"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide5186"}}},{"id":"si44601","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44616","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44633","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44648","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44663","class":"TODO::Senthil","roles":{}},{"id":"si44664","class":"TODO::Senthil","title":"Clinical note ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_48","class":"TODO::Senthil","instance":"SmartShape_48","title":"The Antineoplastic Drug Administration Course for the non cancer setting does not cover competency in central venous access devices (CVADs).  To administer intravenous antineoplastic drugs, participants maybe required to attain competency in blood sampling, accessing and de-accessing CVADs as per local institution guidelines.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_533","class":"TODO::Senthil","instance":"SmartShape_533","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68822","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68842","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_534","class":"TODO::Senthil","instance":"SmartShape_534","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68898","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68918","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_535","class":"TODO::Senthil","instance":"SmartShape_535","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_536","class":"TODO::Senthil","instance":"SmartShape_536","title":"For further information please visit the eviQ Cancer Education Online for Central Venous Access Devices  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_537","class":"TODO::Senthil","instance":"SmartShape_537","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_249","class":"TODO::Senthil","instance":"Image_249","roles":{}},{"id":"Slide18868","class":"Normal Slide","instance":"","thumbnail":"","children":["si44601","si44616","si44633","si44648","si44663","si44664","SmartShape_48","SmartShape_533","si68822","si68842","SmartShape_534","si68898","si68918","SmartShape_535","SmartShape_536","SmartShape_537","Image_249"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide18868"}}},{"id":"Image_114","class":"TODO::Senthil","instance":"Image_114","roles":{}},{"id":"SmartShape_192","class":"TODO::Senthil","instance":"SmartShape_192","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_193","class":"TODO::Senthil","instance":"SmartShape_193","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_194","class":"TODO::Senthil","instance":"SmartShape_194","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_195","class":"TODO::Senthil","instance":"SmartShape_195","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_197","class":"TODO::Senthil","instance":"SmartShape_197","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43470","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43481","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_198","class":"TODO::Senthil","instance":"SmartShape_198","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43509","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43520","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_199","class":"TODO::Senthil","instance":"SmartShape_199","title":"Main menu ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_200","class":"TODO::Senthil","instance":"SmartShape_200","title":"Prerequisites ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43601","class":"TODO::Senthil","title":"Prerequisites ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43612","class":"TODO::Senthil","title":"Prerequisites ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_201","class":"TODO::Senthil","instance":"SmartShape_201","title":"CPD ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43644","class":"TODO::Senthil","title":"CPD ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43655","class":"TODO::Senthil","title":"CPD ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_202","class":"TODO::Senthil","instance":"SmartShape_202","title":"Learning outcomes ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43687","class":"TODO::Senthil","title":"Learning outcomes ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43698","class":"TODO::Senthil","title":"Learning outcomes ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_203","class":"TODO::Senthil","instance":"SmartShape_203","title":"Introduction ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43730","class":"TODO::Senthil","title":"Introduction ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43741","class":"TODO::Senthil","title":"Introduction ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_204","class":"TODO::Senthil","instance":"SmartShape_204","title":"The Antineoplastic Drug Administration Course (ADAC) consists of online learning and assessment as well as a practical assessment i.e a competency assessment.  Please note a health facility is not to rely solely on the completion of the online modules as assurance of an individual’s attainment of clinical competency.   Assessment of an individual’s competency in the safe administration and handling of antineoplastic drugs remains the responsibility of the health facility.  This eLearning guide is divided into 6 topics and will take approximately 1 hour to complete. Please note this is only a guide and there will be individual variations. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_205","class":"TODO::Senthil","instance":"SmartShape_205","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43822","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43833","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_206","class":"TODO::Senthil","instance":"SmartShape_206","title":"After completing this module you should be able to:  1. Describe the potential hazards associated with handling antineoplastic drugs and related waste  2. Implement safe procedures and practices to minimise exposure of staff / patients carers and environment to antineoplastic drugs an related waste   3. Ensure that relevant clinical assessments required for specific antineoplastic drugs are completed and reviewed.  4. Describe the core principles of administering antineoplastic drugs  5. Accurately assess and select the site of administration for intramuscular and subcutaneous antineoplastic drugs  6. Demonstrate correct technique when administering antineoplastic drugs via different routes including intravenous, oral,      subcutaneous, intramuscular and topical  7. Identify safety issues associated with different delivery routes   8. Describe the signs and symptoms of an extravasation injury.   9. Describe the treatment and management of an extravasation injury.     ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_207","class":"TODO::Senthil","instance":"SmartShape_207","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43878","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43889","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_208","class":"TODO::Senthil","instance":"SmartShape_208","title":"Nurses must meet the continuing professional development (CPD) standard mandated by the Nursing and Midwifery Board of Australia or Nursing Council of New Zealand.  To meet this standard and maintain nursing registration, all nurses are required to complete a minimum of 20 hours of CPD per year that is relevant with their context of practice. This is required to maintain and improve knowledge, expertise and competence in their chosen field.  This course attracts CPD hours. To log CPD hours, the Cancer Institute NSW provides the eviQ Education CPD journal or contact your facilitator for a locally developed CPD journal.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_209","class":"TODO::Senthil","instance":"SmartShape_209","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43942","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43953","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_210","class":"TODO::Senthil","instance":"SmartShape_210","title":"The prerequisites for this eLearning guide are: Handling antineoplastic drugs and related waste safely Understanding antineoplastic drugs, assessing and educating patients receiving antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_211","class":"TODO::Senthil","instance":"SmartShape_211","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si43998","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44009","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide44023","class":"Normal Slide","instance":"Main menu","thumbnail":"","children":["Image_114","SmartShape_192","SmartShape_193","SmartShape_194","SmartShape_195","SmartShape_197","si43470","si43481","SmartShape_198","si43509","si43520","SmartShape_199","SmartShape_200","si43601","si43612","SmartShape_201","si43644","si43655","SmartShape_202","si43687","si43698","SmartShape_203","si43730","si43741","SmartShape_204","SmartShape_205","si43822","si43833","SmartShape_206","SmartShape_207","si43878","si43889","SmartShape_208","SmartShape_209","si43942","si43953","SmartShape_210","SmartShape_211","si43998","si44009"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide44023"}}},{"id":"Image_115","class":"TODO::Senthil","instance":"Image_115","roles":{}},{"id":"SmartShape_212","class":"TODO::Senthil","instance":"SmartShape_212","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_213","class":"TODO::Senthil","instance":"SmartShape_213","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_214","class":"TODO::Senthil","instance":"SmartShape_214","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_215","class":"TODO::Senthil","instance":"SmartShape_215","title":"page 1 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_216","class":"TODO::Senthil","instance":"SmartShape_216","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_217","class":"TODO::Senthil","instance":"SmartShape_217","title":"Navigation ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_329","class":"TODO::Senthil","instance":"Text_Caption_329","title":"The icons below will assist you to navigate this eLearning guide.  When you see a purple word, click on the word to see more information.  Each icon below represents:  Main menu  Information  Table of contents - expand. Located on the top left corner  Table of contents - collapse. Located on the top left corner   This icon identifies links to eviQ resources and external websites ","roles":{"textData":{}}},{"id":"SmartShape_218","class":"TODO::Senthil","instance":"SmartShape_218","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44232","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44243","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_219","class":"TODO::Senthil","instance":"SmartShape_219","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44271","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44282","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_220","class":"TODO::Senthil","instance":"SmartShape_220","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_221","class":"TODO::Senthil","instance":"SmartShape_221","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_222","class":"TODO::Senthil","instance":"SmartShape_222","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_116","class":"TODO::Senthil","instance":"Image_116","roles":{}},{"id":"SmartShape_223","class":"TODO::Senthil","instance":"SmartShape_223","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_117","class":"TODO::Senthil","instance":"Image_117","roles":{}},{"id":"Image_118","class":"TODO::Senthil","instance":"Image_118","roles":{}},{"id":"Image_119","class":"TODO::Senthil","instance":"Image_119","roles":{}},{"id":"Image_120","class":"TODO::Senthil","instance":"Image_120","roles":{}},{"id":"Image_121","class":"TODO::Senthil","instance":"Image_121","roles":{}},{"id":"SmartShape_224","class":"TODO::Senthil","instance":"SmartShape_224","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_122","class":"TODO::Senthil","instance":"Image_122","roles":{}},{"id":"SmartShape_226","class":"TODO::Senthil","instance":"SmartShape_226","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44412","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44421","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide44435","class":"Normal Slide","instance":"Navigation","thumbnail":"","children":["Image_115","SmartShape_212","SmartShape_213","SmartShape_214","SmartShape_215","SmartShape_216","SmartShape_217","Text_Caption_329","SmartShape_218","si44232","si44243","SmartShape_219","si44271","si44282","SmartShape_220","SmartShape_221","SmartShape_222","Image_116","SmartShape_223","Image_117","Image_118","Image_119","Image_120","Image_121","SmartShape_224","Image_122","SmartShape_226","si44412","si44421"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide44435"}}},{"id":"si44683","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44698","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44715","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si44730","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_105","class":"TODO::Senthil","instance":"Button_105","roles":{"click":{"subtype":"button"}}},{"id":"si20772","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si20785","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_366","class":"TODO::Senthil","instance":"SmartShape_366","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57091","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57110","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_367","class":"TODO::Senthil","instance":"SmartShape_367","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57164","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57183","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_174","class":"TODO::Senthil","instance":"Image_174","roles":{}},{"id":"SmartShape_368","class":"TODO::Senthil","instance":"SmartShape_368","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57234","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57245","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_538","class":"TODO::Senthil","instance":"SmartShape_538","title":"Pre administration procedures ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_539","class":"TODO::Senthil","instance":"SmartShape_539","title":"In previous modules you have learnt about the key processes that you need to complete before administering any antineoplastic drugs.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_540","class":"TODO::Senthil","instance":"SmartShape_540","title":"Review ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_541","class":"TODO::Senthil","instance":"SmartShape_541","title":"Review the prescription and protocol  check all calculations including BSA and drug doses ensure supportive therapies are prescribed correctly ensure all supportive therapies are administered as required ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_542","class":"TODO::Senthil","instance":"SmartShape_542","title":"Educate ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_543","class":"TODO::Senthil","instance":"SmartShape_543","title":"Educate the patient and family  assess learning needs provide education and appropriate patient information resources reinforce education ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_544","class":"TODO::Senthil","instance":"SmartShape_544","title":"Assess ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_545","class":"TODO::Senthil","instance":"SmartShape_545","title":"Patient assessment   complete comprehensive patient assessment review relevant laboratory parameters assess the administration site ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_546","class":"TODO::Senthil","instance":"SmartShape_546","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"WHITE_547","class":"TODO::Senthil","instance":"WHITE_547","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_548","class":"TODO::Senthil","instance":"SmartShape_548","title":"The assessment of the site will vary depending on the route of administration i.e. intravenous, subcutaneous, intramuscular, topical, intrathecal. \t Assessment should look at all factors for example: condition of skin condition of veins (only applicable for intravenous administration) risk of contamination i.e. leakage age and weight of the patient administration technique site selection ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_549","class":"TODO::Senthil","instance":"SmartShape_549","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69355","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69366","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide21033","class":"Normal Slide","instance":"Pre administration procedures","thumbnail":"","children":["si44683","si44698","si44715","si44730","Button_105","si20772","si20785","SmartShape_366","si57091","si57110","SmartShape_367","si57164","si57183","Image_174","SmartShape_368","si57234","si57245","SmartShape_538","SmartShape_539","SmartShape_540","SmartShape_541","SmartShape_542","SmartShape_543","SmartShape_544","SmartShape_545","SmartShape_546","WHITE_547","SmartShape_548","SmartShape_549","si69355","si69366"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide21033"}}},{"id":"si69904","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69919","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69936","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69951","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_368","class":"TODO::Senthil","instance":"Button_368","roles":{"click":{"subtype":"button"}}},{"id":"si69413","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si69426","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_550","class":"TODO::Senthil","instance":"SmartShape_550","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69472","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69483","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_551","class":"TODO::Senthil","instance":"SmartShape_551","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69511","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69522","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_250","class":"TODO::Senthil","instance":"Image_250","roles":{}},{"id":"SmartShape_552","class":"TODO::Senthil","instance":"SmartShape_552","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69573","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69584","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_553","class":"TODO::Senthil","instance":"SmartShape_553","title":"Pre administration procedures ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_565","class":"TODO::Senthil","instance":"SmartShape_565","title":"The focus of this module is the administration of antineoplastic drugs which involves:  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_566","class":"TODO::Senthil","instance":"SmartShape_566","title":"Final checks ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_567","class":"TODO::Senthil","instance":"SmartShape_567","title":"check prescription check patient’s identity using 3 patient identifies check for allergies and adverse drug reactions ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_568","class":"TODO::Senthil","instance":"SmartShape_568","title":"Access administration device/site ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_569","class":"TODO::Senthil","instance":"SmartShape_569","title":"access the device/site with appropriate equipment/skill  ensure the device/site is appropriately functioning for administration assess for signs and symptoms of issues with administration i.e. extravasation ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_570","class":"TODO::Senthil","instance":"SmartShape_570","title":"Administer ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_571","class":"TODO::Senthil","instance":"SmartShape_571","title":"collect equipment set up administration area administer antineoplastic drugs as specified in the treatment protocol ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_572","class":"TODO::Senthil","instance":"SmartShape_572","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"WHITE_562","class":"TODO::Senthil","instance":"WHITE_562","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_563","class":"TODO::Senthil","instance":"SmartShape_563","title":"It is important you comply with local policies, procedures and guidelines for the administration of antineoplastic drugs via different routes. It is a requirement you attend all training for specific administration routes as required by your local health facility. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_564","class":"TODO::Senthil","instance":"SmartShape_564","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69876","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si69887","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide69901","class":"Normal Slide","instance":"","thumbnail":"","children":["si69904","si69919","si69936","si69951","Button_368","si69413","si69426","SmartShape_550","si69472","si69483","SmartShape_551","si69511","si69522","Image_250","SmartShape_552","si69573","si69584","SmartShape_553","SmartShape_565","SmartShape_566","SmartShape_567","SmartShape_568","SmartShape_569","SmartShape_570","SmartShape_571","SmartShape_572","WHITE_562","SmartShape_563","SmartShape_564","si69876","si69887"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide69901"}}},{"id":"si45856","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45871","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45888","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45903","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_330","class":"TODO::Senthil","instance":"Text_Caption_330","title":"Choose the topics which are relevant for your clinical practice and click on each button below to access the information on that topic. Topics can be completed in any order and once finished you will return to this menu to access the next topic. ","roles":{"textData":{}}},{"id":"SmartShape_240","class":"TODO::Senthil","instance":"SmartShape_240","title":"Introduction  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_Oral","class":"TODO::Senthil","instance":"SmartShape_Topic_Oral","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52310","class":"TODO::Senthil","title":"Administering oral antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78802","class":"TODO::Senthil","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_AdminIV","class":"TODO::Senthil","instance":"SmartShape_Topic_AdminIV","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45467","class":"TODO::Senthil","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78814","class":"TODO::Senthil","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_AdminSubcuta","class":"TODO::Senthil","instance":"SmartShape_Topic_AdminSubcuta","title":"Administering subcutaneous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45498","class":"TODO::Senthil","title":"Administering subcutaneous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78838","class":"TODO::Senthil","title":"Administering subcutaneous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_AdminIntramuscular","class":"TODO::Senthil","instance":"SmartShape_Topic_AdminIntramuscular","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45529","class":"TODO::Senthil","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78850","class":"TODO::Senthil","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_PreventExtravasation","class":"TODO::Senthil","instance":"SmartShape_Topic_PreventExtravasation","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45560","class":"TODO::Senthil","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78826","class":"TODO::Senthil","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_Topic_AdminTopical","class":"TODO::Senthil","instance":"SmartShape_Topic_AdminTopical","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45591","class":"TODO::Senthil","title":"Administering topical antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78862","class":"TODO::Senthil","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Topic_Adminintravesical_","class":"TODO::Senthil","instance":"Topic_Adminintravesical_","title":"Administering intravesical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88764","class":"TODO::Senthil","title":"Administering intravesical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88807","class":"TODO::Senthil","title":"Administering intravesical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_124","class":"TODO::Senthil","instance":"Image_124","roles":{}},{"id":"SmartShape_247","class":"TODO::Senthil","instance":"SmartShape_247","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45626","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45637","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_125","class":"TODO::Senthil","instance":"Image_125","roles":{}},{"id":"SmartShape_248","class":"TODO::Senthil","instance":"SmartShape_248","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45698","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_249","class":"TODO::Senthil","instance":"SmartShape_249","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45747","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45758","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_250","class":"TODO::Senthil","instance":"SmartShape_250","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45787","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45798","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_126","class":"TODO::Senthil","instance":"Image_126","roles":{}},{"id":"SmartShape_251","class":"TODO::Senthil","instance":"SmartShape_251","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45828","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45839","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_1","class":"TODO::Senthil","instance":"Hint_Shape_1","title":"click on the name of the topic to access the information  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_1","class":"TODO::Senthil","instance":"Hint_Shape_1","title":"click on the name of the topic to access the information  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide45853","class":"Normal Slide","instance":"Topics","thumbnail":"","children":["si45856","si45871","si45888","si45903","Text_Caption_330","SmartShape_240","SmartShape_Topic_Oral","si52310","si78802","SmartShape_Topic_AdminIV","si45467","si78814","SmartShape_Topic_AdminSubcuta","si45498","si78838","SmartShape_Topic_AdminIntramuscular","si45529","si78850","SmartShape_Topic_PreventExtravasation","si45560","si78826","SmartShape_Topic_AdminTopical","si45591","si78862","Topic_Adminintravesical_","si88764","si88807","Image_124","SmartShape_247","si45626","si45637","Image_125","SmartShape_248","si45698","SmartShape_249","si45747","si45758","SmartShape_250","si45787","si45798","Image_126","SmartShape_251","si45828","si45839","Hint_Shape_1","Hint_Shape_1"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide45853"}}},{"id":"si45926","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45941","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45958","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si45973","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_665","class":"TODO::Senthil","instance":"SmartShape_665","title":"Oral antineoplastic drugs must be subject to the same stringent prescribing and checking procedures as antineoplastic drugs administered by other routes. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_77","class":"TODO::Senthil","instance":"SmartShape_77","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_252","class":"TODO::Senthil","instance":"SmartShape_252","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_253","class":"TODO::Senthil","instance":"SmartShape_253","title":"Interventions to promote adherence with oral agents Program to Support Safe Administeration of Oral Chemotherapy  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_254","class":"TODO::Senthil","instance":"SmartShape_254","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_128","class":"TODO::Senthil","instance":"Image_128","roles":{}},{"id":"SmartShape_369","class":"TODO::Senthil","instance":"SmartShape_369","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57301","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57320","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_370","class":"TODO::Senthil","instance":"SmartShape_370","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57374","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57393","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_175","class":"TODO::Senthil","instance":"Image_175","roles":{}},{"id":"SmartShape_371","class":"TODO::Senthil","instance":"SmartShape_371","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57444","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57455","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"AdministerOralDrugs","class":"TODO::Senthil","instance":"AdministerOralDrugs","roles":{}},{"id":"SmartShape_663","class":"TODO::Senthil","instance":"SmartShape_663","title":"Below are examples of what can go wrong:   A patient who was prescribed temozolomide 320mg daily for 5 days died of leukopenia-related sepsis after mistakenly taking the drug for 22 consecutive days.   A patient was prescribed lomustine to be taken once every 6 weeks. The prescription vial was mislabelled and the patient died after taking the drug for 5 consecutive days.    ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_664","class":"TODO::Senthil","instance":"SmartShape_664","title":"Patients, parents, carers or family members may be required to administer oral antineoplastic drugs in the community. To ensure patient compliance and safety, comprehensive education about the medication is crucial. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_666","class":"TODO::Senthil","instance":"SmartShape_666","title":"For your interest listed below are articles on oral administration of antineoplastic drugs in a cancer setting.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_809","class":"TODO::Senthil","instance":"SmartShape_809","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_810","class":"TODO::Senthil","instance":"SmartShape_810","title":"page 1 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide22299","class":"Normal Slide","instance":"Administering oral antineoplastic drugs","thumbnail":"","children":["si45926","si45941","si45958","si45973","SmartShape_665","SmartShape_77","SmartShape_252","SmartShape_253","SmartShape_254","Image_128","SmartShape_369","si57301","si57320","SmartShape_370","si57374","si57393","Image_175","SmartShape_371","si57444","si57455","AdministerOralDrugs","SmartShape_663","SmartShape_664","SmartShape_666","SmartShape_809","SmartShape_810"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide22299"}}},{"id":"si46100","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46115","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46132","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46147","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_269","class":"TODO::Senthil","instance":"Image_269","roles":{}},{"id":"SmartShape_79","class":"TODO::Senthil","instance":"SmartShape_79","title":"You need to determine what personal protective equipment (PPE) should be worn when administering oral antineoplastic drugs as this will vary depending on the drug’s preparation.  Oral drugs can be:   film coated tablets  uncoated tablets  capsules  liquids  When administering film coated tablets and capsules, chemoprotectant gloves should be worn and a 'non touch technique' used when handling. When administering uncoated tablets and liquids, international agencies such as the National Institute for Occupational Health and Safety (NIOSH) recommends that full personal protective equipment (PPE) is worn when handling due to the risk associated with potential drug aerosolisation and inhalation of drug.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_80","class":"TODO::Senthil","instance":"SmartShape_80","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_flim_coated_126","class":"TODO::Senthil","instance":"BTN_flim_coated_126","roles":{"click":{"subtype":"button"}}},{"id":"si22634","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si22647","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_uncoated_127","class":"TODO::Senthil","instance":"BTN_uncoated_127","roles":{"click":{"subtype":"button"}}},{"id":"si22683","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si22696","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_capsules_128","class":"TODO::Senthil","instance":"BTN_capsules_128","roles":{"click":{"subtype":"button"}}},{"id":"si22732","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si22745","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_liquid_129","class":"TODO::Senthil","instance":"BTN_liquid_129","roles":{"click":{"subtype":"button"}}},{"id":"si22781","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si22794","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_372","class":"TODO::Senthil","instance":"SmartShape_372","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57511","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57530","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_373","class":"TODO::Senthil","instance":"SmartShape_373","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57584","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57603","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_176","class":"TODO::Senthil","instance":"Image_176","roles":{}},{"id":"SmartShape_374","class":"TODO::Senthil","instance":"SmartShape_374","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57654","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57665","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_667","class":"TODO::Senthil","instance":"SmartShape_667","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_668","class":"TODO::Senthil","instance":"SmartShape_668","title":"To assist you with answering the following question, please keep the below protocol open on another web page for easy access. See the eviQ page Clinical procedure - Oral Antineoplastic Drug Administration ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_669","class":"TODO::Senthil","instance":"SmartShape_669","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_270","class":"TODO::Senthil","instance":"Image_270","roles":{}},{"id":"SS_white_670","class":"TODO::Senthil","instance":"SS_white_670","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_258","class":"TODO::Senthil","instance":"SmartShape_258","title":"Film coating is used for a variety of purposes.   For example, a coating makes the tablet easier to swallow, covers drugs that are unpleasant tasting, extends shelf-life of components that are sensitive to oxidation or moisture and controls the rate of dissolution.   An example of a film coated tablet is cyclophosphamide.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_259","class":"TODO::Senthil","instance":"SmartShape_259","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46352","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46364","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_671","class":"TODO::Senthil","instance":"SS_white_671","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_264","class":"TODO::Senthil","instance":"SmartShape_264","title":"  There are few commercially available oral liquid preparations of antineoplastic drugs.  Liquid formulations may be specially compounded by the oncology/cytotoxic pharmacy for specific patients that are unable to swallow, or require medication to be administered by a percutaneous endoscopic gastrostomy (PEG) tube or a nasogastric tube (NG).  Contact your oncology/cytotoxic pharmacy if a patient requires an oral liquid formulation. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_265","class":"TODO::Senthil","instance":"SmartShape_265","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46640","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46652","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_672","class":"TODO::Senthil","instance":"SS_white_672","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_260","class":"TODO::Senthil","instance":"SmartShape_260","title":" The release of the active ingredients is unmodified in these tablets. Because they are not 'film coated', administration can result in exposure to the antineoplastic drug or its active metabolites.   There are a few uncoated tablets, e.g. Mercaptopurine and methotrexate which are scored allowing the tablet to be easily cut. If an uncoated tablet requires cutting, this process should ideally be managed in pharmacy with appropriate safe handling precautions.  Some uncoated tablets are scored and can be halved for its administration dose.   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_261","class":"TODO::Senthil","instance":"SmartShape_261","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46448","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46460","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_673","class":"TODO::Senthil","instance":"SS_white_673","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_262","class":"TODO::Senthil","instance":"SmartShape_262","title":"Capsules are easier to swallow than tablets.   They are manufactured when a drug cannot be compacted into a solid tablet or must be mixed with oil or other liquid to aid in absorption in the body. The capsule consists of a shell, normally composed of gelatin, and the drug within it.   Examples: ciclosporin and mycophenolate ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_263","class":"TODO::Senthil","instance":"SmartShape_263","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46544","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si46556","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_811","class":"TODO::Senthil","instance":"SmartShape_811","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_812","class":"TODO::Senthil","instance":"SmartShape_812","title":"page 2 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide22986","class":"Normal Slide","instance":"","thumbnail":"","children":["si46100","si46115","si46132","si46147","Image_269","SmartShape_79","SmartShape_80","BTN_flim_coated_126","si22634","si22647","BTN_uncoated_127","si22683","si22696","BTN_capsules_128","si22732","si22745","BTN_liquid_129","si22781","si22794","SmartShape_372","si57511","si57530","SmartShape_373","si57584","si57603","Image_176","SmartShape_374","si57654","si57665","SmartShape_667","SmartShape_668","SmartShape_669","Image_270","SS_white_670","SmartShape_258","SmartShape_259","si46352","si46364","SS_white_671","SmartShape_264","SmartShape_265","si46640","si46652","SS_white_672","SmartShape_260","SmartShape_261","si46448","si46460","SS_white_673","SmartShape_262","SmartShape_263","si46544","si46556","SmartShape_811","SmartShape_812"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide22986"}}},{"id":"si46657","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si46689","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"SmartShape_375","class":"TODO::Senthil","instance":"SmartShape_375","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57721","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57740","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"SmartShape_376","class":"TODO::Senthil","instance":"SmartShape_376","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57794","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57813","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"Image_177","class":"TODO::Senthil","instance":"Image_177","roles":{}},{"id":"SmartShape_377","class":"TODO::Senthil","instance":"SmartShape_377","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57864","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si57875","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"Image_271","class":"TODO::Senthil","instance":"Image_271","roles":{}},{"id":"SmartShape_674","class":"TODO::Senthil","instance":"SmartShape_674","title":" ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"SmartShape_675","class":"TODO::Senthil","instance":"SmartShape_675","title":"*In some states respiratory protective equipment is not mandatory. Ensure you follow your local hospital policies, practices and guidelines. ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"SmartShape_813","class":"TODO::Senthil","instance":"SmartShape_813","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"SmartShape_814","class":"TODO::Senthil","instance":"SmartShape_814","title":"page 3 of 9 ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si23092","class":"TODO::Senthil","instance":"Text_Caption_64","title":"Full PPE should be worn when administering all oral antineoplastic drugs.  Is this statement true or false? ","roles":{"textData":{}}},{"id":"si23103","class":"TODO::Senthil","instance":"Text_Caption_69","title":"A) ","roles":{"textData":{}}},{"id":"si23107","class":"TODO::Senthil","instance":"Text_Caption_73","title":"True ","roles":{"textData":{}}},{"id":"si23103_a","class":"TODO::Senthil","roles":{"answer":{"title":"True\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si23114","class":"TODO::Senthil","instance":"Text_Caption_74","title":"B) ","roles":{"textData":{}}},{"id":"si23118","class":"TODO::Senthil","instance":"Text_Caption_75","title":"False ","roles":{"textData":{}}},{"id":"si23114_a","class":"TODO::Senthil","roles":{"answer":{"title":"False\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si23233","class":"TODO::Senthil","instance":"Button_16","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide23329q0","for":"Slide23329q0"},"textData":{}}},{"id":"si89343","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide23329q0","for":"Slide23329q0"},"textData":{}}},{"id":"si89356","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide23329q0","for":"Slide23329q0"},"textData":{}}},{"id":"si23360","class":"TODO::Senthil","title":"Correct  This statement is false. It is important when administering oral antineoplastic agents appropriate personal protective equipment (PPE) is worn and correct technique is used. When administering uncoated tablets international agencies such as the National Institute for Occupational Health and Safety (NIOSH) recommends full personal protective equipment (PPE) is worn when handling due to the risk associated with potential drug aerosolisation and inhalation of drug.  Full PPE includes gloves, long sleeved gowns, protective eyewear and respiratory protective equipment.  When choosing appropriate PPE ensure you follow your local hospital policies, practices and guidelines.   Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si23373","class":"TODO::Senthil","title":"Incorrect  This statement is false. It is important when administering oral antineoplastic agents appropriate personal protective equipment (PPE) is worn and correct technique is used. When administering uncoated tablets international agencies such as the National Institute for Occupational Health and Safety (NIOSH) recommends full personal protective equipment (PPE) is worn when handling due to the risk associated with potential drug aerosolisation and inhalation of drug.  Full PPE includes gloves, long sleeved gowns, protective eyewear and respiratory protective equipment.  When choosing appropriate PPE ensure you follow your local hospital policies, practices and guidelines.   Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"si23386","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide23329q0"},"textData":{}}},{"id":"Slide23329","class":"Question Slide","instance":"","thumbnail":"","children":["si46657","si46689","SmartShape_375","si57721","si57740","SmartShape_376","si57794","si57813","Image_177","SmartShape_377","si57864","si57875","Image_271","SmartShape_674","SmartShape_675","SmartShape_813","SmartShape_814","si23092","si23107","si23118","si23233","si89343","si89356","si23386"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide23329"},"question":{"interactionId":"23013","quizId":377,"title":"Multiple Choice","text":"Full PPE should be worn when administering all oral antineoplastic drugs. \rIs this statement true or false?\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":10,"penalty":0}}}},{"id":"Image_272","class":"TODO::Senthil","instance":"Image_272","roles":{}},{"id":"SmartShape_84","class":"TODO::Senthil","instance":"SmartShape_84","title":"Swallowing difficulties ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_378","class":"TODO::Senthil","instance":"SmartShape_378","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57931","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si57950","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_379","class":"TODO::Senthil","instance":"SmartShape_379","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58004","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58023","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_676","class":"TODO::Senthil","instance":"SmartShape_676","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_677","class":"TODO::Senthil","instance":"SmartShape_677","title":"See the eviQ Clinical procedure - Oral Antineoplastic Drug Administration and MIMS Online “Don’t Rush to Crush”  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_678","class":"TODO::Senthil","instance":"SmartShape_678","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_273","class":"TODO::Senthil","instance":"Image_273","roles":{}},{"id":"SmartShape_679","class":"TODO::Senthil","instance":"SmartShape_679","title":"For patients who are unable to tolerate large oral tablets or there are concerns regarding compliance, find out if there is an alternative route and raise your concerns with the treating team.   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_680","class":"TODO::Senthil","instance":"SmartShape_680","title":"Oral antineoplastic drugs usually come in tablets and capsules. There are currently limited commercially available liquid formulations.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_681","class":"TODO::Senthil","instance":"SmartShape_681","title":"Patients may experience difficulties swallowing large tablets e.g. 500mg capecitabine. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_682","class":"TODO::Senthil","instance":"SmartShape_682","title":"In these circumstances you need to ensure the patient receives the medication whilst ensuring your own and their family members safety. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_683","class":"TODO::Senthil","instance":"SmartShape_683","title":"It is important to educate patients and their family members: oral antineoplastic film coated tablets and / or capsules should not be broken or crushed  crushing tablets carries the risk of occupational exposure crushing tablets can alter the bioavailability of the drug not all oral antineoplastic drugs are suitable for administration via a nasogastic (NG) tube or percutaneous endoscopic gastrostomy (PEG) tube ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_684","class":"TODO::Senthil","instance":"SmartShape_684","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_685","class":"TODO::Senthil","instance":"SmartShape_685","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_686","class":"TODO::Senthil","instance":"SmartShape_686","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_687","class":"TODO::Senthil","instance":"SmartShape_687","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_178","class":"TODO::Senthil","instance":"Image_178","roles":{}},{"id":"SmartShape_380","class":"TODO::Senthil","instance":"SmartShape_380","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58074","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58085","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_815","class":"TODO::Senthil","instance":"SmartShape_815","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_816","class":"TODO::Senthil","instance":"SmartShape_816","title":"page 4 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide23916","class":"Normal Slide","instance":"Swallowing difficulties","thumbnail":"","children":["Image_272","SmartShape_84","SmartShape_378","si57931","si57950","SmartShape_379","si58004","si58023","SmartShape_676","SmartShape_677","SmartShape_678","Image_273","SmartShape_679","SmartShape_680","SmartShape_681","SmartShape_682","SmartShape_683","SmartShape_684","SmartShape_685","SmartShape_686","SmartShape_687","Image_178","SmartShape_380","si58074","si58085","SmartShape_815","SmartShape_816"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide23916"}}},{"id":"si47005","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si47037","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"SmartShape_381","class":"TODO::Senthil","instance":"SmartShape_381","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58141","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58160","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"SmartShape_382","class":"TODO::Senthil","instance":"SmartShape_382","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58214","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58233","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"Image_179","class":"TODO::Senthil","instance":"Image_179","roles":{}},{"id":"SmartShape_383","class":"TODO::Senthil","instance":"SmartShape_383","title":" ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58284","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si58295","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"Image_274","class":"TODO::Senthil","instance":"Image_274","roles":{}},{"id":"SmartShape_817","class":"TODO::Senthil","instance":"SmartShape_817","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"SmartShape_818","class":"TODO::Senthil","instance":"SmartShape_818","title":"page 5 of 9 ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si23960","class":"TODO::Senthil","instance":"Text_Caption_65","title":"What action should you take to ensure that a patient receives the correct oral antineoplastic drug if they are experiencing swallowing difficulties? ","roles":{"textData":{}}},{"id":"si23971","class":"TODO::Senthil","instance":"Text_Caption_94","title":"A) ","roles":{"textData":{}}},{"id":"si23975","class":"TODO::Senthil","instance":"Text_Caption_95","title":"Give the tablet despite the known swallowing difficulties ","roles":{"textData":{}}},{"id":"si23971_a","class":"TODO::Senthil","instance":"60_4","roles":{"answer":{"title":"Give the tablet despite the known swallowing difficulties\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si23982","class":"TODO::Senthil","instance":"Text_Caption_112","title":"B) ","roles":{"textData":{}}},{"id":"si23986","class":"TODO::Senthil","instance":"Text_Caption_113","title":"Crush the tablet in a mortar and pestle ","roles":{"textData":{}}},{"id":"si23982_a","class":"TODO::Senthil","instance":"62_5","roles":{"answer":{"title":"Crush the tablet in a mortar and pestle\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si23996","class":"TODO::Senthil","instance":"Text_Caption_114","title":"C) ","roles":{"textData":{}}},{"id":"si24000","class":"TODO::Senthil","instance":"Text_Caption_115","title":"Consult with the treating team (including the pharmacist) about an alternative delivery method  ","roles":{"textData":{}}},{"id":"si23996_a","class":"TODO::Senthil","instance":"64_6","roles":{"answer":{"title":"Consult with the treating team (including the pharmacist) about an alternative delivery method\r\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si24079","class":"TODO::Senthil","instance":"Button_17","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide24175q1","for":"Slide24175q1"},"textData":{}}},{"id":"si89427","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide24175q1","for":"Slide24175q1"},"textData":{}}},{"id":"si89440","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide24175q1","for":"Slide24175q1"},"textData":{}}},{"id":"si25830","class":"TODO::Senthil","title":"Correct.   The appropriate action is to consult with the treating team.   Crushing the tablet is dangerous as you may inhale hazardous chemicals.   Giving the tablet is inappropriate as the patient will be unable to swallow it.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si25843","class":"TODO::Senthil","title":"Incorrect.   The appropriate action is to consult with the treating team.   Crushing the tablet is dangerous as you may inhale hazardous chemicals.   Giving the tablet is inappropriate as the patient will be unable to swallow it.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"si25856","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide24175q1"},"textData":{}}},{"id":"Slide24175","class":"Question Slide","instance":"","thumbnail":"","children":["si47005","si47037","SmartShape_381","si58141","si58160","SmartShape_382","si58214","si58233","Image_179","SmartShape_383","si58284","si58295","Image_274","SmartShape_817","SmartShape_818","si23960","si23975","si23986","si24000","si24079","si89427","si89440","si25856"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide24175"},"question":{"interactionId":"23935","quizId":377,"title":"Multiple Choice","text":"What action should you take to ensure that a patient receives the correct oral antineoplastic drug if they are experiencing swallowing difficulties?\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":false,"correctAnswers":["C"],"score":{"weight":10,"penalty":0}}}},{"id":"si47560","class":"TODO::Senthil","roles":{}},{"id":"si47561","class":"TODO::Senthil","title":"Workplace focus ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47580","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47589","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47600","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_387","class":"TODO::Senthil","instance":"SmartShape_387","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58561","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58580","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_388","class":"TODO::Senthil","instance":"SmartShape_388","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58634","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58653","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_181","class":"TODO::Senthil","instance":"Image_181","roles":{}},{"id":"SmartShape_389","class":"TODO::Senthil","instance":"SmartShape_389","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58704","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58715","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_381","class":"TODO::Senthil","instance":"Text_Caption_381","title":"When administering oral antineoplastic drugs some questions to ask yourself include: ","roles":{"textData":{}}},{"id":"Image_275","class":"TODO::Senthil","instance":"Image_275","roles":{}},{"id":"Text_Caption_382","class":"TODO::Senthil","instance":"Text_Caption_382","title":"Does this antineoplastic drug need to be administered on an empty stomach or 1-2 hours after food and milk products?         Are there any food interactions? For example    \twith grapefruit, orange or apple juice?  What time of day should this antineoplastic drug be administered? In the morning or at night time?  Are there any drug interactions? For example methotrexate and oral bactrim?  Is the drug suitable to be administered via a      \t NG or PEG? ","roles":{"textData":{}}},{"id":"SmartShape_819","class":"TODO::Senthil","instance":"SmartShape_819","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_820","class":"TODO::Senthil","instance":"SmartShape_820","title":"page 6 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide25052","class":"Normal Slide","instance":"","thumbnail":"","children":["si47560","si47561","si47580","si47589","si47600","SmartShape_387","si58561","si58580","SmartShape_388","si58634","si58653","Image_181","SmartShape_389","si58704","si58715","Text_Caption_381","Image_275","Text_Caption_382","SmartShape_819","SmartShape_820"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide25052"}}},{"id":"Image_276","class":"TODO::Senthil","instance":"Image_276","roles":{}},{"id":"SmartShape_91","class":"TODO::Senthil","instance":"SmartShape_91","title":"Managing waste and spills ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_390","class":"TODO::Senthil","instance":"SmartShape_390","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58771","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58790","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_391","class":"TODO::Senthil","instance":"SmartShape_391","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58844","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58863","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_691","class":"TODO::Senthil","instance":"SmartShape_691","title":"A patient you are caring for in a four bed bay notifies you she has vomited in the communal toilet after taking her morning dose of an oral antineoplastic drug.  You will need to take appropriate measures including the use of PPE to ensure the safety of yourself and others while minimising the risk of exposure.  Safe handling of antineoplastic drugs and related waste is covered in the module “Handling antineoplastic drugs and related waste safety. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_692","class":"TODO::Senthil","instance":"SmartShape_692","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_693","class":"TODO::Senthil","instance":"SmartShape_693","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_694","class":"TODO::Senthil","instance":"SmartShape_694","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_695","class":"TODO::Senthil","instance":"SmartShape_695","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_182","class":"TODO::Senthil","instance":"Image_182","roles":{}},{"id":"SmartShape_392","class":"TODO::Senthil","instance":"SmartShape_392","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58914","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58925","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_688","class":"TODO::Senthil","instance":"SmartShape_688","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_689","class":"TODO::Senthil","instance":"SmartShape_689","title":"See the eviQ Supporting Document - Safe Handling and Waste Management of Hazardous Drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_690","class":"TODO::Senthil","instance":"SmartShape_690","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_278","class":"TODO::Senthil","instance":"Image_278","roles":{}},{"id":"SmartShape_821","class":"TODO::Senthil","instance":"SmartShape_821","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_822","class":"TODO::Senthil","instance":"SmartShape_822","title":"page 7 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide25462","class":"Normal Slide","instance":"Managing waste and spills","thumbnail":"","children":["Image_276","SmartShape_91","SmartShape_390","si58771","si58790","SmartShape_391","si58844","si58863","SmartShape_691","SmartShape_692","SmartShape_693","SmartShape_694","SmartShape_695","Image_182","SmartShape_392","si58914","si58925","SmartShape_688","SmartShape_689","SmartShape_690","Image_278","SmartShape_821","SmartShape_822"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide25462"}}},{"id":"si47843","class":"TODO::Senthil","roles":{}},{"id":"si47844","class":"TODO::Senthil","title":"Clinical note ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47863","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47872","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47883","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47892","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_94","class":"TODO::Senthil","instance":"SmartShape_94","title":"Education and assessment of patients receiving oral antineoplastic drugs can be challenging as some practice settings do not offer links for patients to attend nurse clinics or to ambulatory services for education and ongoing assessment.  It is important to reinforce a multidisciplinary approach to coordinated communication to improve safe patient outcomes.  Refer to your local policies, procedures and practices. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_393","class":"TODO::Senthil","instance":"SmartShape_393","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si58981","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59000","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_394","class":"TODO::Senthil","instance":"SmartShape_394","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59054","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59073","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_183","class":"TODO::Senthil","instance":"Image_183","roles":{}},{"id":"SmartShape_395","class":"TODO::Senthil","instance":"SmartShape_395","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59124","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59135","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_823","class":"TODO::Senthil","instance":"SmartShape_823","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_824","class":"TODO::Senthil","instance":"SmartShape_824","title":"page 8 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide25799","class":"Normal Slide","instance":"","thumbnail":"","children":["si47843","si47844","si47863","si47872","si47883","si47892","SmartShape_94","SmartShape_393","si58981","si59000","SmartShape_394","si59054","si59073","Image_183","SmartShape_395","si59124","si59135","SmartShape_823","SmartShape_824"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide25799"}}},{"id":"si47901","class":"TODO::Senthil","roles":{}},{"id":"si47902","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47921","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47930","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47941","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si47950","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_95","class":"TODO::Senthil","instance":"SmartShape_95","title":"A comprehensive patient assessment is completed before administering any antineoplastic drugs. Oral antineoplastic drugs come in different formulations these include: coated, uncoated, liquid and capsules.  Adhering to a clinical procedure for administration of oral antineoplastic drugs ensures safe practice to: minimise your risk of occupational exposure   enhance patient safety The use of PPE varies depending on the form of the oral antineoplastic drug Determine what personal protective equipment (PPE) should be worn when administering oral antineoplastic drugs and ensure you follow local policies, practices and guidelines.  Ensure you consider other delivery methods for patients who do not know how to swallow tablets or may experience difficulties swallowing large tablets. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_396","class":"TODO::Senthil","instance":"SmartShape_396","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59191","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59210","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_184","class":"TODO::Senthil","instance":"Image_184","roles":{}},{"id":"SmartShape_398","class":"TODO::Senthil","instance":"SmartShape_398","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59334","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59345","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_278","class":"TODO::Senthil","instance":"SmartShape_278","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_279","class":"TODO::Senthil","instance":"SmartShape_279","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_336","class":"TODO::Senthil","instance":"Text_Caption_336","title":"You have now completed  Administering oral antineoplastic drugs  Click here to return to the topics menu.   Click here to return to the learning activities ","roles":{"textData":{}}},{"id":"Button_373","class":"TODO::Senthil","instance":"Button_373","roles":{"click":{"subtype":"button"}}},{"id":"si79061","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si79096","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_825","class":"TODO::Senthil","instance":"SmartShape_825","title":"Administering oral antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_826","class":"TODO::Senthil","instance":"SmartShape_826","title":"page 9 of 9 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide26228","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si47901","si47902","si47921","si47930","si47941","si47950","SmartShape_95","SmartShape_396","si59191","si59210","Image_184","SmartShape_398","si59334","si59345","SmartShape_278","SmartShape_279","Text_Caption_336","Button_373","si79061","si79096","SmartShape_825","SmartShape_826"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide26228"}}},{"id":"si75288","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75303","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75320","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75335","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_279","class":"TODO::Senthil","instance":"Image_279","roles":{}},{"id":"Text_Caption_145","class":"TODO::Senthil","instance":"Text_Caption_145","title":"Understanding venous access ","roles":{"textData":{}}},{"id":"SmartShape_97","class":"TODO::Senthil","instance":"SmartShape_97","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_98","class":"TODO::Senthil","instance":"SmartShape_98","title":"Intravenous (IV) antineoplastic drugs may be administered via intravenous cannulas (IVCs) or central venous access devices (CVADs). Venous access may be outlined by the treating team to ensure the safe delivery of IV antineoplastic drugs.   While the majority of patients will have a IVC inserted for treatment, some patients including paediatric patients, may choose to receive their treatment via a CVAD. To reduce the risk of extravasation when administering antineoplastic drugs via an IVC there are a number of recommendations to follow.  When choosing a CVAD there are a number of factors patients and families need to consider.   Before administering IV antineoplastic drugs your role as the nurse is to assess the patients venous access or venous access device (VAD). ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_280","class":"TODO::Senthil","instance":"SmartShape_280","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_281","class":"TODO::Senthil","instance":"SmartShape_281","title":"Please read the eviQ Supporting Document Safe Administration of Antineoplastic Drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_282","class":"TODO::Senthil","instance":"SmartShape_282","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_137","class":"TODO::Senthil","instance":"Image_137","roles":{}},{"id":"SmartShape_399","class":"TODO::Senthil","instance":"SmartShape_399","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59465","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59484","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_400","class":"TODO::Senthil","instance":"SmartShape_400","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59538","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59557","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_185","class":"TODO::Senthil","instance":"Image_185","roles":{}},{"id":"SmartShape_401","class":"TODO::Senthil","instance":"SmartShape_401","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59608","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59619","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_696","class":"TODO::Senthil","instance":"SmartShape_696","title":"Please note this document has been developed for use in a cancer setting. When administering IV antineoplastic drugs in your clinical setting always refer to local policies, procedures and guidelines. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_factors_165","class":"TODO::Senthil","instance":"BTN_factors_165","roles":{"click":{"subtype":"button"}}},{"id":"si26396","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si26409","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_recommendations_166","class":"TODO::Senthil","instance":"BTN_recommendations_166","roles":{"click":{"subtype":"button"}}},{"id":"si26445","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si26458","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SS_white_697","class":"TODO::Senthil","instance":"SS_white_697","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_285","class":"TODO::Senthil","instance":"SmartShape_285","title":"Important factors and considerations for patients and families when choosing the type of venous access device include the:                                                                                                                         patient’s preference  ability to care for the device at home i.e. dressings patient’s lifestyle i.e. physical activity, restrictions for example swimming patient’s diagnosis / duration and scheduling of treatment patient and / or families level of support restrictions in position of CVAD i.e. previous surgery, previous CVAD  extravasation properties of the antineoplastic drugs i.e. vesicants whether the antineoplastic treatment will be outpatient or inpatient based ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_286","class":"TODO::Senthil","instance":"SmartShape_286","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48375","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48386","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_698","class":"TODO::Senthil","instance":"SS_white_698","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_283","class":"TODO::Senthil","instance":"SmartShape_283","title":"Recommendations for intravenous cannulation to avoid the risk of extravasation when administering antineoplastic drugs include:  choose an appropriate IVC type and size for the type of treatment  if possible use a large vein in the middle of the forearm  avoid cannulating the back of hand, joints and the antecubital fossa  do not use the arm on the side of an axillary lymph node dissection  avoid cannulating veins that have been recently used as there is an increased risk of leakage of the drug from the old site; use a different vein on the opposite limb. If this is not possible then a site in the same vein may be selected but it should be proximal to the previous puncture avoid bruised/sclerosed/sore/fragile veins avoid limbs with compromised circulation  Reference:  1. eviQ Resource Document Safe Administration of Antineoplastic Drugs 2. Hayden B K and Goodman M Chemotherapy, Principles of Administration in Yarbro, Frogge,  and Goodman, Cancer Nurses Principles and Practise      6th Ed Jones and Bartlett Sudbury Massachusetts  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_284","class":"TODO::Senthil","instance":"SmartShape_284","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48278","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48289","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_827","class":"TODO::Senthil","instance":"SmartShape_827","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_828","class":"TODO::Senthil","instance":"SmartShape_828","title":"page 1 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide26815","class":"Normal Slide","instance":"Administering intravenous antineoplastic drugs","thumbnail":"","children":["si75288","si75303","si75320","si75335","Image_279","Text_Caption_145","SmartShape_97","SmartShape_98","SmartShape_280","SmartShape_281","SmartShape_282","Image_137","SmartShape_399","si59465","si59484","SmartShape_400","si59538","si59557","Image_185","SmartShape_401","si59608","si59619","SmartShape_696","BTN_factors_165","si26396","si26409","BTN_recommendations_166","si26445","si26458","SS_white_697","SmartShape_285","SmartShape_286","si48375","si48386","SS_white_698","SmartShape_283","SmartShape_284","si48278","si48289","SmartShape_827","SmartShape_828"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide26815"}}},{"id":"si48391","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48406","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48423","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si48438","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_99","class":"TODO::Senthil","instance":"SmartShape_99","title":"Drag and drop the words advantage or disadvantage to identify if it is an advantage or disadvantage when using an IVC to administer IV antineoplastic drugs. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_100","class":"TODO::Senthil","instance":"SmartShape_100","title":"Requires multiple punctures for treatment and blood tests. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_101","class":"TODO::Senthil","instance":"SmartShape_101","title":"Potential for collapsed veins, bruising and thrombosis. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_102","class":"TODO::Senthil","instance":"SmartShape_102","title":"Peripheral veins may rupture more easily during treatment leading to an extravasation injury. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_103","class":"TODO::Senthil","instance":"SmartShape_103","title":"Can be inserted immediately without need for any intervention for example sedation, local anaesthetic, general anaesthetic.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_104","class":"TODO::Senthil","instance":"SmartShape_104","title":"If only a few treatments are required, it is cost effective. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_105","class":"TODO::Senthil","instance":"SmartShape_105","title":"Can commence treatment quickly, no need to wait for a CVAD to be inserted. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_106","class":"TODO::Senthil","instance":"SmartShape_106","title":"Advantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_107","class":"TODO::Senthil","instance":"SmartShape_107","title":"Advantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_108","class":"TODO::Senthil","instance":"SmartShape_108","title":"Advantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_109","class":"TODO::Senthil","instance":"SmartShape_109","title":"Disadvantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_110","class":"TODO::Senthil","instance":"SmartShape_110","title":"Disadvantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_111","class":"TODO::Senthil","instance":"SmartShape_111","title":"Disadvantage ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_112","class":"TODO::Senthil","instance":"SmartShape_112","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_113","class":"TODO::Senthil","instance":"SmartShape_113","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_114","class":"TODO::Senthil","instance":"SmartShape_114","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_115","class":"TODO::Senthil","instance":"SmartShape_115","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_116","class":"TODO::Senthil","instance":"SmartShape_116","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_117","class":"TODO::Senthil","instance":"SmartShape_117","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_402","class":"TODO::Senthil","instance":"SmartShape_402","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59675","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59694","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_403","class":"TODO::Senthil","instance":"SmartShape_403","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59748","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59767","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_186","class":"TODO::Senthil","instance":"Image_186","roles":{}},{"id":"SmartShape_404","class":"TODO::Senthil","instance":"SmartShape_404","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59818","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59829","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ProsCons","class":"TODO::Senthil","instance":"ProsCons","roles":{}},{"id":"SmartShape_829","class":"TODO::Senthil","instance":"SmartShape_829","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_830","class":"TODO::Senthil","instance":"SmartShape_830","title":"page 2 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide27643","class":"Normal Slide","instance":"","thumbnail":"","children":["si48391","si48406","si48423","si48438","SmartShape_99","SmartShape_100","SmartShape_101","SmartShape_102","SmartShape_103","SmartShape_104","SmartShape_105","SmartShape_106","SmartShape_107","SmartShape_108","SmartShape_109","SmartShape_110","SmartShape_111","SmartShape_112","SmartShape_113","SmartShape_114","SmartShape_115","SmartShape_116","SmartShape_117","SmartShape_402","si59675","si59694","SmartShape_403","si59748","si59767","Image_186","SmartShape_404","si59818","si59829","ProsCons","SmartShape_829","SmartShape_830"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide27643"},"dragDrop":{"sources":[26965,26982,26999,27016,27033,27050],"targets":[27092,27134,27176,27218,27260,27302]}}},{"id":"Image_280","class":"TODO::Senthil","instance":"Image_280","roles":{}},{"id":"SmartShape_118","class":"TODO::Senthil","instance":"SmartShape_118","title":"Considering options - IVC or CVAD?  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_405","class":"TODO::Senthil","instance":"SmartShape_405","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59897","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59916","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_406","class":"TODO::Senthil","instance":"SmartShape_406","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59970","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si59989","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_699","class":"TODO::Senthil","instance":"SmartShape_699","title":"Choosing the most appropriate device for a patient is a combination of:  ensuring the venous access requirements of the treatment are met, extravasation risk of drugs, number of cycles, approximate number of venepunctures, assessing the patient’s vascular access including risk factors and suitability of IVC (if IVC is being considered), understanding patient and family preferences, recognising the characteristics of the device i.e. a port-a-cath requires the use of a needle to access it, recognising if the patient suffers from needle phobia, and understanding the potential risk of infection.   Other issues that may impact on the insertion of a CVAD need to be reviewed such as recent pathology (FBC, coagulation level) and patient medications (e.g. is the patient on any anticoagulation therapy?).    ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_703","class":"TODO::Senthil","instance":"SmartShape_703","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_704","class":"TODO::Senthil","instance":"SmartShape_704","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_705","class":"TODO::Senthil","instance":"SmartShape_705","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_706","class":"TODO::Senthil","instance":"SmartShape_706","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_700","class":"TODO::Senthil","instance":"SmartShape_700","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_701","class":"TODO::Senthil","instance":"SmartShape_701","title":"The resources for this activity are the eviQ page CVAD Line Selection and  CNSA Central Venous Access Devices: Principles for nursing practice and education ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_702","class":"TODO::Senthil","instance":"SmartShape_702","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_282","class":"TODO::Senthil","instance":"Image_282","roles":{}},{"id":"Image_189","class":"TODO::Senthil","instance":"Image_189","roles":{}},{"id":"SmartShape_407","class":"TODO::Senthil","instance":"SmartShape_407","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60040","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60051","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_831","class":"TODO::Senthil","instance":"SmartShape_831","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_832","class":"TODO::Senthil","instance":"SmartShape_832","title":"page 3 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide28052","class":"Normal Slide","instance":"Considering options - IVC or CVAD? ","thumbnail":"","children":["Image_280","SmartShape_118","SmartShape_405","si59897","si59916","SmartShape_406","si59970","si59989","SmartShape_699","SmartShape_703","SmartShape_704","SmartShape_705","SmartShape_706","SmartShape_700","SmartShape_701","SmartShape_702","Image_282","Image_189","SmartShape_407","si60040","si60051","SmartShape_831","SmartShape_832"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide28052"}}},{"id":"si76443","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si76458","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si76475","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si76490","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_283","class":"TODO::Senthil","instance":"Image_283","roles":{}},{"id":"Image_284","class":"TODO::Senthil","instance":"Image_284","roles":{}},{"id":"SmartShape_707","class":"TODO::Senthil","instance":"SmartShape_707","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_708","class":"TODO::Senthil","instance":"SmartShape_708","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_285","class":"TODO::Senthil","instance":"Image_285","roles":{}},{"id":"Image_286","class":"TODO::Senthil","instance":"Image_286","roles":{}},{"id":"SmartShape_709","class":"TODO::Senthil","instance":"SmartShape_709","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_710","class":"TODO::Senthil","instance":"SmartShape_710","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_287","class":"TODO::Senthil","instance":"Image_287","roles":{}},{"id":"Image_288","class":"TODO::Senthil","instance":"Image_288","roles":{}},{"id":"SmartShape_711","class":"TODO::Senthil","instance":"SmartShape_711","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_712","class":"TODO::Senthil","instance":"SmartShape_712","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_289","class":"TODO::Senthil","instance":"Image_289","roles":{}},{"id":"SmartShape_714","class":"TODO::Senthil","instance":"SmartShape_714","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75895","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75906","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_290","class":"TODO::Senthil","instance":"Image_290","roles":{}},{"id":"SmartShape_715","class":"TODO::Senthil","instance":"SmartShape_715","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si75971","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_717","class":"TODO::Senthil","instance":"SmartShape_717","title":"Identify each picture as either:  Drag your answer in the appropriate box below each picture  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_727","class":"TODO::Senthil","instance":"SmartShape_727","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_728","class":"TODO::Senthil","instance":"SmartShape_728","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_729","class":"TODO::Senthil","instance":"SmartShape_729","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_730","class":"TODO::Senthil","instance":"SmartShape_730","title":"Implanted  Venous Port  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_731","class":"TODO::Senthil","instance":"SmartShape_731","title":"PICC ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_732","class":"TODO::Senthil","instance":"SmartShape_732","title":"Tunnelled Central Venous Catheters ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_777","class":"TODO::Senthil","instance":"SmartShape_777","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79166","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79185","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_778","class":"TODO::Senthil","instance":"SmartShape_778","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79239","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79258","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_853","class":"TODO::Senthil","instance":"SmartShape_853","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_854","class":"TODO::Senthil","instance":"SmartShape_854","title":"page 4 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_5","class":"TODO::Senthil","instance":"Hint_Shape_5","title":"Drag and drop your answer in the box below each picture  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_5","class":"TODO::Senthil","instance":"Hint_Shape_5","title":"Drag and drop your answer in the box below each picture  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide76438","class":"Normal Slide","instance":"","thumbnail":"","children":["si76443","si76458","si76475","si76490","Image_283","Image_284","SmartShape_707","SmartShape_708","Image_285","Image_286","SmartShape_709","SmartShape_710","Image_287","Image_288","SmartShape_711","SmartShape_712","Image_289","SmartShape_714","si75895","si75906","Image_290","SmartShape_715","si75971","SmartShape_717","SmartShape_727","SmartShape_728","SmartShape_729","SmartShape_730","SmartShape_731","SmartShape_732","SmartShape_777","si79166","si79185","SmartShape_778","si79239","si79258","SmartShape_853","SmartShape_854","Hint_Shape_5","Hint_Shape_5"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide76438"},"dragDrop":{"sources":[76302,76319,76336],"targets":[76225,76255,76285]}}},{"id":"si50028","class":"TODO::Senthil","roles":{}},{"id":"si50029","class":"TODO::Senthil","title":"Workplace focus ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si50048","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si50063","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si50080","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si50095","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_123","class":"TODO::Senthil","instance":"SmartShape_123","title":"eviQ has some AYA Fact sheets on CVADs including Hickman Line, Port and PICC line.    ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_155","class":"TODO::Senthil","instance":"Image_155","roles":{}},{"id":"Text_Caption_337","class":"TODO::Senthil","instance":"Text_Caption_337","title":"Does your workplace have local guidelines for the insertion and management of IVCs or CVADs? ","roles":{"textData":{}}},{"id":"Image_157","class":"TODO::Senthil","instance":"Image_157","roles":{}},{"id":"Text_Caption_338","class":"TODO::Senthil","instance":"Text_Caption_338","title":" Does your workplace have any specific resources for children, adolescents and young adults relating to CVADs or IVCs?  ","roles":{"textData":{}}},{"id":"Image_156","class":"TODO::Senthil","instance":"Image_156","roles":{}},{"id":"Text_Caption_339","class":"TODO::Senthil","instance":"Text_Caption_339","title":"If your patient chooses to have a CVAD inserted, think about what resources are available in your workplace that can support the patient and family in caring their CVAD.   ","roles":{"textData":{}}},{"id":"SmartShape_414","class":"TODO::Senthil","instance":"SmartShape_414","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60527","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60546","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_415","class":"TODO::Senthil","instance":"SmartShape_415","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60600","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60619","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_192","class":"TODO::Senthil","instance":"Image_192","roles":{}},{"id":"SmartShape_416","class":"TODO::Senthil","instance":"SmartShape_416","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60670","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60681","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_835","class":"TODO::Senthil","instance":"SmartShape_835","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_836","class":"TODO::Senthil","instance":"SmartShape_836","title":"page 5 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide29038","class":"Normal Slide","instance":"","thumbnail":"","children":["si50028","si50029","si50048","si50063","si50080","si50095","SmartShape_123","Image_155","Text_Caption_337","Image_157","Text_Caption_338","Image_156","Text_Caption_339","SmartShape_414","si60527","si60546","SmartShape_415","si60600","si60619","Image_192","SmartShape_416","si60670","si60681","SmartShape_835","SmartShape_836"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide29038"}}},{"id":"si50633","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si50653","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"SmartShape_417","class":"TODO::Senthil","instance":"SmartShape_417","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60737","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60756","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"SmartShape_418","class":"TODO::Senthil","instance":"SmartShape_418","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60810","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60829","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"Image_193","class":"TODO::Senthil","instance":"Image_193","roles":{}},{"id":"SmartShape_419","class":"TODO::Senthil","instance":"SmartShape_419","title":" ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60880","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si60891","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"SmartShape_837","class":"TODO::Senthil","instance":"SmartShape_837","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"SmartShape_838","class":"TODO::Senthil","instance":"SmartShape_838","title":"page 6 of 13 ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si29093","class":"TODO::Senthil","instance":"Text_Caption_66","title":"Your patient asks if they can continue swimming when their port is not accessed? ","roles":{"textData":{}}},{"id":"si29104","class":"TODO::Senthil","instance":"Text_Caption_131","title":"B) ","roles":{"textData":{}}},{"id":"si29108","class":"TODO::Senthil","instance":"Text_Caption_146","title":"Yes, you can go swimming whenever you wish to. It is not recommended to be swimming in water where there is the potential for the water to be contaminated or unclean i.e. public swimming pools, dams, watering holes. You will need to be extra careful if you are neutropenic as you are more susceptible to infection.  ","roles":{"textData":{}}},{"id":"si29104_a","class":"TODO::Senthil","instance":"7_7","roles":{"answer":{"title":"Yes, you can go swimming whenever you wish to. It is not recommended to be swimming in water where there is the potential for the water to be contaminated or unclean i.e. public swimming pools, dams, watering holes. You will need to be extra careful if you are neutropenic as you are more susceptible to infection. \r","index":"Not implemented","score":{"weight":10}}}},{"id":"si29115","class":"TODO::Senthil","instance":"Text_Caption_147","title":"A) ","roles":{"textData":{}}},{"id":"si29119","class":"TODO::Senthil","instance":"Text_Caption_161","title":"Yes you can swim as much as you like and wherever you like. ","roles":{"textData":{}}},{"id":"si29115_a","class":"TODO::Senthil","instance":"9_8","roles":{"answer":{"title":"Yes you can swim as much as you like and wherever you like.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si29126","class":"TODO::Senthil","instance":"Text_Caption_162","title":"C) ","roles":{"textData":{}}},{"id":"si29130","class":"TODO::Senthil","instance":"Text_Caption_163","title":"No you are not able to go swimming at all. ","roles":{"textData":{}}},{"id":"si29126_a","class":"TODO::Senthil","instance":"11_9","roles":{"answer":{"title":"No you are not able to go swimming at all.\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si29137","class":"TODO::Senthil","instance":"Text_Caption_164","title":"D) ","roles":{"textData":{}}},{"id":"si29141","class":"TODO::Senthil","instance":"Text_Caption_165","title":"Yes, you can go swimming but only if you are not neutropenic. It is not recommended to be swimming in water where there is the potential for the water to be contaminated or unclean i.e. public swimming pools, dams, watering holes.  ","roles":{"textData":{}}},{"id":"si29137_a","class":"TODO::Senthil","instance":"13_10","roles":{"answer":{"title":"Yes, you can go swimming but only if you are not neutropenic. It is not recommended to be swimming in water where there is the potential for the water to be contaminated or unclean i.e. public swimming pools, dams, watering holes. \r","index":"Not implemented","score":{"weight":0}}}},{"id":"si29220","class":"TODO::Senthil","instance":"Button_18","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide29310q2","for":"Slide29310q2"},"textData":{}}},{"id":"si89567","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide29310q2","for":"Slide29310q2"},"textData":{}}},{"id":"si89580","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide29310q2","for":"Slide29310q2"},"textData":{}}},{"id":"si31379","class":"TODO::Senthil","title":"Correct.  Click anywhere to continue. ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si31392","class":"TODO::Senthil","title":"Incorrect.  The correct answer is B.   Click anywhere to continue. ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"si31405","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide29310q2"},"textData":{}}},{"id":"Slide29310","class":"Question Slide","instance":"","thumbnail":"","children":["si50633","si50653","SmartShape_417","si60737","si60756","SmartShape_418","si60810","si60829","Image_193","SmartShape_419","si60880","si60891","SmartShape_837","SmartShape_838","si29093","si29108","si29119","si29130","si29141","si29220","si89567","si89580","si31405"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide29310"},"question":{"interactionId":"29061","quizId":377,"title":"Multiple Choice","text":"Your patient asks if they can continue swimming when their port is not accessed?\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":10,"penalty":0}}}},{"id":"Image_297","class":"TODO::Senthil","instance":"Image_297","roles":{}},{"id":"SmartShape_737","class":"TODO::Senthil","instance":"SmartShape_737","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_738","class":"TODO::Senthil","instance":"SmartShape_738","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_735","class":"TODO::Senthil","instance":"SmartShape_735","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_736","class":"TODO::Senthil","instance":"SmartShape_736","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_124","class":"TODO::Senthil","instance":"SmartShape_124","title":"Needle phobia  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_125","class":"TODO::Senthil","instance":"SmartShape_125","title":"Many children, adolescents and adults fear injections to some extent, however, if not properly managed this fear can become a phobia. Needle / injection phobia is the fear and avoidance of injections, blood sampling (venepuncture) or cannulation.   Patients may develop this phobia as a result of: a previous bad experience, e.g. taking more than one attempt to find a vein having seen or read about injections or having blood tests and not fully understanding what happens picking up negative feelings from someone else i.e. a parent, sibling, family member their developmental understanding of their body and the procedure i.e. literal thinking        ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_313","class":"TODO::Senthil","instance":"SmartShape_313","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_314","class":"TODO::Senthil","instance":"SmartShape_314","title":"For further information on needle phobia refer to the following resources   Great Ormond Street Hospital - Fear of needles information leaflet ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_315","class":"TODO::Senthil","instance":"SmartShape_315","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_159","class":"TODO::Senthil","instance":"Image_159","roles":{}},{"id":"SmartShape_420","class":"TODO::Senthil","instance":"SmartShape_420","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60947","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si60966","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_421","class":"TODO::Senthil","instance":"SmartShape_421","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61020","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61039","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_194","class":"TODO::Senthil","instance":"Image_194","roles":{}},{"id":"SmartShape_422","class":"TODO::Senthil","instance":"SmartShape_422","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61090","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61101","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_316","class":"TODO::Senthil","instance":"SmartShape_316","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_317","class":"TODO::Senthil","instance":"SmartShape_317","title":" Needle phobia: etiology, adverse consequences and patient management  Incorporating psychological approaches into routine paediatric venepuncture  Clinical implications of unmanaged needle insertion pain and distress in children ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_318","class":"TODO::Senthil","instance":"SmartShape_318","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_160","class":"TODO::Senthil","instance":"Image_160","roles":{}},{"id":"Text_Caption_340","class":"TODO::Senthil","instance":"Text_Caption_340","title":" ","roles":{"textData":{}}},{"id":"SmartShape_739","class":"TODO::Senthil","instance":"SmartShape_739","title":"Articles you may find of interest: ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_839","class":"TODO::Senthil","instance":"SmartShape_839","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_840","class":"TODO::Senthil","instance":"SmartShape_840","title":"page 7 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide29714","class":"Normal Slide","instance":"Needle phobia","thumbnail":"","children":["Image_297","SmartShape_737","SmartShape_738","SmartShape_735","SmartShape_736","SmartShape_124","SmartShape_125","SmartShape_313","SmartShape_314","SmartShape_315","Image_159","SmartShape_420","si60947","si60966","SmartShape_421","si61020","si61039","Image_194","SmartShape_422","si61090","si61101","SmartShape_316","SmartShape_317","SmartShape_318","Image_160","Text_Caption_340","SmartShape_739","SmartShape_839","SmartShape_840"],"roles":{"slide":{"durationInFrames":147},"navigation":{"navid":"Slide29714"}}},{"id":"si51150","class":"TODO::Senthil","roles":{}},{"id":"si51151","class":"TODO::Senthil","title":"Workplace focus ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51170","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51185","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51202","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51217","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_161","class":"TODO::Senthil","instance":"Image_161","roles":{}},{"id":"Text_Caption_341","class":"TODO::Senthil","instance":"Text_Caption_341","title":" Does your workplace use anti-anxiety medication for patients with needle phobia? ","roles":{"textData":{}}},{"id":"SmartShape_423","class":"TODO::Senthil","instance":"SmartShape_423","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61157","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61176","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_424","class":"TODO::Senthil","instance":"SmartShape_424","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61230","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61249","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_195","class":"TODO::Senthil","instance":"Image_195","roles":{}},{"id":"SmartShape_425","class":"TODO::Senthil","instance":"SmartShape_425","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61300","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61311","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_298","class":"TODO::Senthil","instance":"Image_298","roles":{}},{"id":"Text_Caption_383","class":"TODO::Senthil","instance":"Text_Caption_383","title":" How does your workplace support these patients? ","roles":{"textData":{}}},{"id":"Image_299","class":"TODO::Senthil","instance":"Image_299","roles":{}},{"id":"Text_Caption_384","class":"TODO::Senthil","instance":"Text_Caption_384","title":"Is there a service within your health facility that offers advice and support for painful procedures for children? ","roles":{"textData":{}}},{"id":"Image_300","class":"TODO::Senthil","instance":"Image_300","roles":{}},{"id":"Text_Caption_385","class":"TODO::Senthil","instance":"Text_Caption_385","title":"Does your workplace encourage relaxation techniques? ","roles":{"textData":{}}},{"id":"SmartShape_741","class":"TODO::Senthil","instance":"SmartShape_741","title":"Needle phobia:Identify strategies that are available in your workplace which may be used for a patient with a needle phobia.   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_841","class":"TODO::Senthil","instance":"SmartShape_841","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_842","class":"TODO::Senthil","instance":"SmartShape_842","title":"page 8 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide30087","class":"Normal Slide","instance":"","thumbnail":"","children":["si51150","si51151","si51170","si51185","si51202","si51217","Image_161","Text_Caption_341","SmartShape_423","si61157","si61176","SmartShape_424","si61230","si61249","Image_195","SmartShape_425","si61300","si61311","Image_298","Text_Caption_383","Image_299","Text_Caption_384","Image_300","Text_Caption_385","SmartShape_741","SmartShape_841","SmartShape_842"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide30087"}}},{"id":"si51266","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51281","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51298","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51313","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_129","class":"TODO::Senthil","instance":"SmartShape_129","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_177","class":"TODO::Senthil","instance":"Text_Caption_177","title":"Once the above and additional institutional guidelines are complete, you can administer the IV antineoplastic drug(s).  ","roles":{"textData":{}}},{"id":"SmartShape_319","class":"TODO::Senthil","instance":"SmartShape_319","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_320","class":"TODO::Senthil","instance":"SmartShape_320","title":"The resource for this activity is the eviQ page Clinical procedure – Intravenous Antineoplastic Drug Administration ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_321","class":"TODO::Senthil","instance":"SmartShape_321","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_163","class":"TODO::Senthil","instance":"Image_163","roles":{}},{"id":"SmartShape_426","class":"TODO::Senthil","instance":"SmartShape_426","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61367","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61386","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_427","class":"TODO::Senthil","instance":"SmartShape_427","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61440","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61459","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_196","class":"TODO::Senthil","instance":"Image_196","roles":{}},{"id":"SmartShape_428","class":"TODO::Senthil","instance":"SmartShape_428","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61510","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si61521","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_742","class":"TODO::Senthil","instance":"SmartShape_742","title":"While there are differences between treatment schedules, the principles of administering IV antineoplastic drugs remain the same.  It is important you determine the: 1. class of drug to be administered 2. order of the drugs to be administered (if indicated) 3. safety issues associated with each delivery mode i.e. bolus or infusion 4. procedures for administration of vesicant drugs 5. peripheral or central venous access 6. choice of equipment i.e. use of closed systems intravenous administration set with luer lock fittings  7. set up of trolley       ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_743","class":"TODO::Senthil","instance":"SmartShape_743","title":"Immediately before administering IV antineoplastic drugs it is important to complete a:  final check i.e. time out, pre-checks and investigations conducted, identity check, allergies and adverse drug                                                                       reaction (ADR)  venous access check   patency check ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_class_of_drugs_204","class":"TODO::Senthil","instance":"BTN_class_of_drugs_204","roles":{"click":{"subtype":"button"}}},{"id":"si30235","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si30248","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_admin_vesicant_drugs_203","class":"TODO::Senthil","instance":"BTN_admin_vesicant_drugs_203","roles":{"click":{"subtype":"button"}}},{"id":"si30186","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si30199","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SS_white_744","class":"TODO::Senthil","instance":"SS_white_744","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_326","class":"TODO::Senthil","instance":"SmartShape_326","title":"It is important to determine the class of the drug(s) you will be administering.   Antineoplastic drugs are classed as:   vesicants irritant with vesicant properties irritants non irritant (neutral)  The order for administering IV antineoplastic drugs will be listed in the treatment protocol. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_327","class":"TODO::Senthil","instance":"SmartShape_327","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51702","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51713","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_745","class":"TODO::Senthil","instance":"SS_white_745","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_324","class":"TODO::Senthil","instance":"SmartShape_324","title":"Assessing venous access includes:  checking for line patency and blood return   ensuring the VAD is stabilised and secured with a transparent dressing to allow visualisation of the insertion site    checking the insertion site does not have any evidence of swelling, oedema, drainage, leakage or erythema    After accessing the VAD, attach IV lines primed with a compatible fluid prior to administering IV antineoplastic drugs.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_325","class":"TODO::Senthil","instance":"SmartShape_325","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51609","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51620","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_746","class":"TODO::Senthil","instance":"SS_white_746","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"TC_vesciant_drugs_","class":"TODO::Senthil","instance":"TC_vesciant_drugs_","title":"Vesicant drugs must be diluted with a compatible fluid during administration and can be dispensed from pharmacy in a syringe or a mini bag.  Procedures to remember when administering vesicant drugs: assess the venous access device for patency first – if in any doubt do not proceed monitor the site for signs of extravasation or leakage determine if the patient has any pain at the site during drug administration   Ensure you follow your local hospital policies and guidelines when administering intravenous vesicant drugs. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_323","class":"TODO::Senthil","instance":"SmartShape_323","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51516","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51527","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_Patency","class":"TODO::Senthil","instance":"BTN_Patency","roles":{"click":{"subtype":"button"}}},{"id":"si76987","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si77014","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SS_white_747","class":"TODO::Senthil","instance":"SS_white_747","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_748","class":"TODO::Senthil","instance":"SmartShape_748","title":"When accessing and before drug administration, ensure patency of the VAD by checking for:  Blood return No resistance is felt when flushing with 0.9 % sodium chloride or other compatible fluid, and Intravenous infusion flows freely Do not inject against resistance If unable to confirm patency of CVAD, do not proceed without a full review of the CVAD and radiologic confirmation of patency If unable to confirm patency of IVC, insert a new IVC Monitor the patient and CVAD or IVC site regularly for the appearance of symptoms such as swelling, pain, erythema or a change in the infusion rate ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_749","class":"TODO::Senthil","instance":"SmartShape_749","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si77122","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si77133","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_venous_access_check_205","class":"TODO::Senthil","instance":"BTN_venous_access_check_205","roles":{"click":{"subtype":"button"}}},{"id":"si30284","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si30297","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_843","class":"TODO::Senthil","instance":"SmartShape_843","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_844","class":"TODO::Senthil","instance":"SmartShape_844","title":"page 9 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide30686","class":"Normal Slide","instance":"","thumbnail":"","children":["si51266","si51281","si51298","si51313","SmartShape_129","Text_Caption_177","SmartShape_319","SmartShape_320","SmartShape_321","Image_163","SmartShape_426","si61367","si61386","SmartShape_427","si61440","si61459","Image_196","SmartShape_428","si61510","si61521","SmartShape_742","SmartShape_743","BTN_class_of_drugs_204","si30235","si30248","BTN_admin_vesicant_drugs_203","si30186","si30199","SS_white_744","SmartShape_326","SmartShape_327","si51702","si51713","SS_white_745","SmartShape_324","SmartShape_325","si51609","si51620","SS_white_746","TC_vesciant_drugs_","SmartShape_323","si51516","si51527","BTN_Patency","si76987","si77014","SS_white_747","SmartShape_748","SmartShape_749","si77122","si77133","BTN_venous_access_check_205","si30284","si30297","SmartShape_843","SmartShape_844"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide30686"}}},{"id":"si51718","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si51738","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"SmartShape_429","class":"TODO::Senthil","instance":"SmartShape_429","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61577","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61596","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"SmartShape_430","class":"TODO::Senthil","instance":"SmartShape_430","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61650","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61669","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"Image_197","class":"TODO::Senthil","instance":"Image_197","roles":{}},{"id":"SmartShape_431","class":"TODO::Senthil","instance":"SmartShape_431","title":" ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61720","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si61731","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"SmartShape_845","class":"TODO::Senthil","instance":"SmartShape_845","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"SmartShape_846","class":"TODO::Senthil","instance":"SmartShape_846","title":"page 10 of 13 ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si30746","class":"TODO::Senthil","instance":"Text_Caption_67","title":"Tick which statements are correct and are required before and during IV antineoplastic drug administration. ","roles":{"textData":{}}},{"id":"si30757","class":"TODO::Senthil","instance":"Text_Caption_178","title":"A) ","roles":{"textData":{}}},{"id":"si30761","class":"TODO::Senthil","instance":"Text_Caption_179","title":"Two nurses independently calculate the BSA and all drug doses ","roles":{"textData":{}}},{"id":"si30761","class":"TODO::Senthil","instance":"15_11","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30757_a","class":"TODO::Senthil","instance":"16_11","roles":{"answer":{"title":"Two nurses independently calculate the BSA and all drug doses\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si30768","class":"TODO::Senthil","instance":"Text_Caption_180","title":"B) ","roles":{"textData":{}}},{"id":"si30772","class":"TODO::Senthil","instance":"Text_Caption_186","title":"The protocol and / or prescription is reviewed ","roles":{"textData":{}}},{"id":"si30772","class":"TODO::Senthil","instance":"17_12","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30768_a","class":"TODO::Senthil","instance":"18_12","roles":{"answer":{"title":"The protocol and / or prescription is reviewed\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30782","class":"TODO::Senthil","instance":"Text_Caption_187","title":"C) ","roles":{"textData":{}}},{"id":"si30786","class":"TODO::Senthil","instance":"Text_Caption_188","title":"Immediately before administration a ‘Time Out’ procedure is completed ","roles":{"textData":{}}},{"id":"si30786","class":"TODO::Senthil","instance":"19_13","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30782_a","class":"TODO::Senthil","instance":"20_13","roles":{"answer":{"title":"Immediately before administration a ‘Time Out’ procedure is completed\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30793","class":"TODO::Senthil","instance":"Text_Caption_189","title":"D) ","roles":{"textData":{}}},{"id":"si30797","class":"TODO::Senthil","instance":"Text_Caption_190","title":"Two nurses attend the bedside to confirm patient identity using 3 patient identifiers ","roles":{"textData":{}}},{"id":"si30797","class":"TODO::Senthil","instance":"21_14","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30793_a","class":"TODO::Senthil","instance":"22_14","roles":{"answer":{"title":"Two nurses attend the bedside to confirm patient identity using 3 patient identifiers\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30804","class":"TODO::Senthil","instance":"Text_Caption_191","title":"E) ","roles":{"textData":{}}},{"id":"si30808","class":"TODO::Senthil","instance":"Text_Caption_192","title":"The rate of infusion is checked by 2 nurses  ","roles":{"textData":{}}},{"id":"si30808","class":"TODO::Senthil","instance":"23_15","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30804_a","class":"TODO::Senthil","instance":"24_15","roles":{"answer":{"title":"The rate of infusion is checked by 2 nurses\r\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30815","class":"TODO::Senthil","instance":"Text_Caption_193","title":"F) ","roles":{"textData":{}}},{"id":"si30819","class":"TODO::Senthil","instance":"Text_Caption_194","title":"All pre medications and fluids have been administered ","roles":{"textData":{}}},{"id":"si30819","class":"TODO::Senthil","instance":"25_16","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30815_a","class":"TODO::Senthil","instance":"26_16","roles":{"answer":{"title":"All pre medications and fluids have been administered\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30826","class":"TODO::Senthil","instance":"Text_Caption_195","title":"G) ","roles":{"textData":{}}},{"id":"si30830","class":"TODO::Senthil","instance":"Text_Caption_196","title":"Only accredited staff members are to administer IV antineoplastic drugs ","roles":{"textData":{}}},{"id":"si30830","class":"TODO::Senthil","instance":"27_17","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si30826_a","class":"TODO::Senthil","instance":"28_17","roles":{"answer":{"title":"Only accredited staff members are to administer IV antineoplastic drugs\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si30909","class":"TODO::Senthil","instance":"Button_27","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31005q3","for":"Slide31005q3"},"textData":{}}},{"id":"si89651","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31005q3","for":"Slide31005q3"},"textData":{}}},{"id":"si89664","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31005q3","for":"Slide31005q3"},"textData":{}}},{"id":"si31448","class":"TODO::Senthil","title":"Correct.   All statements are correct and are required prior to and during IV antineoplastic drug administration.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si31461","class":"TODO::Senthil","title":"Incorrect.   All statements are correct and are required prior to and during IV antineoplastic drug administration.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"si31474","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide31005q3"},"textData":{}}},{"id":"Slide31005","class":"Question Slide","instance":"","thumbnail":"","children":["si51718","si51738","SmartShape_429","si61577","si61596","SmartShape_430","si61650","si61669","Image_197","SmartShape_431","si61720","si61731","SmartShape_845","SmartShape_846","si30746","si30761","si30772","si30786","si30797","si30808","si30819","si30830","si30909","si89651","si89664","si31474"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide31005"},"question":{"interactionId":"30721","quizId":377,"title":"Multiple Choice","text":"Tick which statements are correct and are required before and during IV antineoplastic drug administration.\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":false,"correctAnswers":["A","B","C","D","E","F","G"],"score":{"weight":10,"penalty":0}}}},{"id":"si51840","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si51860","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"SmartShape_435","class":"TODO::Senthil","instance":"SmartShape_435","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si61997","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si62016","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"SmartShape_436","class":"TODO::Senthil","instance":"SmartShape_436","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si62070","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si62089","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"Image_199","class":"TODO::Senthil","instance":"Image_199","roles":{}},{"id":"SmartShape_437","class":"TODO::Senthil","instance":"SmartShape_437","title":" ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si62140","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si62151","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"Image_301","class":"TODO::Senthil","instance":"Image_301","roles":{}},{"id":"SmartShape_847","class":"TODO::Senthil","instance":"SmartShape_847","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"SmartShape_848","class":"TODO::Senthil","instance":"SmartShape_848","title":"page 11 of 13 ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si31544","class":"TODO::Senthil","instance":"Text_Caption_68","title":"How would you assess a patient’s CVAD is patent and suitable to use for administration of antineoplastic drugs? ","roles":{"textData":{}}},{"id":"si31555","class":"TODO::Senthil","instance":"Text_Caption_207","title":"A) ","roles":{"textData":{}}},{"id":"si31559","class":"TODO::Senthil","instance":"Text_Caption_208","title":"Check for patency by withdrawing blood and flushing with sodium chloride 0.9% ","roles":{"textData":{}}},{"id":"si31555_a","class":"TODO::Senthil","instance":"31_11","roles":{"answer":{"title":"Check for patency by withdrawing blood and flushing with sodium chloride 0.9%\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si31566","class":"TODO::Senthil","instance":"Text_Caption_209","title":"B) ","roles":{"textData":{}}},{"id":"si31570","class":"TODO::Senthil","instance":"Text_Caption_210","title":"Check that the exit site does not have any evidence of swelling, oedema, drainage, leakage or erythema ","roles":{"textData":{}}},{"id":"si31566_a","class":"TODO::Senthil","instance":"33_12","roles":{"answer":{"title":"Check that the exit site does not have any evidence of swelling, oedema, drainage, leakage or erythema\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si31580","class":"TODO::Senthil","instance":"Text_Caption_211","title":"C) ","roles":{"textData":{}}},{"id":"si31584","class":"TODO::Senthil","instance":"Text_Caption_212","title":"Ensure the CVAD flushes with no resistance ","roles":{"textData":{}}},{"id":"si31580_a","class":"TODO::Senthil","instance":"35_13","roles":{"answer":{"title":"Ensure the CVAD flushes with no resistance\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si31591","class":"TODO::Senthil","instance":"Text_Caption_213","title":"D) ","roles":{"textData":{}}},{"id":"si31595","class":"TODO::Senthil","instance":"Text_Caption_214","title":"If the patient has an implanted venous port check that the non-coring needle is stabilised and secured with an appropriate dressing  ","roles":{"textData":{}}},{"id":"si31591_a","class":"TODO::Senthil","instance":"37_14","roles":{"answer":{"title":"If the patient has an implanted venous port check that the non-coring needle is stabilised and secured with an appropriate dressing \r","index":"Not implemented","score":{"weight":0}}}},{"id":"si31602","class":"TODO::Senthil","instance":"Text_Caption_215","title":"E) ","roles":{"textData":{}}},{"id":"si31606","class":"TODO::Senthil","instance":"Text_Caption_216","title":"All of the above ","roles":{"textData":{}}},{"id":"si31602_a","class":"TODO::Senthil","instance":"39_15","roles":{"answer":{"title":"All of the above\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si31679","class":"TODO::Senthil","instance":"Button_28","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31775q4","for":"Slide31775q4"},"textData":{}}},{"id":"si89735","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31775q4","for":"Slide31775q4"},"textData":{}}},{"id":"si89748","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide31775q4","for":"Slide31775q4"},"textData":{}}},{"id":"si33760","class":"TODO::Senthil","title":"Correct.  (E) All of the above is the correct answer.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si33773","class":"TODO::Senthil","title":"Incorrect.  (E) All of the above is the correct answer.  Click anywhere on the screen to continue. ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"si33786","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide31775q4"},"textData":{}}},{"id":"Slide31775","class":"Question Slide","instance":"","thumbnail":"","children":["si51840","si51860","SmartShape_435","si61997","si62016","SmartShape_436","si62070","si62089","Image_199","SmartShape_437","si62140","si62151","Image_301","SmartShape_847","SmartShape_848","si31544","si31559","si31570","si31584","si31595","si31606","si31679","si89735","si89748","si33786"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide31775"},"question":{"interactionId":"31513","quizId":377,"title":"Multiple Choice","text":"How would you assess a patient’s CVAD is patent and suitable to use for administration of antineoplastic drugs?\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":false,"correctAnswers":["E"],"score":{"weight":10,"penalty":0}}}},{"id":"si51878","class":"TODO::Senthil","roles":{}},{"id":"si51879","class":"TODO::Senthil","title":"Workplace focus ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51898","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51913","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51930","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51945","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_438","class":"TODO::Senthil","instance":"SmartShape_438","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62207","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62226","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_439","class":"TODO::Senthil","instance":"SmartShape_439","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62280","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62299","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_200","class":"TODO::Senthil","instance":"Image_200","roles":{}},{"id":"SmartShape_440","class":"TODO::Senthil","instance":"SmartShape_440","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62350","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62361","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_305","class":"TODO::Senthil","instance":"Image_305","roles":{}},{"id":"Image_302","class":"TODO::Senthil","instance":"Image_302","roles":{}},{"id":"SmartShape_750","class":"TODO::Senthil","instance":"SmartShape_750","title":"Investigate the infusion sets and pumps your workplace uses. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_303","class":"TODO::Senthil","instance":"Image_303","roles":{}},{"id":"SmartShape_751","class":"TODO::Senthil","instance":"SmartShape_751","title":"What is your workplace policy for the infusion of multiple antineoplastic drugs in one protocol? ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_304","class":"TODO::Senthil","instance":"Image_304","roles":{}},{"id":"SmartShape_752","class":"TODO::Senthil","instance":"SmartShape_752","title":"What education do you provide to patients and family members  if they are receiving an infusion via an ambulatory pump? ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_849","class":"TODO::Senthil","instance":"SmartShape_849","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_850","class":"TODO::Senthil","instance":"SmartShape_850","title":"page 12 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide32163","class":"Normal Slide","instance":"","thumbnail":"","children":["si51878","si51879","si51898","si51913","si51930","si51945","SmartShape_438","si62207","si62226","SmartShape_439","si62280","si62299","Image_200","SmartShape_440","si62350","si62361","Image_305","Image_302","SmartShape_750","Image_303","SmartShape_751","Image_304","SmartShape_752","SmartShape_849","SmartShape_850"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide32163"}}},{"id":"si51960","class":"TODO::Senthil","roles":{}},{"id":"si51961","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51980","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si51995","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52012","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52027","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_133","class":"TODO::Senthil","instance":"SmartShape_133","title":"To minimise the risk of occupational exposure you must wear appropriate PPE at all times when administering antineoplastic drugs and handling related waste It is recommended that a closed system intravenous administration set with luer lock fittings be used when administering IV antineoplastic drugs Assessing venous access includes: checking for patency checking the site does not have any evidence of swelling, oedema, drainage, leakage or erythema ensuring the venous access device is stabilised and secured with a transparent dressing If there is any doubt with the patency of a IVC or CVAD, do not proceed and seek further assistance The patient and family should receive appropriate education about how to care for their CVAD at home ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_441","class":"TODO::Senthil","instance":"SmartShape_441","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62417","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62436","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_201","class":"TODO::Senthil","instance":"Image_201","roles":{}},{"id":"SmartShape_443","class":"TODO::Senthil","instance":"SmartShape_443","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62560","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62571","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_329","class":"TODO::Senthil","instance":"SmartShape_329","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_330","class":"TODO::Senthil","instance":"SmartShape_330","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_344","class":"TODO::Senthil","instance":"Text_Caption_344","title":"You have now completed  Administering intravenous antineoplastic drugs  Click here to return to the topics menu. ","roles":{"textData":{}}},{"id":"Button_374","class":"TODO::Senthil","instance":"Button_374","roles":{"click":{"subtype":"button"}}},{"id":"si79332","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si79367","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_851","class":"TODO::Senthil","instance":"SmartShape_851","title":"Administering intravenous antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_852","class":"TODO::Senthil","instance":"SmartShape_852","title":"page 13 of 13 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide32515","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si51960","si51961","si51980","si51995","si52012","si52027","SmartShape_133","SmartShape_441","si62417","si62436","Image_201","SmartShape_443","si62560","si62571","SmartShape_329","SmartShape_330","Text_Caption_344","Button_374","si79332","si79367","SmartShape_851","SmartShape_852"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide32515"}}},{"id":"si62576","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62585","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62596","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62605","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_243","class":"TODO::Senthil","instance":"Image_243","roles":{}},{"id":"SmartShape_134","class":"TODO::Senthil","instance":"SmartShape_134","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_331","class":"TODO::Senthil","instance":"SmartShape_331","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_332","class":"TODO::Senthil","instance":"SmartShape_332","title":"For more information refer to the eviQ Supporting Document Extravasation management ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_333","class":"TODO::Senthil","instance":"SmartShape_333","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_164","class":"TODO::Senthil","instance":"Image_164","roles":{}},{"id":"SmartShape_444","class":"TODO::Senthil","instance":"SmartShape_444","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62667","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62686","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_445","class":"TODO::Senthil","instance":"SmartShape_445","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62740","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62759","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_202","class":"TODO::Senthil","instance":"Image_202","roles":{}},{"id":"SmartShape_446","class":"TODO::Senthil","instance":"SmartShape_446","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62810","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si62821","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_754","class":"TODO::Senthil","instance":"SmartShape_754","title":"Extravasations can have severe consequences and health professionals need to ensure they minimise the risk of extravasation. It is important to:   identify the potential for local toxicity prior to administering any IV antineoplastic drug  educate the patient, family members and or carers before administering the drug   use the correct procedure to assess patency and access peripheral and central venous access devices  use the correct technique to administer antineoplastic drugs via peripheral or central venous access devices  administer the drugs in the correct order  monitor during administration of a vesicant drug ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"BTN_potential_toxicity_228","class":"TODO::Senthil","instance":"BTN_potential_toxicity_228","roles":{"click":{"subtype":"button"}}},{"id":"si32705","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si32718","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"BTN_Educating","class":"TODO::Senthil","instance":"BTN_Educating","roles":{"click":{"subtype":"button"}}},{"id":"si77358","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si77385","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SS_white_755","class":"TODO::Senthil","instance":"SS_white_755","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_756","class":"TODO::Senthil","instance":"SmartShape_756","title":"It is important to educate the patient and family about the following:  what extravasation is and the associated risks, the importance of taking care with all VAD’s when receiving drugs classed as vesicants or irritants with vesicant properties e.g. epirubicin, doxorubicin, daunorubicin, vincristine or vinblastine, and immediately reporting any pain, swelling, redness, discomfort, burning or stinging at the injection site (for IVC) or around the CVAD.  Education should be tailored to meet the needs of diverse patient groups, including Aboriginal and Torres Strait Islander and CALD patients to ensure they are able to communicate any potential extravasation symptoms. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_757","class":"TODO::Senthil","instance":"SmartShape_757","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si77493","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si77504","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_753","class":"TODO::Senthil","instance":"SS_white_753","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_334","class":"TODO::Senthil","instance":"SmartShape_334","title":"It is essential you are aware of the class of antineoplastic drug you are administering to ensure prompt recognition, assessment and treatment of any suspected or actual extravasation injury.  There are four classes based on their potential to cause local toxicity Vesicant Any drug or substance that is capable of causing tissue destruction and necrosis when extravasated. They are sub classified according to the mechanism by which they cause cell damage i.e. DNA binding or non-DNA binding   Irritant with vesicant properties Drugs which are difficult to classify as either a vesicant or irritant. They are capable of causing tissue damage and ulceration when extravasated    Irritant Any drug or substance that causes stinging, aching, tightness and phlebitis but without necrosis when extravasated   Non-irritant (neutral) Drugs that do not cause local irritation when extravasated  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_335","class":"TODO::Senthil","instance":"SmartShape_335","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52504","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52515","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_855","class":"TODO::Senthil","instance":"SmartShape_855","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_856","class":"TODO::Senthil","instance":"SmartShape_856","title":"page 1 of 4 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide33010","class":"Normal Slide","instance":"Prevention and management of extravasation","thumbnail":"","children":["si62576","si62585","si62596","si62605","Image_243","SmartShape_134","SmartShape_331","SmartShape_332","SmartShape_333","Image_164","SmartShape_444","si62667","si62686","SmartShape_445","si62740","si62759","Image_202","SmartShape_446","si62810","si62821","SmartShape_754","BTN_potential_toxicity_228","si32705","si32718","BTN_Educating","si77358","si77385","SS_white_755","SmartShape_756","SmartShape_757","si77493","si77504","SS_white_753","SmartShape_334","SmartShape_335","si52504","si52515","SmartShape_855","SmartShape_856"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide33010"}}},{"id":"si52584","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52599","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52616","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52631","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_234","class":"TODO::Senthil","instance":"Text_Caption_234","title":"Management can differ depending on what drug has extravasated. It is important to ensure the correct management and antidote (if any) is applied according to the drug that has been extravasated.   Immediate response aims to  limit the damage i.e. use of antidotes, cold or warm compresses notify appropriate members of the MDT document the extent of the extravasation     ","roles":{"textData":{}}},{"id":"SmartShape_136","class":"TODO::Senthil","instance":"SmartShape_136","title":"Managing an extravasation injury ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_88","class":"TODO::Senthil","instance":"Image_88","roles":{}},{"id":"SmartShape_336","class":"TODO::Senthil","instance":"SmartShape_336","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_337","class":"TODO::Senthil","instance":"SmartShape_337","title":"For more information see eviQ’s  Chemotherapy Extravasation - Immediate Management Flow Chart ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_338","class":"TODO::Senthil","instance":"SmartShape_338","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_165","class":"TODO::Senthil","instance":"Image_165","roles":{}},{"id":"SmartShape_450","class":"TODO::Senthil","instance":"SmartShape_450","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63087","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63106","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_451","class":"TODO::Senthil","instance":"SmartShape_451","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63160","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63179","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_204","class":"TODO::Senthil","instance":"Image_204","roles":{}},{"id":"SmartShape_452","class":"TODO::Senthil","instance":"SmartShape_452","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63230","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63241","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_758","class":"TODO::Senthil","instance":"SmartShape_758","title":"The initial management of an extravasation follows: ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_759","class":"TODO::Senthil","instance":"SmartShape_759","title":"S ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_760","class":"TODO::Senthil","instance":"SmartShape_760","title":"L ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_761","class":"TODO::Senthil","instance":"SmartShape_761","title":"A ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_762","class":"TODO::Senthil","instance":"SmartShape_762","title":"P ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_763","class":"TODO::Senthil","instance":"SmartShape_763","title":"TOP - the injection or intravenous infusion immediately ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_764","class":"TODO::Senthil","instance":"SmartShape_764","title":"EAVE - the venous access device (VAD) in place ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_765","class":"TODO::Senthil","instance":"SmartShape_765","title":"SPIRATE - any residual drug from the VAD using a sterile syringe ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_766","class":"TODO::Senthil","instance":"SmartShape_766","title":"LAN the management ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si77836","class":"TODO::Senthil","title":"LAN the management ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_767","class":"TODO::Senthil","instance":"SmartShape_767","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_white_797","class":"TODO::Senthil","instance":"SS_white_797","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_798","class":"TODO::Senthil","instance":"SmartShape_798","title":"PLAN the management call for assistance - notify medical officer, pharmacist and / or a senior nurse,  collect the extravasation kit,  assess the affected area for the presence of symptoms e.g. erythema, swelling, burning, pain,  trace the affected area with a marker pen, photograph the area, remove the IVC device or port needle, do not apply pressure, if a central line is in situ this should remain in position (refer to medical officer for further instructions),   initiate appropriate drug specific management measures as per protocol, administer pain relief if indicated, and refer to a plastic surgeon if indicated. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_799","class":"TODO::Senthil","instance":"SmartShape_799","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si80758","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si80769","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_857","class":"TODO::Senthil","instance":"SmartShape_857","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_858","class":"TODO::Senthil","instance":"SmartShape_858","title":"page 2 of 4 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide33729","class":"Normal Slide","instance":"Managing an extravasation injury","thumbnail":"","children":["si52584","si52599","si52616","si52631","Text_Caption_234","SmartShape_136","Image_88","SmartShape_336","SmartShape_337","SmartShape_338","Image_165","SmartShape_450","si63087","si63106","SmartShape_451","si63160","si63179","Image_204","SmartShape_452","si63230","si63241","SmartShape_758","SmartShape_759","SmartShape_760","SmartShape_761","SmartShape_762","SmartShape_763","SmartShape_764","SmartShape_765","SmartShape_766","si77836","SmartShape_767","SS_white_797","SmartShape_798","SmartShape_799","si80758","si80769","SmartShape_857","SmartShape_858"],"roles":{"slide":{"durationInFrames":270},"navigation":{"navid":"Slide33729"}}},{"id":"si78044","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78053","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78064","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78073","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_137","class":"TODO::Senthil","instance":"SmartShape_137","title":"Documentation and patient follow up ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_769","class":"TODO::Senthil","instance":"SmartShape_769","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_771","class":"TODO::Senthil","instance":"SmartShape_771","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_770","class":"TODO::Senthil","instance":"SmartShape_770","title":"The Extravasation Assessment Tool provides a comprehensive assessment tool to monitor extravasation over time. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_166","class":"TODO::Senthil","instance":"Image_166","roles":{}},{"id":"SmartShape_453","class":"TODO::Senthil","instance":"SmartShape_453","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63297","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63316","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_454","class":"TODO::Senthil","instance":"SmartShape_454","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63370","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63389","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_205","class":"TODO::Senthil","instance":"Image_205","roles":{}},{"id":"SmartShape_455","class":"TODO::Senthil","instance":"SmartShape_455","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63440","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63451","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_768","class":"TODO::Senthil","instance":"SmartShape_768","title":"It is essential to complete documentation if a patient has sustained an extravasation injury. Documentation must include the immediate extravasation assessment, treatment and ongoing patient education.   Using an extravasation assessment flow chart helps nurses to document patient symptoms, nursing interventions, patient education and follow up care after a suspected or actual extravasation. It provides a concise method for monitoring extravasation over time.   You will be required to complete a separate “assessment tool” for each antineoplastic drug. Check your local policies and guidelines to ensure that you are meeting documentation requirements for the management of extravasation injuries. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_306","class":"TODO::Senthil","instance":"Image_306","roles":{}},{"id":"SmartShape_859","class":"TODO::Senthil","instance":"SmartShape_859","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_860","class":"TODO::Senthil","instance":"SmartShape_860","title":"page 3 of 4 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide34160","class":"Normal Slide","instance":"Documentation and patient follow up","thumbnail":"","children":["si78044","si78053","si78064","si78073","SmartShape_137","SmartShape_769","SmartShape_771","SmartShape_770","Image_166","SmartShape_453","si63297","si63316","SmartShape_454","si63370","si63389","Image_205","SmartShape_455","si63440","si63451","SmartShape_768","Image_306","SmartShape_859","SmartShape_860"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide34160"}}},{"id":"si52928","class":"TODO::Senthil","roles":{}},{"id":"si52929","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52948","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52963","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52980","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si52995","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_138","class":"TODO::Senthil","instance":"SmartShape_138","title":"It is essential you are aware of the class of antineoplastic drug you are administering to ensure prompt recognition, assessment and treatment of any extravasation injury Minimising the risk of extravasation involves: following correct procedures and guidelines for the administration of antineoplastic drugs assessing the venous access device for patency and blood return ensuring vesicant drugs and irritant drugs with vesicant properties are administered first ensuring you do not inject against resistance monitoring the patient as required during administration of vesicant antineoplastic drugs educating the patient and family  If an extravasation injury is suspected you need to: Stop the injection or infusion immediately Leave the venous access device in place Aspirate any residual drug from the VAD using a sterile syringe Plan the management Provide education to the patient about caring for the injury at home ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_456","class":"TODO::Senthil","instance":"SmartShape_456","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63507","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63526","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_206","class":"TODO::Senthil","instance":"Image_206","roles":{}},{"id":"SmartShape_458","class":"TODO::Senthil","instance":"SmartShape_458","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63650","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63661","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_343","class":"TODO::Senthil","instance":"SmartShape_343","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_344","class":"TODO::Senthil","instance":"SmartShape_344","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_357","class":"TODO::Senthil","instance":"Text_Caption_357","title":"You have now completed - Preventing & managing extravasation of IV antineoplastic drugs.  Click here to return to the topics menu. ","roles":{"textData":{}}},{"id":"Button_375","class":"TODO::Senthil","instance":"Button_375","roles":{"click":{"subtype":"button"}}},{"id":"si79455","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si79490","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_861","class":"TODO::Senthil","instance":"SmartShape_861","title":"Preventing and managing extravasation of IV antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_862","class":"TODO::Senthil","instance":"SmartShape_862","title":"page 4 of 4 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide34512","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si52928","si52929","si52948","si52963","si52980","si52995","SmartShape_138","SmartShape_456","si63507","si63526","Image_206","SmartShape_458","si63650","si63661","SmartShape_343","SmartShape_344","Text_Caption_357","Button_375","si79455","si79490","SmartShape_861","SmartShape_862"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide34512"}}},{"id":"si63876","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63891","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63908","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63923","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_139","class":"TODO::Senthil","instance":"SmartShape_139","title":"Administering subcutaneous antineoplastic drugs  Subcutaneous injections - site selection  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_92","class":"TODO::Senthil","instance":"Image_92","roles":{}},{"id":"Image_93","class":"TODO::Senthil","instance":"Image_93","roles":{}},{"id":"SmartShape_140","class":"TODO::Senthil","instance":"SmartShape_140","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_141","class":"TODO::Senthil","instance":"SmartShape_141","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_142","class":"TODO::Senthil","instance":"SmartShape_142","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_143","class":"TODO::Senthil","instance":"SmartShape_143","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_144","class":"TODO::Senthil","instance":"SmartShape_144","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_145","class":"TODO::Senthil","instance":"SmartShape_145","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_146","class":"TODO::Senthil","instance":"SmartShape_146","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_147","class":"TODO::Senthil","instance":"SmartShape_147","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_148","class":"TODO::Senthil","instance":"SmartShape_148","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_149","class":"TODO::Senthil","instance":"SmartShape_149","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_459","class":"TODO::Senthil","instance":"SmartShape_459","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63717","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63736","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_460","class":"TODO::Senthil","instance":"SmartShape_460","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63790","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63809","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_207","class":"TODO::Senthil","instance":"Image_207","roles":{}},{"id":"SmartShape_461","class":"TODO::Senthil","instance":"SmartShape_461","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63860","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63871","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_635","class":"TODO::Senthil","instance":"SmartShape_635","title":"Subcutaneous (SC) injections pierce the epidermal and dermal layers of the skin and are able to deliver antineoplastic drugs to the SC tissue. Due to the amount of blood vessels in the SC tissue antineoplastic drugs are absorbed, distributed and delivered quickly into the patients system. Cytarabine is an example of an antineoplastic drugs which may be administered via the SC route. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_378","class":"TODO::Senthil","instance":"Text_Caption_378","title":"The most common sites for injection are:       Site selection will depend on individuals age and amount of adipose tissue.  Avoid the umbilical area, bruises, scars, lumps and stretch marks. ","roles":{"textData":{}}},{"id":"SmartShape_636","class":"TODO::Senthil","instance":"SmartShape_636","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_637","class":"TODO::Senthil","instance":"SmartShape_637","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_638","class":"TODO::Senthil","instance":"SmartShape_638","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_639","class":"TODO::Senthil","instance":"SmartShape_639","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_640","class":"TODO::Senthil","instance":"SmartShape_640","title":"the abdomen ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_641","class":"TODO::Senthil","instance":"SmartShape_641","title":"the back of the upper arms ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_642","class":"TODO::Senthil","instance":"SmartShape_642","title":"the upper buttock  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_643","class":"TODO::Senthil","instance":"SmartShape_643","title":"outer side of the thigh ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_644","class":"TODO::Senthil","instance":"SmartShape_644","title":"Injection site reactions are common with some SC antineoplastic drug administration.  It is important to ensure injection sites are rotated and that new injections are at least 2.5cm from the previous site. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_863","class":"TODO::Senthil","instance":"SmartShape_863","title":"Administering subcutaneous antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_864","class":"TODO::Senthil","instance":"SmartShape_864","title":"page 1 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide35012","class":"Normal Slide","instance":"Subcutaneous injections - site selection ","thumbnail":"","children":["si63876","si63891","si63908","si63923","SmartShape_139","Image_92","Image_93","SmartShape_140","SmartShape_141","SmartShape_142","SmartShape_143","SmartShape_144","SmartShape_145","SmartShape_146","SmartShape_147","SmartShape_148","SmartShape_149","SmartShape_459","si63717","si63736","SmartShape_460","si63790","si63809","Image_207","SmartShape_461","si63860","si63871","SmartShape_635","Text_Caption_378","SmartShape_636","SmartShape_637","SmartShape_638","SmartShape_639","SmartShape_640","SmartShape_641","SmartShape_642","SmartShape_643","SmartShape_644","SmartShape_863","SmartShape_864"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide35012"}}},{"id":"si53268","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53283","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53300","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53315","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_150","class":"TODO::Senthil","instance":"SmartShape_150","title":"Subcutaneous injections - technique ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_347","class":"TODO::Senthil","instance":"SmartShape_347","title":"The following YouTube videos may be of interest for you:  Injection Techniques ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_168","class":"TODO::Senthil","instance":"Image_168","roles":{}},{"id":"SmartShape_462","class":"TODO::Senthil","instance":"SmartShape_462","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si63991","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64010","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_463","class":"TODO::Senthil","instance":"SmartShape_463","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64064","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64083","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_208","class":"TODO::Senthil","instance":"Image_208","roles":{}},{"id":"SmartShape_464","class":"TODO::Senthil","instance":"SmartShape_464","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64134","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64145","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_645","class":"TODO::Senthil","instance":"SmartShape_645","title":"There are various techniques and SC injections can be administered with or without a skin fold by either a 45 or 90 degree angle. 45 degrees 90 degrees ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_646","class":"TODO::Senthil","instance":"SmartShape_646","title":"The angle used will depend on the type of: medication being delivered any manufacturers requirements amount of adipose tissue of the patient  site of injection  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_647","class":"TODO::Senthil","instance":"SmartShape_647","title":"The two finger pinch technique ensures that the SC injection is not misplaced and is injected into its correct position.   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_268","class":"TODO::Senthil","instance":"Image_268","roles":{}},{"id":"Text_Caption_379","class":"TODO::Senthil","instance":"Text_Caption_379","title":"450 ","roles":{"textData":{}}},{"id":"SmartShape_648","class":"TODO::Senthil","instance":"SmartShape_648","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_380","class":"TODO::Senthil","instance":"Text_Caption_380","title":"900  ","roles":{"textData":{}}},{"id":"SmartShape_649","class":"TODO::Senthil","instance":"SmartShape_649","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_650","class":"TODO::Senthil","instance":"SmartShape_650","title":"An 'air sandwich' technique is an alternative technique which reduces leakage and skin irritations and more commonly used with biotherapies. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_865","class":"TODO::Senthil","instance":"SmartShape_865","title":"Administering subcutaneous antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_866","class":"TODO::Senthil","instance":"SmartShape_866","title":"page 2 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide35436","class":"Normal Slide","instance":"Subcutaneous injections - technique","thumbnail":"","children":["si53268","si53283","si53300","si53315","SmartShape_150","SmartShape_347","Image_168","SmartShape_462","si63991","si64010","SmartShape_463","si64064","si64083","Image_208","SmartShape_464","si64134","si64145","SmartShape_645","SmartShape_646","SmartShape_647","Image_268","Text_Caption_379","SmartShape_648","Text_Caption_380","SmartShape_649","SmartShape_650","SmartShape_865","SmartShape_866"],"roles":{"slide":{"durationInFrames":135},"navigation":{"navid":"Slide35436"}}},{"id":"si68553","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68568","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68585","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si68600","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_153","class":"TODO::Senthil","instance":"SmartShape_153","title":"Label the green arrows to identify examples of potential sites for a subcutaneous antineoplastic injection? ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_arms_154","class":"TODO::Senthil","instance":"SS_arms_154","title":"Back of the upper arms ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_buttocks_155","class":"TODO::Senthil","instance":"SS_buttocks_155","title":"The upper buttock ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_thigh_156","class":"TODO::Senthil","instance":"SS_thigh_156","title":"Outer side of the thigh  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SS_umbilicus_157","class":"TODO::Senthil","instance":"SS_umbilicus_157","title":"Abdomen 2cm away from the umbilicus  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_97","class":"TODO::Senthil","instance":"Image_97","roles":{}},{"id":"Image_98","class":"TODO::Senthil","instance":"Image_98","roles":{}},{"id":"SmartShape_158","class":"TODO::Senthil","instance":"SmartShape_158","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_159","class":"TODO::Senthil","instance":"SmartShape_159","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_160","class":"TODO::Senthil","instance":"SmartShape_160","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_161","class":"TODO::Senthil","instance":"SmartShape_161","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ANS_thigh_162","class":"TODO::Senthil","instance":"ANS_thigh_162","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ANS_arms_163","class":"TODO::Senthil","instance":"ANS_arms_163","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ANS_buttocks_164","class":"TODO::Senthil","instance":"ANS_buttocks_164","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ANS_umbiicus_165","class":"TODO::Senthil","instance":"ANS_umbiicus_165","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_169","class":"TODO::Senthil","instance":"Image_169","roles":{}},{"id":"SmartShape_348","class":"TODO::Senthil","instance":"SmartShape_348","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53514","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_465","class":"TODO::Senthil","instance":"SmartShape_465","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64201","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64220","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_466","class":"TODO::Senthil","instance":"SmartShape_466","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64274","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64293","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_209","class":"TODO::Senthil","instance":"Image_209","roles":{}},{"id":"SmartShape_467","class":"TODO::Senthil","instance":"SmartShape_467","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64344","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64355","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_867","class":"TODO::Senthil","instance":"SmartShape_867","title":"Administering subcutaneous antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_868","class":"TODO::Senthil","instance":"SmartShape_868","title":"page 3 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_4","class":"TODO::Senthil","instance":"Hint_Shape_4","title":"Drag the orange boxes and drop them next to the green arrows to label the different injection sites  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Hint_Shape_4","class":"TODO::Senthil","instance":"Hint_Shape_4","title":"Drag the orange boxes and drop them next to the green arrows to label the different injection sites  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide36515","class":"Normal Slide","instance":"","thumbnail":"","children":["si68553","si68568","si68585","si68600","SmartShape_153","SS_arms_154","SS_buttocks_155","SS_thigh_156","SS_umbilicus_157","Image_97","Image_98","SmartShape_158","SmartShape_159","SmartShape_160","SmartShape_161","ANS_thigh_162","ANS_arms_163","ANS_buttocks_164","ANS_umbiicus_165","Image_169","SmartShape_348","si53514","SmartShape_465","si64201","si64220","SmartShape_466","si64274","si64293","Image_209","SmartShape_467","si64344","si64355","SmartShape_867","SmartShape_868","Hint_Shape_4","Hint_Shape_4"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide36515"},"dragDrop":{"sources":[35502,35519,35536,35553],"targets":[36194,36228,36278,36312]}}},{"id":"si53745","class":"TODO::Senthil","roles":{}},{"id":"si53746","class":"TODO::Senthil","title":"Clinical note ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53765","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53780","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53797","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53812","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_468","class":"TODO::Senthil","instance":"SmartShape_468","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64411","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64430","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_469","class":"TODO::Senthil","instance":"SmartShape_469","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64484","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64503","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_210","class":"TODO::Senthil","instance":"Image_210","roles":{}},{"id":"SmartShape_470","class":"TODO::Senthil","instance":"SmartShape_470","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64554","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64565","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_661","class":"TODO::Senthil","instance":"SmartShape_661","title":"Patients that have less adipose tissue, i.e. children and the elderly, are at greater risk for the SC injection being misplaced.   To avoid errors an individual patient assessment will assist in determining the correct needle size and most appropriate site for administration.  Injection site reactions are common with some subcutaneous antineoplastic drug administration.  It is important to ensure injection sites are rotated and that new injections are at least 2.5cm from the previous site.  The two finger pinch technique should always be used with these patients.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_869","class":"TODO::Senthil","instance":"SmartShape_869","title":"Administering subcutaneous antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_870","class":"TODO::Senthil","instance":"SmartShape_870","title":"page 4 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide36829","class":"Normal Slide","instance":"","thumbnail":"","children":["si53745","si53746","si53765","si53780","si53797","si53812","SmartShape_468","si64411","si64430","SmartShape_469","si64484","si64503","Image_210","SmartShape_470","si64554","si64565","SmartShape_661","SmartShape_869","SmartShape_870"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide36829"}}},{"id":"si53827","class":"TODO::Senthil","roles":{}},{"id":"si53828","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53847","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53862","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53879","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si53894","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_471","class":"TODO::Senthil","instance":"SmartShape_471","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64621","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64640","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_211","class":"TODO::Senthil","instance":"Image_211","roles":{}},{"id":"SmartShape_473","class":"TODO::Senthil","instance":"SmartShape_473","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64764","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si64775","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_662","class":"TODO::Senthil","instance":"SmartShape_662","title":"Before administering an antineoplastic drug via SC injection a patient assessment should be conducted which includes: establishing if any contraindicating factors are present,  site assessment and selection,  determining degree of insertion for SC injection.  The most common sites are: the abdomen, the back of the upper arms, the upper buttock, outer side of the thigh. There are various techniques for SC injections. Follow manufacturers instructions and if need be read the accompanying leaflets. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_351","class":"TODO::Senthil","instance":"SmartShape_351","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_352","class":"TODO::Senthil","instance":"SmartShape_352","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_358","class":"TODO::Senthil","instance":"Text_Caption_358","title":"You have now completed  Administering subcutaneous antineoplastic drugs Click here to return to the topics menu.      Subcutaneous injections (timing from 1.00 to 1.38)        Subcutaneous injections (timing from 1.00 to 1.38)   ","roles":{"textData":{}}},{"id":"Button_376","class":"TODO::Senthil","instance":"Button_376","roles":{"click":{"subtype":"button"}}},{"id":"si79621","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si79656","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_871","class":"TODO::Senthil","instance":"SmartShape_871","title":"Administering subcutaneous antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_872","class":"TODO::Senthil","instance":"SmartShape_872","title":"page 5 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide37158","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si53827","si53828","si53847","si53862","si53879","si53894","SmartShape_471","si64621","si64640","Image_211","SmartShape_473","si64764","si64775","SmartShape_662","SmartShape_351","SmartShape_352","Text_Caption_358","Button_376","si79621","si79656","SmartShape_871","SmartShape_872"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide37158"}}},{"id":"si72180","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72189","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72200","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72209","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_581","class":"TODO::Senthil","instance":"SmartShape_581","title":"Administering intramuscular antineoplastic drugs Intramuscular injection - site selection  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_370","class":"TODO::Senthil","instance":"Text_Caption_370","title":"Intramuscular (IM) injection is the administration of an antineoplastic drug deep into the muscle tissue.   This route of administration provides rapid systemic action and allows for relatively large volumes of medication to be absorbed.        ","roles":{"textData":{}}},{"id":"Image_252","class":"TODO::Senthil","instance":"Image_252","roles":{}},{"id":"SmartShape_582","class":"TODO::Senthil","instance":"SmartShape_582","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_372","class":"TODO::Senthil","instance":"Text_Caption_372","title":"If you are interested in further information about site selection watch this YouTube video ","roles":{"textData":{}}},{"id":"Image_253","class":"TODO::Senthil","instance":"Image_253","roles":{}},{"id":"SmartShape_617","class":"TODO::Senthil","instance":"SmartShape_617","title":"The common sites for IM injections are:  deltoid at the shoulder  ventrogluteal at the outer upper thigh vastus lateralis on the front of the thigh  rectus femoris site  anterolateral aspect of the thigh  Site selection will depend on:   individuals  medication being delivered volume of drug to be administered the size of the patient  the patients medical condition i.e. muscle atrophy, skin integrity and trauma  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_622","class":"TODO::Senthil","instance":"SmartShape_622","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72699","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72718","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_623","class":"TODO::Senthil","instance":"SmartShape_623","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72772","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72791","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_264","class":"TODO::Senthil","instance":"Image_264","roles":{}},{"id":"SmartShape_631","class":"TODO::Senthil","instance":"SmartShape_631","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73344","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73355","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_873","class":"TODO::Senthil","instance":"SmartShape_873","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_874","class":"TODO::Senthil","instance":"SmartShape_874","title":"page 1 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide70735","class":"Normal Slide","instance":"Intramuscular injection - site selection ","thumbnail":"","children":["si72180","si72189","si72200","si72209","SmartShape_581","Text_Caption_370","Image_252","SmartShape_582","Text_Caption_372","Image_253","SmartShape_617","SmartShape_622","si72699","si72718","SmartShape_623","si72772","si72791","Image_264","SmartShape_631","si73344","si73355","SmartShape_873","SmartShape_874"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide70735"}}},{"id":"si72220","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72229","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72240","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72249","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_588","class":"TODO::Senthil","instance":"SmartShape_588","title":"Z-track technique ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_373","class":"TODO::Senthil","instance":"Text_Caption_373","title":" ","roles":{"textData":{}}},{"id":"Text_Caption_374","class":"TODO::Senthil","instance":"Text_Caption_374","title":" The Z-track technique should be used when administering IM antineoplastic drugs to prevent back flow of antineoplastic drugs up the injection track.  This technique:      ","roles":{"textData":{}}},{"id":"Image_255","class":"TODO::Senthil","instance":"Image_255","roles":{}},{"id":"Text_Caption_375","class":"TODO::Senthil","instance":"Text_Caption_375","title":"reduces the leakage of medication through the subcutaneous tissue  ensures the patient receives the full dose of medication  reduces the presence of skin lesions at the injection site  minimises occupational exposure  ","roles":{"textData":{}}},{"id":"SmartShape_589","class":"TODO::Senthil","instance":"SmartShape_589","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_376","class":"TODO::Senthil","instance":"Text_Caption_376","title":"If you’re interested, watch a demonstration of an IM injection using the  Z-track technique on YouTube (timing from 0 to 0.30) ","roles":{"textData":{}}},{"id":"Image_256","class":"TODO::Senthil","instance":"Image_256","roles":{}},{"id":"SmartShape_624","class":"TODO::Senthil","instance":"SmartShape_624","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72845","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72864","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_625","class":"TODO::Senthil","instance":"SmartShape_625","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72918","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72937","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_263","class":"TODO::Senthil","instance":"Image_263","roles":{}},{"id":"SmartShape_630","class":"TODO::Senthil","instance":"SmartShape_630","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73280","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73291","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_875","class":"TODO::Senthil","instance":"SmartShape_875","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_876","class":"TODO::Senthil","instance":"SmartShape_876","title":"page 2 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide71055","class":"Normal Slide","instance":"Z-track technique","thumbnail":"","children":["si72220","si72229","si72240","si72249","SmartShape_588","Text_Caption_373","Text_Caption_374","Image_255","Text_Caption_375","SmartShape_589","Text_Caption_376","Image_256","SmartShape_624","si72845","si72864","SmartShape_625","si72918","si72937","Image_263","SmartShape_630","si73280","si73291","SmartShape_875","SmartShape_876"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide71055"}}},{"id":"si72404","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72413","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72424","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72433","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72442","class":"TODO::Senthil","roles":{}},{"id":"si72443","class":"TODO::Senthil","title":"Clinical note ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_595","class":"TODO::Senthil","instance":"SmartShape_595","title":"The patient must be assessed before administration to ensure they are fit for treatment and to select the most appropriate site for the injection.   Selecting the correct site is important to avoid major blood vessels and nerves ensuring the injection is intramuscular.  The evidence is inconclusive with respect of aspirating or not aspirating before administering an antineoplastic drug via IM injection.   When administering antineoplastic drug IM injections ensure you refer to your local policies, practices and guidelines for management.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_626","class":"TODO::Senthil","instance":"SmartShape_626","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72991","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73010","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_627","class":"TODO::Senthil","instance":"SmartShape_627","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73064","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73083","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_265","class":"TODO::Senthil","instance":"Image_265","roles":{}},{"id":"SmartShape_632","class":"TODO::Senthil","instance":"SmartShape_632","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73408","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73419","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_601","class":"TODO::Senthil","instance":"SmartShape_601","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_602","class":"TODO::Senthil","instance":"SmartShape_602","title":"The following article may be interesting for you:  Aspirating during the intramuscular injection procedure: a systematic literature ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_603","class":"TODO::Senthil","instance":"SmartShape_603","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_309","class":"TODO::Senthil","instance":"Image_309","roles":{}},{"id":"SmartShape_877","class":"TODO::Senthil","instance":"SmartShape_877","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_878","class":"TODO::Senthil","instance":"SmartShape_878","title":"page 3 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide71402","class":"Normal Slide","instance":"","thumbnail":"","children":["si72404","si72413","si72424","si72433","si72442","si72443","SmartShape_595","SmartShape_626","si72991","si73010","SmartShape_627","si73064","si73083","Image_265","SmartShape_632","si73408","si73419","SmartShape_601","SmartShape_602","SmartShape_603","Image_309","SmartShape_877","SmartShape_878"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide71402"}}},{"id":"si72456","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si72476","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"Image_260","class":"TODO::Senthil","instance":"Image_260","roles":{}},{"id":"SmartShape_604","class":"TODO::Senthil","instance":"SmartShape_604","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"SmartShape_605","class":"TODO::Senthil","instance":"SmartShape_605","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"SmartShape_606","class":"TODO::Senthil","instance":"SmartShape_606","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71509","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71520","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"SmartShape_607","class":"TODO::Senthil","instance":"SmartShape_607","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71549","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71561","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"Image_266","class":"TODO::Senthil","instance":"Image_266","roles":{}},{"id":"SmartShape_633","class":"TODO::Senthil","instance":"SmartShape_633","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si73472","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si73483","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"SmartShape_879","class":"TODO::Senthil","instance":"SmartShape_879","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"SmartShape_880","class":"TODO::Senthil","instance":"SmartShape_880","title":"page 4 of 5 ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71680","class":"TODO::Senthil","instance":"Text_Caption_232","title":"You are administering an IM antineoplastic drug, after inserting the needle you aspirate the syringe and withdraw blood. What action should you take to ensure the patient receives their medication? ","roles":{"textData":{}}},{"id":"si71691","class":"TODO::Senthil","instance":"Text_Caption_295","title":" ","roles":{"textData":{}}},{"id":"si71695","class":"TODO::Senthil","instance":"Text_Caption_296","title":"Ignore the blood and administer the injection as it is required today ","roles":{"textData":{}}},{"id":"si71691_a","class":"TODO::Senthil","instance":"20","roles":{"answer":{"title":"Ignore the blood and administer the injection as it is required today\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si71702","class":"TODO::Senthil","instance":"Text_Caption_297","title":" ","roles":{"textData":{}}},{"id":"si71706","class":"TODO::Senthil","instance":"Text_Caption_298","title":"Remove needle and inject the same syringe into a new site next to the original injection site ","roles":{"textData":{}}},{"id":"si71702_a","class":"TODO::Senthil","instance":"22","roles":{"answer":{"title":"Remove needle and inject the same syringe into a new site next to the original injection site\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si71713","class":"TODO::Senthil","instance":"Text_Caption_300","title":" ","roles":{"textData":{}}},{"id":"si71717","class":"TODO::Senthil","instance":"Text_Caption_301","title":"Stop the injection and seek further advice  ","roles":{"textData":{}}},{"id":"si71713_a","class":"TODO::Senthil","instance":"24","roles":{"answer":{"title":"Stop the injection and seek further advice \r","index":"Not implemented","score":{"weight":10}}}},{"id":"si71788","class":"TODO::Senthil","instance":"Button_32","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide71891q5","for":"Slide71891q5"},"textData":{}}},{"id":"si89903","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide71891q5","for":"Slide71891q5"},"textData":{}}},{"id":"si89916","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide71891q5","for":"Slide71891q5"},"textData":{}}},{"id":"si71819","class":"TODO::Senthil","instance":"SmartShape_2","title":"Correct ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71850","class":"TODO::Senthil","instance":"SmartShape_3","title":"Incorrect ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"si71881","class":"TODO::Senthil","instance":"SmartShape_4","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide71891q5"},"textData":{}}},{"id":"Slide71891","class":"Question Slide","instance":"","thumbnail":"","children":["si72456","si72476","Image_260","SmartShape_604","SmartShape_605","SmartShape_606","si71509","si71520","SmartShape_607","si71549","si71561","Image_266","SmartShape_633","si73472","si73483","SmartShape_879","SmartShape_880","si71680","si71695","si71706","si71717","si71788","si89903","si89916","si71881"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide71891"},"question":{"interactionId":"71421","quizId":377,"title":"Multiple Choice","text":"You are administering an IM antineoplastic drug, after inserting the needle you aspirate the syringe and withdraw blood. What action should you take to ensure the patient receives their medication?\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":true,"correctAnswers":["3"],"score":{"weight":10,"penalty":0}}}},{"id":"si72350","class":"TODO::Senthil","roles":{}},{"id":"si72351","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72364","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72373","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72384","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72393","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_611","class":"TODO::Senthil","instance":"SmartShape_611","title":"Before administering an antineoplastic drug via IM injection a patient assessment should be conducted which includes: establishing if any contraindicating factors are present,  site selection and assessment. The common sites for administration are: Deltoid at the shoulder,  Ventrogluteal at the outer upper thigh, Vastus lateralis on the front of the thigh,  Rectus femoris site, anterolateral aspect of the thigh.  Ensure the z-track technique is used to reduce the risk of back flow up the injection track.  The evidence is inconclusive with respect of aspirating or not before administrating an IM injection, ensures you refer to your local policies, practices and guideline for management. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_618","class":"TODO::Senthil","instance":"SmartShape_618","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_619","class":"TODO::Senthil","instance":"SmartShape_619","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72569","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72581","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_377","class":"TODO::Senthil","instance":"Text_Caption_377","title":"You have now completed  Administering intramuscular antineoplastic drugs Click here to return to the topics menu. ","roles":{"textData":{}}},{"id":"SmartShape_620","class":"TODO::Senthil","instance":"SmartShape_620","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_621","class":"TODO::Senthil","instance":"SmartShape_621","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72634","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si72643","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_628","class":"TODO::Senthil","instance":"SmartShape_628","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73137","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73156","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_267","class":"TODO::Senthil","instance":"Image_267","roles":{}},{"id":"SmartShape_634","class":"TODO::Senthil","instance":"SmartShape_634","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73536","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si73547","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_881","class":"TODO::Senthil","instance":"SmartShape_881","title":"Administering intramuscular antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_882","class":"TODO::Senthil","instance":"SmartShape_882","title":"page 5 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide72137","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si72350","si72351","si72364","si72373","si72384","si72393","SmartShape_611","SmartShape_618","SmartShape_619","si72569","si72581","Text_Caption_377","SmartShape_620","SmartShape_621","si72634","si72643","SmartShape_628","si73137","si73156","Image_267","SmartShape_634","si73536","si73547","SmartShape_881","SmartShape_882"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide72137"}}},{"id":"si55907","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55916","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55927","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55936","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_168","class":"TODO::Senthil","instance":"SmartShape_168","title":"Administering topical antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_299","class":"TODO::Senthil","instance":"Text_Caption_299","title":"Topical antineoplastic agents have been prepared for the direct purpose of application to the skin or mucous membranes (i.e. eye drops). These agents are absorbed through the skin / mucous membrane into the systemic circulation.   The use of topical agents helps minimise absorption of the agent allowing the drug to work locally at the site of application. When administering topical agents it is important to be aware of factors which may affect absorption therefore may require dose modification.  ","roles":{"textData":{}}},{"id":"SmartShape_489","class":"TODO::Senthil","instance":"SmartShape_489","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si65881","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si65900","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_490","class":"TODO::Senthil","instance":"SmartShape_490","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si65954","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si65973","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_217","class":"TODO::Senthil","instance":"Image_217","roles":{}},{"id":"SmartShape_491","class":"TODO::Senthil","instance":"SmartShape_491","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66024","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66035","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_573","class":"TODO::Senthil","instance":"SmartShape_573","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_574","class":"TODO::Senthil","instance":"SmartShape_574","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_365","class":"TODO::Senthil","instance":"Text_Caption_365","title":"Topical antineoplastic agents can be prepared in a number of forms including:  creams gel eye drops ointments    ","roles":{"textData":{}}},{"id":"Text_Caption_366","class":"TODO::Senthil","instance":"Text_Caption_366","title":"When administering topical agents consider:  children have an increased body surface area to weight ratio fragile skin in the elderly and neonates broken skin as a result of trauma and burns  ","roles":{"textData":{}}},{"id":"Image_251","class":"TODO::Senthil","instance":"Image_251","roles":{}},{"id":"SmartShape_883","class":"TODO::Senthil","instance":"SmartShape_883","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_884","class":"TODO::Senthil","instance":"SmartShape_884","title":"page 1 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide39234","class":"Normal Slide","instance":"Administering topical antineoplastic drugs","thumbnail":"","children":["si55907","si55916","si55927","si55936","SmartShape_168","Text_Caption_299","SmartShape_489","si65881","si65900","SmartShape_490","si65954","si65973","Image_217","SmartShape_491","si66024","si66035","SmartShape_573","SmartShape_574","Text_Caption_365","Text_Caption_366","Image_251","SmartShape_883","SmartShape_884"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide39234"}}},{"id":"si55947","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55956","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55967","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si55976","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_492","class":"TODO::Senthil","instance":"SmartShape_492","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66091","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66110","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_493","class":"TODO::Senthil","instance":"SmartShape_493","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66164","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66183","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_218","class":"TODO::Senthil","instance":"Image_218","roles":{}},{"id":"SmartShape_494","class":"TODO::Senthil","instance":"SmartShape_494","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66234","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66245","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_367","class":"TODO::Senthil","instance":"Text_Caption_367","title":"In cases of contamination, topical antineoplastic agents need to be removed immediately with soap and water.  After the required contact time patients should be advised to shower rather than bath, to ensure they are not soaking in residual drug.     ","roles":{"textData":{}}},{"id":"SmartShape_575","class":"TODO::Senthil","instance":"SmartShape_575","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_576","class":"TODO::Senthil","instance":"SmartShape_576","title":"Application of topical antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_577","class":"TODO::Senthil","instance":"SmartShape_577","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_578","class":"TODO::Senthil","instance":"SmartShape_578","title":"Topical antineoplastic agents need to be applied: as directed by the manufacturer or pharmacy so as to avoid contact with eye and other mucous membranes (unless otherwise indicated) to minimise contact with patients clothing (to avoid cross contamination) to avoid contact with unaffected areas       ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_368","class":"TODO::Senthil","instance":"Text_Caption_368","title":"Areas with greater uptake of topical agents and increased risk of side effects are:  the groin armpits insides of the elbow backs of the knee  ","roles":{"textData":{}}},{"id":"SmartShape_579","class":"TODO::Senthil","instance":"SmartShape_579","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_369","class":"TODO::Senthil","instance":"Text_Caption_369","title":"In these areas antineoplastic agents should be applied sparingly.  ","roles":{"textData":{}}},{"id":"SmartShape_885","class":"TODO::Senthil","instance":"SmartShape_885","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_886","class":"TODO::Senthil","instance":"SmartShape_886","title":"page 2 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide39610","class":"Normal Slide","instance":"","thumbnail":"","children":["si55947","si55956","si55967","si55976","SmartShape_492","si66091","si66110","SmartShape_493","si66164","si66183","Image_218","SmartShape_494","si66234","si66245","Text_Caption_367","SmartShape_575","SmartShape_576","SmartShape_577","SmartShape_578","Text_Caption_368","SmartShape_579","Text_Caption_369","SmartShape_885","SmartShape_886"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide39610"}}},{"id":"si56027","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56036","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56047","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56056","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56065","class":"TODO::Senthil","roles":{}},{"id":"si56066","class":"TODO::Senthil","title":"Clinical note ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_306","class":"TODO::Senthil","instance":"Text_Caption_306","title":"To avoid occupational exposure when administering topical antineoplastic agent, don gown and gloves and consider use of mask and goggles if high risk of exposure.   Consider encouraging patients to apply topical antineoplastic agents by themselves.  To further minimise contact, it is recommended the following be used: cotton wool, cotton tipped applicators, gauze.  Ensure you follow local policies, practices and guidelines.  ","roles":{"textData":{}}},{"id":"SmartShape_495","class":"TODO::Senthil","instance":"SmartShape_495","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66301","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66320","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_496","class":"TODO::Senthil","instance":"SmartShape_496","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66374","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66393","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_219","class":"TODO::Senthil","instance":"Image_219","roles":{}},{"id":"SmartShape_497","class":"TODO::Senthil","instance":"SmartShape_497","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66444","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66455","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_887","class":"TODO::Senthil","instance":"SmartShape_887","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_888","class":"TODO::Senthil","instance":"SmartShape_888","title":"page 3 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide39924","class":"Normal Slide","instance":"","thumbnail":"","children":["si56027","si56036","si56047","si56056","si56065","si56066","Text_Caption_306","SmartShape_495","si66301","si66320","SmartShape_496","si66374","si66393","Image_219","SmartShape_497","si66444","si66455","SmartShape_887","SmartShape_888"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide39924"}}},{"id":"si56079","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56088","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56099","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56108","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_171","class":"TODO::Senthil","instance":"SmartShape_171","title":"Clean application area with soap and water and allow to dry  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_172","class":"TODO::Senthil","instance":"SmartShape_172","title":"Apply cream using a non metallic applicator such as gauze, cotton tip, gloved fingertip being mindful to avoid mucus membranes and areas not requiring treatment ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_173","class":"TODO::Senthil","instance":"SmartShape_173","title":"Don full PPE including N95 mask, long sleeve gown, goggles and gloves  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_174","class":"TODO::Senthil","instance":"SmartShape_174","title":"Document in the patient’s medical record ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_107","class":"TODO::Senthil","instance":"Image_107","roles":{}},{"id":"Image_108","class":"TODO::Senthil","instance":"Image_108","roles":{}},{"id":"Image_109","class":"TODO::Senthil","instance":"Image_109","roles":{}},{"id":"Image_110","class":"TODO::Senthil","instance":"Image_110","roles":{}},{"id":"SmartShape_175","class":"TODO::Senthil","instance":"SmartShape_175","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_176","class":"TODO::Senthil","instance":"SmartShape_176","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_177","class":"TODO::Senthil","instance":"SmartShape_177","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_178","class":"TODO::Senthil","instance":"SmartShape_178","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_179","class":"TODO::Senthil","instance":"SmartShape_179","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_180","class":"TODO::Senthil","instance":"SmartShape_180","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_181","class":"TODO::Senthil","instance":"SmartShape_181","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_182","class":"TODO::Senthil","instance":"SmartShape_182","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_309","class":"TODO::Senthil","instance":"Text_Caption_309","title":"List the steps you would take to apply this antineoplastic drug  ","roles":{"textData":{}}},{"id":"Text_Caption_310","class":"TODO::Senthil","instance":"Text_Caption_310","title":"Your patient is scheduled to receive a topical antineoplastic cream (Efudex cream) for solar keratoses.  ","roles":{"textData":{}}},{"id":"SmartShape_498","class":"TODO::Senthil","instance":"SmartShape_498","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66511","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66530","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_499","class":"TODO::Senthil","instance":"SmartShape_499","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66584","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66603","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_220","class":"TODO::Senthil","instance":"Image_220","roles":{}},{"id":"SmartShape_500","class":"TODO::Senthil","instance":"SmartShape_500","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66654","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66665","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_889","class":"TODO::Senthil","instance":"SmartShape_889","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_890","class":"TODO::Senthil","instance":"SmartShape_890","title":"page 4 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide40595","class":"Normal Slide","instance":"","thumbnail":"","children":["si56079","si56088","si56099","si56108","SmartShape_171","SmartShape_172","SmartShape_173","SmartShape_174","Image_107","Image_108","Image_109","Image_110","SmartShape_175","SmartShape_176","SmartShape_177","SmartShape_178","SmartShape_179","SmartShape_180","SmartShape_181","SmartShape_182","Text_Caption_309","Text_Caption_310","SmartShape_498","si66511","si66530","SmartShape_499","si66584","si66603","Image_220","SmartShape_500","si66654","si66665","SmartShape_889","SmartShape_890"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide40595"},"dragDrop":{"sources":[40021,40030,40039,40048],"targets":[40142,40174,40206,40238]}}},{"id":"si56117","class":"TODO::Senthil","roles":{}},{"id":"si56118","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56131","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56140","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56151","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56160","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_501","class":"TODO::Senthil","instance":"SmartShape_501","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66721","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66740","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_221","class":"TODO::Senthil","instance":"Image_221","roles":{}},{"id":"SmartShape_503","class":"TODO::Senthil","instance":"SmartShape_503","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66864","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66875","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_580","class":"TODO::Senthil","instance":"SmartShape_580","title":"Full personal protective equipment (PPE) should be worn when administering topical antineoplastic drugs Avoid mucous membranes when applying topical agents (unless otherwise indicated) Minimise handling and contact with the antineoplastic agent by using an applicator (i.e. cotton wool, gauze). If contamination occurs rinse with soap and water immediately  Dose modifications maybe required for neonates, children and the elderly  Ensure the patient / family / carer is educated about application at home to ensure safe handling and administration    ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_360","class":"TODO::Senthil","instance":"SmartShape_360","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_361","class":"TODO::Senthil","instance":"SmartShape_361","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_362","class":"TODO::Senthil","instance":"SmartShape_362","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56260","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56271","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_363","class":"TODO::Senthil","instance":"SmartShape_363","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_363","class":"TODO::Senthil","instance":"Text_Caption_363","title":"You have now completed Administering topical antineoplastic drugs Click here to return to the topics menu. ","roles":{"textData":{}}},{"id":"SmartShape_779","class":"TODO::Senthil","instance":"SmartShape_779","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79783","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si79816","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_891","class":"TODO::Senthil","instance":"SmartShape_891","title":"Administering topical antineoplastic drugs ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_892","class":"TODO::Senthil","instance":"SmartShape_892","title":"page 5 of 5 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide40924","class":"Normal Slide","instance":"Key points","thumbnail":"","children":["si56117","si56118","si56131","si56140","si56151","si56160","SmartShape_501","si66721","si66740","Image_221","SmartShape_503","si66864","si66875","SmartShape_580","SmartShape_360","SmartShape_361","SmartShape_362","si56260","si56271","SmartShape_363","Text_Caption_363","SmartShape_779","si79783","si79816","SmartShape_891","SmartShape_892"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide40924"}}},{"id":"si87405","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87420","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87437","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87452","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_310","class":"TODO::Senthil","instance":"Image_310","roles":{}},{"id":"SmartShape_893","class":"TODO::Senthil","instance":"SmartShape_893","title":"Administering intravesical antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_400","class":"TODO::Senthil","instance":"Text_Caption_400","title":"Intravesical therapy for bladder cancer is an adjuvant local treatment for non-muscle invasive bladder cancer following transurethral resection of bladder tumour (TURBT). The use of intravesical therapy is guided by the patient’s risk stratification.   The procedure involves instillation of the prescribed drug into the bladder via a urinary catheter.  Following administration the urinary catheter is clamped to keep the drug in the bladder for the prescribed period of time. Following the required time period, the urinary catheter is unclamped and allowed to drain into the urinary catheter bag. The urinary catheter is then removed using the required precautions to avoid exposure or environmental contamination.   The patient should be on bed rest for a period of time specified by the medical officer. ","roles":{"textData":{}}},{"id":"BTN_Definition_378","class":"TODO::Senthil","instance":"BTN_Definition_378","roles":{"click":{"subtype":"button"}}},{"id":"si84353","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si84366","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_894","class":"TODO::Senthil","instance":"SmartShape_894","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_895","class":"TODO::Senthil","instance":"SmartShape_895","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84486","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84497","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_896","class":"TODO::Senthil","instance":"SmartShape_896","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84525","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84536","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_897","class":"TODO::Senthil","instance":"SmartShape_897","title":"page 1 of 6 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_311","class":"TODO::Senthil","instance":"Image_311","roles":{}},{"id":"SmartShape_898","class":"TODO::Senthil","instance":"SmartShape_898","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84618","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84629","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"ss_white_899","class":"TODO::Senthil","instance":"ss_white_899","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_900","class":"TODO::Senthil","instance":"SmartShape_900","title":"Risk assessment See eviQ Risk Stratification and Treatment Recommendation for Superficial Bladder Cancer ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_312","class":"TODO::Senthil","instance":"Image_312","roles":{}},{"id":"SmartShape_901","class":"TODO::Senthil","instance":"SmartShape_901","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84743","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84754","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_902","class":"TODO::Senthil","instance":"SmartShape_902","title":"   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_313","class":"TODO::Senthil","instance":"Image_313","roles":{}},{"id":"SmartShape_903","class":"TODO::Senthil","instance":"SmartShape_903","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84805","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si84816","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_904","class":"TODO::Senthil","instance":"SmartShape_904","title":"Definitions of non-muscle invasive bladder cancer:  Ta \t\t\t\t\t\tNon invasive papillary carcinoma  T1 \t\t\t\t\t\tTumour invades lamina propria   ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_905","class":"TODO::Senthil","instance":"SmartShape_905","title":"Carcinoma in Situ (CIS) \tHigh grade tumour confined to epithelium, but with a non papillary configuration. \t\t\t\t\t\t\tAppears as a reddened and velvety mucosa, but sometimes not visible. It can be \t\t\t\t\t\t\t\tlocal or diffuse.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide84856","class":"Normal Slide","instance":"Topic 7 Intravesical antineoplastic drugs","thumbnail":"","children":["si87405","si87420","si87437","si87452","Image_310","SmartShape_893","Text_Caption_400","BTN_Definition_378","si84353","si84366","SmartShape_894","SmartShape_895","si84486","si84497","SmartShape_896","si84525","si84536","SmartShape_897","Image_311","SmartShape_898","si84618","si84629","ss_white_899","SmartShape_900","Image_312","SmartShape_901","si84743","si84754","SmartShape_902","Image_313","SmartShape_903","si84805","si84816","SmartShape_904","SmartShape_905"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide84856"}}},{"id":"si87469","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87484","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87501","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87516","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_314","class":"TODO::Senthil","instance":"Image_314","roles":{}},{"id":"SmartShape_907","class":"TODO::Senthil","instance":"SmartShape_907","title":"Administering intravesical antineoplastic drugs  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_401","class":"TODO::Senthil","instance":"Text_Caption_401","title":"Intravesical therapy for bladder cancer is typically an outpatient procedure. If the patient’s physical condition and cognitive functioning is adequate, the health facility may allow the patient to leave once the drug has been administered and the urinary catheter removed. The patient is requested not to void for the prescribed period and voided after with precautions.    Intravesical immunotherapy and intravesical chemotherapy are the two types of therapy to treat bladder cancer discussed in this topic.  ","roles":{"textData":{}}},{"id":"ss_white_908","class":"TODO::Senthil","instance":"ss_white_908","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_909","class":"TODO::Senthil","instance":"SmartShape_909","title":" Resources  Instillation of Intravesical Solutions Clinical Guidelines 2012. The Australian and New Zealand Urological Nurses Society   European Association of Urology - Oncology guidelines  National Comprehensive Cancer Network Guidelines  (Note: This link will take you to the home page - free subscription is required)    ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_910","class":"TODO::Senthil","instance":"SmartShape_910","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85106","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85117","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_911","class":"TODO::Senthil","instance":"SmartShape_911","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85165","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85176","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_912","class":"TODO::Senthil","instance":"SmartShape_912","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85204","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85215","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_315","class":"TODO::Senthil","instance":"Image_315","roles":{}},{"id":"SmartShape_913","class":"TODO::Senthil","instance":"SmartShape_913","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85266","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85277","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_914","class":"TODO::Senthil","instance":"SmartShape_914","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_915","class":"TODO::Senthil","instance":"SmartShape_915","title":"page 2 of 6 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide85333","class":"Normal Slide","instance":"Administering intravesical antineoplastic drugs","thumbnail":"","children":["si87469","si87484","si87501","si87516","Image_314","SmartShape_907","Text_Caption_401","ss_white_908","SmartShape_909","SmartShape_910","si85106","si85117","SmartShape_911","si85165","si85176","SmartShape_912","si85204","si85215","Image_315","SmartShape_913","si85266","si85277","SmartShape_914","SmartShape_915"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide85333"}}},{"id":"si87533","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87548","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87565","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87580","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_916","class":"TODO::Senthil","instance":"SmartShape_916","title":"Intravesical immunotherapy ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_402","class":"TODO::Senthil","instance":"Text_Caption_402","title":"Bacilis Calmette-Guerin (BCG) is used as a localised intravesical immunotherapy by instillation directly into the bladder, triggering the immune system to mount a response against the BCG. It is during this process that an immune response is also mounted against any remaining bladder cancer cells. ","roles":{"textData":{}}},{"id":"SmartShape_917","class":"TODO::Senthil","instance":"SmartShape_917","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_316","class":"TODO::Senthil","instance":"Image_316","roles":{}},{"id":"Text_Caption_403","class":"TODO::Senthil","instance":"Text_Caption_403","title":"BCG is a live attenuated strain of bacteria used as the vaccine for Mycobacterium Tuberculosis (TB). Note: BCG is a biohazard and specific precautions need to be taken for health care workers and patients.   Click the link to review the specific precautions necessary for intravesical BCG ","roles":{"textData":{}}},{"id":"Text_Caption_404","class":"TODO::Senthil","instance":"Text_Caption_404","title":"Biohazard Alert ","roles":{"textData":{}}},{"id":"SmartShape_918","class":"TODO::Senthil","instance":"SmartShape_918","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_405","class":"TODO::Senthil","instance":"Text_Caption_405","title":"Education should be provided to patients and carers to ensure the procedure is effective and safe.  Signs and symptoms, side effects, safe handling and associated management procedures should be provided before the procedure and followed up before discharge. Familiarise yourself with specific precaution necessary for intravesical BCG. ","roles":{"textData":{}}},{"id":"Text_Caption_406","class":"TODO::Senthil","instance":"Text_Caption_406","title":"Patient education ","roles":{"textData":{}}},{"id":"Image_317","class":"TODO::Senthil","instance":"Image_317","roles":{}},{"id":"SmartShape_919","class":"TODO::Senthil","instance":"SmartShape_919","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_318","class":"TODO::Senthil","instance":"Image_318","roles":{}},{"id":"Text_Caption_407","class":"TODO::Senthil","instance":"Text_Caption_407","title":"Refer to the eviQ BCG intravesical protocol or your institutional policy for:  administration contraindications and precautions,  clinical information,  treatment schedule,  interactions,  administration details, and safe handling precautions  ","roles":{"textData":{}}},{"id":"Text_Caption_408","class":"TODO::Senthil","instance":"Text_Caption_408","title":"Administration ","roles":{"textData":{}}},{"id":"SmartShape_920","class":"TODO::Senthil","instance":"SmartShape_920","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85528","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85539","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_921","class":"TODO::Senthil","instance":"SmartShape_921","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85567","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85578","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_319","class":"TODO::Senthil","instance":"Image_319","roles":{}},{"id":"SmartShape_922","class":"TODO::Senthil","instance":"SmartShape_922","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85629","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85640","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_923","class":"TODO::Senthil","instance":"SmartShape_923","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_924","class":"TODO::Senthil","instance":"SmartShape_924","title":"page 3 of 6 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide85696","class":"Normal Slide","instance":"Intravesical immunotherapy","thumbnail":"","children":["si87533","si87548","si87565","si87580","SmartShape_916","Text_Caption_402","SmartShape_917","Image_316","Text_Caption_403","Text_Caption_404","SmartShape_918","Text_Caption_405","Text_Caption_406","Image_317","SmartShape_919","Image_318","Text_Caption_407","Text_Caption_408","SmartShape_920","si85528","si85539","SmartShape_921","si85567","si85578","Image_319","SmartShape_922","si85629","si85640","SmartShape_923","SmartShape_924"],"roles":{"slide":{"durationInFrames":180},"navigation":{"navid":"Slide85696"}}},{"id":"si87597","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87612","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87629","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si87644","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_925","class":"TODO::Senthil","instance":"SmartShape_925","title":"Intravesical chemotherapy ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_409","class":"TODO::Senthil","instance":"Text_Caption_409","title":"Cytotoxic drugs may also be prescribed and instilled directly into the bladder. This localised treatment minimises the cytotoxic drug being transported to other parts of the body. Intravesical chemotherapy allows the tumour site to be directly targeted whilst decreasing the risk of side effects associated with systemic cytotoxic therapies. ","roles":{"textData":{}}},{"id":"BTN_Ref_381","class":"TODO::Senthil","instance":"BTN_Ref_381","roles":{"click":{"subtype":"button"}}},{"id":"si85783","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si85796","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_926","class":"TODO::Senthil","instance":"SmartShape_926","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85842","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85853","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_927","class":"TODO::Senthil","instance":"SmartShape_927","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85881","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85892","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_320","class":"TODO::Senthil","instance":"Image_320","roles":{}},{"id":"SmartShape_928","class":"TODO::Senthil","instance":"SmartShape_928","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85943","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si85954","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_929","class":"TODO::Senthil","instance":"SmartShape_929","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_410","class":"TODO::Senthil","instance":"Text_Caption_410","title":"To ensure the treatment is effective and safe for the patient and family, the patient needs to be adequately educated regarding the procedure, signs and symptoms of side effects and associated management as well as safe handling procedures at home. Familiarise yourself with the eviQ Mitomycin for bladder cancer patient education leaflet as it addresses the patients learning needs for this procedure. ","roles":{"textData":{}}},{"id":"Text_Caption_411","class":"TODO::Senthil","instance":"Text_Caption_411","title":"Patient education ","roles":{"textData":{}}},{"id":"Image_321","class":"TODO::Senthil","instance":"Image_321","roles":{}},{"id":"SmartShape_930","class":"TODO::Senthil","instance":"SmartShape_930","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_322","class":"TODO::Senthil","instance":"Image_322","roles":{}},{"id":"Text_Caption_412","class":"TODO::Senthil","instance":"Text_Caption_412","title":"administration contraindications and precautions, clinical information,  treatment schedule,  interactions,  administration details. and  safe handling precautions. NOTE: there is a small risk of Mitomycin extravasation post-operatively where the drug leaks through the bladder wall causing serious tissue injury with peritoneal necrosis, fistula formation and chronic pain. ","roles":{"textData":{}}},{"id":"Text_Caption_413","class":"TODO::Senthil","instance":"Text_Caption_413","title":"Administration ","roles":{"textData":{}}},{"id":"Text_Caption_414","class":"TODO::Senthil","instance":"Text_Caption_414","title":"Refer to the eviQ Bladder Intravesical Mitomycin Protocol or your institutional policy for: ","roles":{"textData":{}}},{"id":"ss_white_931","class":"TODO::Senthil","instance":"ss_white_931","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_932","class":"TODO::Senthil","instance":"SmartShape_932","title":" Cytotoxic drugs  The most commonly used cytotoxic drug for intravesical therapy is mitomycin. Epirubicin, doxorubicin and thiotepa may also be used.  As these are cytotoxic drugs, appropriate safe handling procedures are required throughout the procedure. It is recommended a closed system be maintained throughout the procedure.  Ensure you follow your local policies, procedures and guidelines.          ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_933","class":"TODO::Senthil","instance":"SmartShape_933","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86145","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86156","class":"TODO::Senthil","title":"X ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_934","class":"TODO::Senthil","instance":"SmartShape_934","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_935","class":"TODO::Senthil","instance":"SmartShape_935","title":"page 4 of 6 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide86214","class":"Normal Slide","instance":"Intravesical chemotherapy","thumbnail":"","children":["si87597","si87612","si87629","si87644","SmartShape_925","Text_Caption_409","BTN_Ref_381","si85783","si85796","SmartShape_926","si85842","si85853","SmartShape_927","si85881","si85892","Image_320","SmartShape_928","si85943","si85954","SmartShape_929","Text_Caption_410","Text_Caption_411","Image_321","SmartShape_930","Image_322","Text_Caption_412","Text_Caption_413","Text_Caption_414","ss_white_931","SmartShape_932","SmartShape_933","si86145","si86156","SmartShape_934","SmartShape_935"],"roles":{"slide":{"durationInFrames":180},"navigation":{"navid":"Slide86214"}}},{"id":"si87290","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si87322","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"Image_327","class":"TODO::Senthil","instance":"Image_327","roles":{}},{"id":"SmartShape_949","class":"TODO::Senthil","instance":"SmartShape_949","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"SmartShape_950","class":"TODO::Senthil","instance":"SmartShape_950","title":"eviQ BCG intrvesical protocol  ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"SmartShape_951","class":"TODO::Senthil","instance":"SmartShape_951","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"Image_328","class":"TODO::Senthil","instance":"Image_328","roles":{}},{"id":"SmartShape_952","class":"TODO::Senthil","instance":"SmartShape_952","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si87983","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si88002","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"SmartShape_953","class":"TODO::Senthil","instance":"SmartShape_953","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si88056","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si88075","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"Image_329","class":"TODO::Senthil","instance":"Image_329","roles":{}},{"id":"SmartShape_954","class":"TODO::Senthil","instance":"SmartShape_954","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si88134","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si88153","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"SmartShape_955","class":"TODO::Senthil","instance":"SmartShape_955","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"SmartShape_956","class":"TODO::Senthil","instance":"SmartShape_956","title":"page 5 of 6 ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si87163","class":"TODO::Senthil","title":"Prior to treatment for intravesical BCG, patients should be screened for history of: ","roles":{"textData":{}}},{"id":"si87178","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87182","class":"TODO::Senthil","title":"bladder surgery and date ","roles":{"textData":{}}},{"id":"si87182","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87178_a","class":"TODO::Senthil","roles":{"answer":{"title":"bladder surgery and date\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si87189","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87193","class":"TODO::Senthil","title":"radiation treatment and dates ","roles":{"textData":{}}},{"id":"si87193","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87189_a","class":"TODO::Senthil","roles":{"answer":{"title":"radiation treatment and dates\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87730","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87734","class":"TODO::Senthil","title":"history of urinary catheterisation and if this procedure caused localised trauma and dates ","roles":{"textData":{}}},{"id":"si87734","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87730_a","class":"TODO::Senthil","roles":{"answer":{"title":"history of urinary catheterisation and if this procedure caused localised trauma and dates\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87745","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87749","class":"TODO::Senthil","title":"medications including antibiotics, diuretics, immunosuppressants, cytotoxics ","roles":{"textData":{}}},{"id":"si87749","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87745_a","class":"TODO::Senthil","roles":{"answer":{"title":"medications including antibiotics, diuretics, immunosuppressants, cytotoxics\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87760","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87764","class":"TODO::Senthil","title":"incontinence ","roles":{"textData":{}}},{"id":"si87764","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87760_a","class":"TODO::Senthil","roles":{"answer":{"title":"incontinence\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87775","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87779","class":"TODO::Senthil","title":"haematuria ","roles":{"textData":{}}},{"id":"si87779","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87775_a","class":"TODO::Senthil","roles":{"answer":{"title":"haematuria\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87790","class":"TODO::Senthil","title":" ","roles":{"textData":{}}},{"id":"si87794","class":"TODO::Senthil","title":"urinary tract infection ","roles":{"textData":{}}},{"id":"si87794","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si87790_a","class":"TODO::Senthil","roles":{"answer":{"title":"urinary tract infection\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si87272","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide87107q6","for":"Slide87107q6"},"textData":{}}},{"id":"si90015","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide87107q6","for":"Slide87107q6"},"textData":{}}},{"id":"si90028","class":"TODO::Senthil","title":"Submit ","roles":{"click":{"subtype":"submit","question":"Slide87107q6","for":"Slide87107q6"},"textData":{}}},{"id":"si87352","class":"TODO::Senthil","title":"Correct ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si87369","class":"TODO::Senthil","title":"Incorrect - All answers are correct ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"si87386","class":"TODO::Senthil","title":"You must answer the question before continuing. ","roles":{"click":{"subtype":"button","question":"Slide87107q6"},"textData":{}}},{"id":"Slide87107","class":"Question Slide","instance":"","thumbnail":"","children":["si87290","si87322","Image_327","SmartShape_949","SmartShape_950","SmartShape_951","Image_328","SmartShape_952","si87983","si88002","SmartShape_953","si88056","si88075","Image_329","SmartShape_954","si88134","si88153","SmartShape_955","SmartShape_956","si87163","si87182","si87193","si87734","si87749","si87764","si87779","si87794","si87272","si90015","si90028","si87386"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide87107"},"question":{"interactionId":"87150","quizId":377,"title":"Multiple Choice","text":"Prior to treatment for intravesical BCG, patients should be screened for history of:\r","ikc":false,"type":"graded","interactionType":"choice","ramdomized":true,"correctAnswers":["1","2","3","4","5","6","7"],"score":{"weight":10,"penalty":0}}}},{"id":"si88326","class":"TODO::Senthil","roles":{}},{"id":"si88327","class":"TODO::Senthil","title":"Key points ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88346","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88355","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88366","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si88375","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_415","class":"TODO::Senthil","instance":"Text_Caption_415","title":"Intravesical therapies for bladder cancer is an adjuvant local treatment for non-muscle invasive bladder cancer following transurethral resection of bladder tumour (TURBT).   Intravesical chemotherapy (e.g mitomycin) can be instilled as a single dose peri, intra or post operatively.  Further doses Intravesical chemotherapy can be administered, however the length and frequency of instillations is still controversial and may differ depending on diagnostic and prognostic factors. Intravesical chemotherapy reduces potential disease recurrence whereas BCG reduces recurrence and the potential for disease progression. Intravesical BCG / chemotherapy requires specific screening and assessments – refer to treatment protocol for specific information. BCG is a biohazard and specific precautions need to be taken for health care workers and patients.  ","roles":{"textData":{}}},{"id":"SmartShape_944","class":"TODO::Senthil","instance":"SmartShape_944","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86880","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86891","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_326","class":"TODO::Senthil","instance":"Image_326","roles":{}},{"id":"SmartShape_946","class":"TODO::Senthil","instance":"SmartShape_946","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86985","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si86996","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_947","class":"TODO::Senthil","instance":"SmartShape_947","title":"Topic 6 Intravesical ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_948","class":"TODO::Senthil","instance":"SmartShape_948","title":"page 6 of 6 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_957","class":"TODO::Senthil","instance":"SmartShape_957","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_958","class":"TODO::Senthil","instance":"SmartShape_958","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_416","class":"TODO::Senthil","instance":"Text_Caption_416","title":"You have now completed  Administering intravesical antineoplastic drugs Click here to return to the topics menu.   Click here to return to the learning activities ","roles":{"textData":{}}},{"id":"Button_382","class":"TODO::Senthil","instance":"Button_382","roles":{"click":{"subtype":"button"}}},{"id":"si88486","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si88499","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Slide87064","class":"Normal Slide","instance":"Key Points","thumbnail":"","children":["si88326","si88327","si88346","si88355","si88366","si88375","Text_Caption_415","SmartShape_944","si86880","si86891","Image_326","SmartShape_946","si86985","si86996","SmartShape_947","SmartShape_948","SmartShape_957","SmartShape_958","Text_Caption_416","Button_382","si88486","si88499"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide87064"}}},{"id":"si56370","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56385","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56402","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56417","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_183","class":"TODO::Senthil","instance":"SmartShape_183","title":"Documentation ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_184","class":"TODO::Senthil","instance":"SmartShape_184","title":"Once you have completed any of the above procedures, it is a medico-legal requirement that you document the administration of all intravenous antineoplastic drugs in the patient’s medical records. The documentation must provide an accurate description of all care provided to the patient and family. (National Safety and Quality Health Service Standards 2012)     ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_185","class":"TODO::Senthil","instance":"SmartShape_185","title":"Documentation by nurses must include the following: treatment plan nursing care plan patient assessment including any side effects, using appropriate forms outcomes of interventions discharge / transfer of care plan (National Competency Standards for the Registered Nurse)  Ensure you follow the documentation standards outlined in your State or Territory legislation and all local health facility policies, procedures and guidelines. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_112","class":"TODO::Senthil","instance":"Image_112","roles":{}},{"id":"SmartShape_504","class":"TODO::Senthil","instance":"SmartShape_504","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66931","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si66950","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_222","class":"TODO::Senthil","instance":"Image_222","roles":{}},{"id":"SmartShape_506","class":"TODO::Senthil","instance":"SmartShape_506","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67074","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67085","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_782","class":"TODO::Senthil","instance":"SmartShape_782","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si80016","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si80035","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide41319","class":"Normal Slide","instance":"Documentation","thumbnail":"","children":["si56370","si56385","si56402","si56417","SmartShape_183","SmartShape_184","SmartShape_185","Image_112","SmartShape_504","si66931","si66950","Image_222","SmartShape_506","si67074","si67085","SmartShape_782","si80016","si80035"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide41319"}}},{"id":"si56434","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56449","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56466","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56481","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56496","class":"TODO::Senthil","title":"Reflection ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_507","class":"TODO::Senthil","instance":"SmartShape_507","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67141","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67160","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_508","class":"TODO::Senthil","instance":"SmartShape_508","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67214","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67233","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_223","class":"TODO::Senthil","instance":"Image_223","roles":{}},{"id":"SmartShape_509","class":"TODO::Senthil","instance":"SmartShape_509","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67284","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67295","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_790","class":"TODO::Senthil","instance":"SmartShape_790","title":"Are you able to:  Describe the potential hazards associated with handling antineoplastic drugs and related waste Implement safe procedures and practises to minimise exposure of staff / patients / carers and environment to antineoplastic drugs and related waste Ensure the relevant clinical assessments required for specific antineoplastic drugs are completed and reviewed Describe the core principles of administering antineoplastic drugs  Accurately assess and select the site of administration for IM and SC antineoplastic drugs Demonstrate correct technique when administering antineoplastic drugs via different routes including intravenous, oral, subcutaneous, intramuscular and topical Identify safety issues associated with different delivery routes Describe the signs and symptoms of an extravasation injury Describe the treatment and management of an extravasation injury     ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_395","class":"TODO::Senthil","instance":"Text_Caption_395","title":"Take a few minutes to reflect on what you have learned about assessing patients.  ","roles":{"textData":{}}},{"id":"SmartShape_791","class":"TODO::Senthil","instance":"SmartShape_791","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_792","class":"TODO::Senthil","instance":"SmartShape_792","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_396","class":"TODO::Senthil","instance":"Text_Caption_396","title":"What are the  key messages  you have learnt?    ","roles":{"textData":{}}},{"id":"SmartShape_793","class":"TODO::Senthil","instance":"SmartShape_793","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_794","class":"TODO::Senthil","instance":"SmartShape_794","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_397","class":"TODO::Senthil","instance":"Text_Caption_397","title":"How will  your practice change?    ","roles":{"textData":{}}},{"id":"SmartShape_795","class":"TODO::Senthil","instance":"SmartShape_795","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_796","class":"TODO::Senthil","instance":"SmartShape_796","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_398","class":"TODO::Senthil","instance":"Text_Caption_398","title":"What will  you do  differently? ","roles":{"textData":{}}},{"id":"Slide41650","class":"Normal Slide","instance":"Reflection","thumbnail":"","children":["si56434","si56449","si56466","si56481","si56496","SmartShape_507","si67141","si67160","SmartShape_508","si67214","si67233","Image_223","SmartShape_509","si67284","si67295","SmartShape_790","Text_Caption_395","SmartShape_791","SmartShape_792","Text_Caption_396","SmartShape_793","SmartShape_794","Text_Caption_397","SmartShape_795","SmartShape_796","Text_Caption_398"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide41650"}}},{"id":"si81253","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81268","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81285","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81300","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_804","class":"TODO::Senthil","instance":"SmartShape_804","title":"Please complete this short post-learning survey which will take no more than 2 minutes.  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Web_2","class":"TODO::Senthil","instance":"Web_2","roles":{}},{"id":"SmartShape_805","class":"TODO::Senthil","instance":"SmartShape_805","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81146","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81157","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_PostNext_806","class":"TODO::Senthil","instance":"SmartShape_PostNext_806","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81185","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81196","class":"TODO::Senthil","title":"Next > ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_807","class":"TODO::Senthil","instance":"SmartShape_807","title":"I have completed the survey ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81225","class":"TODO::Senthil","title":"I have completed the survey ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si81236","class":"TODO::Senthil","title":"I have completed the survey ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_961","class":"TODO::Senthil","instance":"SmartShape_961","title":"If you have already completed this survey please click g ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide81248","class":"Normal Slide","instance":"","thumbnail":"","children":["si81253","si81268","si81285","si81300","SmartShape_804","SmartShape_805","si81146","si81157","SmartShape_PostNext_806","si81185","si81196","SmartShape_807","si81225","si81236","SmartShape_961"],"roles":{"slide":{"durationInFrames":450},"navigation":{"navid":"Slide81248"}}},{"id":"si56615","class":"TODO::Senthil","roles":{}},{"id":"si56617","class":"TODO::Senthil","title":"Click to  Exit  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_365","class":"TODO::Senthil","instance":"SmartShape_365","title":"Congratulations  You have now completed the second module ‘Administering antineoplastic drugs’  When you are ready, take the eQuiz. ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si90280","class":"TODO::Senthil","title":"Click to  Exit  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si90318","class":"TODO::Senthil","title":"Click to  Exit  ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_367","class":"TODO::Senthil","instance":"Button_367","roles":{"click":{"subtype":"button"}}},{"id":"si56589","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si56602","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_776","class":"TODO::Senthil","instance":"SmartShape_776","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_372","class":"TODO::Senthil","instance":"Button_372","roles":{"click":{"subtype":"button"}}},{"id":"si78772","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si78800","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Image_331","class":"TODO::Senthil","instance":"Image_331","roles":{}},{"id":"Slide56614","class":"Normal Slide","instance":"Conclude","thumbnail":"","children":["si56615","si56617","SmartShape_365","si90280","si90318","Button_367","si56589","si56602","SmartShape_776","Button_372","si78772","si78800","Image_331"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide56614"}}},{"id":"si56723","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56738","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56755","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56770","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si56785","class":"TODO::Senthil","title":"References ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_186","class":"TODO::Senthil","instance":"SmartShape_186","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_225","class":"TODO::Senthil","instance":"Image_225","roles":{}},{"id":"SmartShape_515","class":"TODO::Senthil","instance":"SmartShape_515","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67785","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si67796","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_772","class":"TODO::Senthil","instance":"SmartShape_772","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78279","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78298","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Widget_2","class":"TODO::Senthil","instance":"Widget_2","roles":{"interaction":{"type":"Not implemented","title":"Not implemented","categories":[]}}},{"id":"Slide42588","class":"Normal Slide","instance":"References","thumbnail":"","children":["si56723","si56738","si56755","si56770","si56785","SmartShape_186","Image_225","SmartShape_515","si67785","si67796","SmartShape_772","si78279","si78298","Widget_2"],"roles":{"slide":{"durationInFrames":153},"navigation":{"navid":"Slide42588"}}},{"id":"si78611","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78626","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78643","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78658","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78673","class":"TODO::Senthil","title":"Learning resources ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_774","class":"TODO::Senthil","instance":"SmartShape_774","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78455","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78466","class":"TODO::Senthil","title":"< Back ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Image_308","class":"TODO::Senthil","instance":"Image_308","roles":{}},{"id":"SmartShape_775","class":"TODO::Senthil","instance":"SmartShape_775","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78517","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"si78528","class":"TODO::Senthil","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_808","class":"TODO::Senthil","instance":"SmartShape_808","title":"The following resources have been used throughout this eLearning guide:  eviQ Resource Documents\t\t\t\t\t\t\t\t\t\tOther Resources: eviQ Education Disclaimer and Copyright\t\t\t\t\t\t\tManaging a Cytotoxic Spill CPD Journal\t\t\t\t\t\t\t\t\t\t\t\tLansky Global Assessment of Functioning Score (GAF)\t Safe Handling and Waste Management of Hazardous Drugs\t\t\t          Clinical Oncological Society of Australia (COSA) 2008 Safe administration of antineoplastic drugs \t\t\t\t\t\tECOG performance status\t\t Extravasation management  \t\t\t\t\t\t\t\t\tCommon Terminology Criteria for Adverse Events  Chemotherapy Extravasation - Immediate Management Flow Chart\t\tKarnofsky Performance Status\t  eviQ Tools and checklists:\t\t\t\t\t\t\t\t\t\tArticles: Education checklist \t\t\t\t\t\t\t\t\t\t\tInterventions to promote adherence with oral agents Patient Assessment Tool\t\t\t\t\t\t\t\t\t\tProgram to support Safe Administration of Oral Chemotherapy Timeout Checklist Extravasation Assessment Tool     ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Slide78542","class":"Normal Slide","instance":"Learning Resources","thumbnail":"","children":["si78611","si78626","si78643","si78658","si78673","SmartShape_774","si78455","si78466","Image_308","SmartShape_775","si78517","si78528","SmartShape_808"],"roles":{"slide":{"durationInFrames":150},"navigation":{"navid":"Slide78542"}}},{"id":"Pool421","class":"pool","roles":{"pool":{"id":421,"name":"Pool1","questions":[]}}},{"id":"EGnon_L","class":"project","title":"EGnon_L","children":["Slide5186","Slide18868","Slide44023","Slide44435","Slide21033","Slide69901","Slide45853","Slide22299","Slide22986","Slide23329","Slide23916","Slide24175","Slide25052","Slide25462","Slide25799","Slide26228","Slide26815","Slide27643","Slide28052","Slide76438","Slide29038","Slide29310","Slide29714","Slide30087","Slide30686","Slide31005","Slide31775","Slide32163","Slide32515","Slide33010","Slide33729","Slide34160","Slide34512","Slide35012","Slide35436","Slide36515","Slide36829","Slide37158","Slide70735","Slide71055","Slide71402","Slide71891","Slide72137","Slide39234","Slide39610","Slide39924","Slide40595","Slide40924","Slide84856","Slide85333","Slide85696","Slide86214","Slide87107","Slide87064","Slide41319","Slide41650","Slide81248","Slide56614","Slide42588","Slide78542"],"roles":{"quiz":{"id":377,"branched":false,"submitAll":false,"review":true,"questions":["Slide23329q0","Slide24175q1","Slide29310q2","Slide31005q3","Slide31775q4","Slide71891q5","Slide87107q6"],"minScore":0,"maxScore":70,"passScore":56}}}],"contentSettings":{"global":{"branchAware":false},"toc":{"navigationEnabled":true,"navigateVisitedSlides":false,"collapseAll":true,"showTopicDuration":false,"statusFlag":true,"selfPaced":true,"showSearch":true,"enabled":true},"playbar":{"enabled":false,"cc":false,"playPause":true,"back":true,"forward":true,"rewind":true,"close":true,"mute":true,"progressBar":true}},"contentReporting":{"CCCriteria":"quiz","CCData":{"quizData":"quiz_passed"},"SCCriteria":"quiz","SCData":{"quizData":"quiz_passed"},"exitNormalIfCompleted":false},"toc":[{"id":"Slide5186","title":"Welcome","visible":false},{"id":"Slide18868","title":"Slide 3","visible":false},{"id":"Slide44023","title":"Main menu","visible":true},{"id":"Slide44435","title":"Navigation","visible":true},{"id":"Slide21033","title":"Pre administration procedures","visible":true},{"id":"Slide69901","title":"Slide 7","visible":false},{"id":"Slide45853","title":"Topics","visible":true},{"children":[{"id":"Slide22299","title":"Administering oral antineoplastic drugs","visible":true},{"id":"Slide22986","title":"Slide 10","visible":false},{"id":"Slide23329","title":"Slide 11","visible":false},{"id":"Slide23916","title":"Swallowing difficulties","visible":true},{"id":"Slide24175","title":"Slide 13","visible":false},{"id":"Slide25052","title":"Slide 14","visible":false},{"id":"Slide25462","title":"Managing waste and spills","visible":true},{"id":"Slide25799","title":"Slide 16","visible":false},{"id":"Slide26228","title":"Key points","visible":false}],"title":"Administering oral antineoplastic drugs","visible":true},{"children":[{"id":"Slide26815","title":"Administering intravenous antineoplastic drugs","visible":true},{"id":"Slide27643","title":"Slide 19","visible":false},{"id":"Slide28052","title":"Considering options - IVC or CVAD? ","visible":true},{"id":"Slide76438","title":"Slide 21","visible":false},{"id":"Slide29038","title":"Slide 22","visible":false},{"id":"Slide29310","title":"Slide 23","visible":false},{"id":"Slide29714","title":"Needle phobia","visible":true},{"id":"Slide30087","title":"Slide 25","visible":false},{"id":"Slide30686","title":"Slide 26","visible":false},{"id":"Slide31005","title":"Slide 27","visible":false},{"id":"Slide31775","title":"Slide 28","visible":false},{"id":"Slide32163","title":"Slide 29","visible":false},{"id":"Slide32515","title":"Key points","visible":false}],"title":"Administering intravenous antineoplastic drugs","visible":true},{"children":[{"id":"Slide33010","title":"Prevention and management of extravasation","visible":true},{"id":"Slide33729","title":"Managing an extravasation injury","visible":true},{"id":"Slide34160","title":"Documentation and patient follow up","visible":false},{"id":"Slide34512","title":"Key points","visible":false}],"title":"Preventing and managing extravasation of IV antneoplastic drugs","visible":true},{"children":[{"id":"Slide35012","title":"Subcutaneous injections - site selection ","visible":true},{"id":"Slide35436","title":"Subcutaneous injections - technique","visible":false},{"id":"Slide36515","title":"Slide 37","visible":false},{"id":"Slide36829","title":"Slide 38","visible":false},{"id":"Slide37158","title":"Key points","visible":false}],"title":"Administering subcutaneous antineoplastic drugs","visible":true},{"children":[{"id":"Slide70735","title":"Intramuscular injection - site selection ","visible":true},{"id":"Slide71055","title":"Z-track technique","visible":true},{"id":"Slide71402","title":"Slide 42","visible":false},{"id":"Slide71891","title":"Slide 43","visible":false},{"id":"Slide72137","title":"Key points","visible":false}],"title":"Administering intramuscular antineoplastic drugs","visible":true},{"children":[{"id":"Slide39234","title":"Administering topical antineoplastic drugs","visible":true},{"id":"Slide39610","title":"Slide 46","visible":false},{"id":"Slide39924","title":"Slide 47","visible":false},{"id":"Slide40595","title":"Slide 48","visible":false},{"id":"Slide40924","title":"Key points","visible":false}],"title":"Administering topical antineoplastic drugs","visible":true},{"children":[{"id":"Slide84856","title":"Topic 7 Intravesical antineoplastic drugs","visible":true},{"id":"Slide85333","title":"Administering intravesical antineoplastic drugs","visible":false},{"id":"Slide85696","title":"Intravesical immunotherapy","visible":true},{"id":"Slide86214","title":"Intravesical chemotherapy","visible":true},{"id":"Slide87107","title":"Slide 54","visible":false},{"id":"Slide87064","title":"Key Points","visible":false}],"title":"Administering intravesical antineoplastic drugs","visible":true},{"id":"Slide41319","title":"Documentation","visible":true},{"id":"Slide41650","title":"Reflection","visible":true},{"id":"Slide81248","title":"Slide 59","visible":false},{"id":"Slide56614","title":"Conclude","visible":true},{"id":"Slide42588","title":"References","visible":true},{"id":"Slide78542","title":"Learning Resources","visible":true}]}