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2010/1 Module Catalogue
Module Provider: Health & Social Care Short Name: CHEMO
Level: HE3 Module Co-ordinator: PALLES-CLARK CH Mrs (HSC)
Number of credits: 20 Number of ECTS credits: 10
Module Availability
Semester 1 and 2
Assessment Pattern
Students working within the SWSH Cancer Network will be required to complete a chemotherapy workbook, signed by their mentor.

Completion of a competency based assessment document. This method of assessment will be undertaken in practice in conjunction with a suitably qualified mentor as discussed with the module organiser. 50%

Presentation of a reflective case study which analyses your interaction with a chemotherapy patient you have cared for, in order to demonstrate that you meet the learning outcomes of the module.

Module Overview
Module Aims
The aim of the module is to enable nurses to acquire the knowledge and skills to administer chemotherapy safely and to assess, plan, implement and evaluate the care of the patient and family. Students will be required to apply theory to practice through structured work based learning days
Learning Outcomes
By the end of the module, the student should be able to:
Subject knowledge and understanding
• Apply an understanding of the biology of cancer to the care of patients receiving chemotherapy.
• Critically analyse the principles of chemotherapy; preparation, information and consent, administration, toxicity management, long term care and rehabilitation.
• Review local and national quality assurance mechanisms and risk management strategies applicable to this area of practice
• Effectively support patients through the application of knowledge of relevant legislation, and local and national and European codes of practice.

Cognitive skills
• Enable effective care through thorough assessment, planning, implementation and evaluation of the patient.
• Critically discuss the role and responsibilities of a variety of practitioners in the care of patients receiving chemotherapy
• Evaluate the nurses role in relation to the prevention and amelioration of short and long-term side effects of chemotherapy
• Apply and critically analyse evidence to the care of the patient receiving chemotherapy.

Practical skills
• Safely administer chemotherapy using the correct technique, safe handling and disposal, in compliance with local and national policy
• Provide optimum support and information to the patient and family through supervision before, during and after their experience of chemotherapy.
• Exploration of the methods of delivery in order to be able to support a variety of patients.

Key/transferable skills
• Critically analyse the patient journey considering the role of the cancer network and the use of policies grounded through knowledge.

Module Content
Brief Indication of Content:

• roles, responsibilities, professional and legal aspects and implications, code of professional conduct, scope of professional practice, administration of medicines, record keeping, accountability
• reflective practice, models of reflection, therapeutic role of the nurse
• the science of cancer and the application of cytotoxic chemotherapy in the treatment of cancer
• principles of chemotherapy and chemotherapy administration
• classification of cytotoxic chemotherapy, cell cycle phase specific drugs, mechanisms of action, physiological action and major toxicities
• assessment of patient, history, physical assessment, psychosocial assessment, interpretation of laboratory data
• routes of administration (venous access devices), advantages and disadvantages of each route, potential complications and nursing implications
• principles of planning, administration and care to maximise patient safety, assessment of site of venepuncture, management of extravasation, hypersensitivity, anaphylaxis
• acute, short-term and long-term side effects of cytotoxic chemotherapy and associated interventions to prevent and to decrease the incidence and severity of these complications
• patient and family experience of chemotherapy
• patient and carer education and support, identification of resources available to patient and carers to meet the demands of treatment, rehabilitation and continuing care, sources of information.
• knowledge of evidence/research-based practice, research trials, chemotherapy protocols for common cancers, current research into effectiveness of treatment and care
• ethical issues, informed consent, patient advocacy and empowerment, quality of life issues, role of the multi-disciplinary team
• health and safety of the patient, staff and the environment prior to, during and after administration of cytotoxic therapy, safe disposal of waste, dealing with equipment and spillage, hazard notices, COSHH guidelines, quality assurance mechanisms and risk management.

Methods of Teaching/Learning

30 hours theory-focused learning
60 hours clinically-focused learning
110 hours self-directed learning 200 hours total student workload
Selected Texts/Journals

Alligood M 2010 Nursing Theory: Utlization and Application (4th edn) Elsevier Churchill Livingstone

Allwood M, Stanley A, Wright P (eds) 2001 The Cytotoxic Handbook 4th ed Radcliffe Medical Press

Almeida CA and Barry S 2010 Cancer – basic science and clinical aspects. Wiley-Blackwell

Boog K and Tester C 2008 Palliative Care: A Practical Guide for the Health Professional Finding Meaning and Purpose in Life and Death. Elsevier Churchill Livingstone

Brennan J 2004 Cancer in Context. A practical guide to supportive care. Oxford

Brighton D and Wood M (eds) 2005 The Royal Marsden Hospital Handbook of Cancer Chemotherapy Elsevier Churchill Livingstone

Brown CG 2010 A Guide to Oncology Symptom Management Oncology Nursing Society

Bulman C and Schutz S 2008 Reflective Practice in Nursing 4th ed Wiley Blackwell

Burke C(ed) 2009 Psychosocial Dimensions of Oncology Nursing Care (Second Edition). Oncology Nursing Society Elsevier Churchill Livingstone

Chernecky C and Murphy K 2009 Acute Care Oncology Nursing, 2nd Edition

Corner J and Bailey C (eds) 2008 Cancer Nursing: Care in Context 2nd ed Blackwell Publishing

Department of Health 2004 Manual of Cancer Standards HMSO London

Department of Health 2004 The NHS cancer plan and the new NHS: Providing a patient-centred service HMSO London

Department of Health 2007 The Cancer Reform Strategy

Department of Health 2009 Cancer reform strategy: achieving local implementation - second annual report

Department of Health 2010 National Cancer Survivorship Initiative (NCSI) vision

Department of Health 2009 Chemotherapy Services in England: Ensuring quality and

Dougherty L and Lister S (eds) 2008 The Royal Marsden Hospital Manual of Clinical Nursing Procedures 7th edn Wiley-Blackwell

Edge SB 2009 AJCC Cancer Staging Manual Springer

Elwood JM and Sutcliffe S(eds) 2010 Cancer Control OUP Oxford

Faithfull S and Wells M 2003 Supportive Care in Radiotherapy Elsevier Churchill Livingstone

Gates R and Fink R 2008 Oncology Nursing Sectrets, 3rd edn Elsevier Churchill Livingstone

Groenwald S L, Frogge M S, Goodman M, Yarbro CH (eds) 2005 Cancer nursing: principles and practice 6th edn. Jones Bartlett, Boston (7th edn to be published June 2010)

Grundy M (ed) 2006 Nursing in Haematological Oncology, 2nd Edition Elsevier Churchill Livingstone

Horwich A 2010 Systemic Treatment of Prostate Cancer Oxford Oncology Library

Jasper M 2006 Reflection, Decision-making and Professional Development Wiley Blackwell

Kearney N and Richardson A (eds) 2006 Nursing Patients with Cancer Elsevier Churchill Livingstone

Ignoffo R and Ngo Z 2007 Mosby’s Oncology Drug Reference Mosby Elsevier

Langhorne M, Fulton J and Otto S 2007 Oncology Nursing 5thed, Elsevier Churchill Livingstone

Lamb J and Dougherty L 2008 Intravenous Therapy in Nursing Practice(2nd ed) Wiley-Blackwell
Elsevier Churchill Livingstone

Lugton J and McIntyre R 2006 Palliative Care: the nursing role 2nd ed

Miller K 2010 Medical and Psychosocial Care of the Cancer Survivor Jones & Bartlett

McCancer K and Huether S 2010 Pathophysiology: The Biologic Basis for Disease in Adults and Children (6th edn) Elsevier Churchill Livingstone

Neal AJ and Hoskin PJ 2009 Clinical Oncology – Basic Principles and Practice (4th ed). Hodder Arnold

Newton S, Hickey M, Marrs C et al 2009 Mosby's Oncology Nursing Advisor :A Comprehensive Guide to Clinical Practice. Elsevier Churchill Livingstone

Oncology Nursing Society, Itano J and Taoka K 2005 Core Curriculum for Oncology Nursing (4th edn) Elsevier Churchill Livingstone

Royal College of Nursing 2007 Standards for Infusion Therapy(2nd ed) RCN London

Royal College of Nursing 2003 A Framework for Adult Cancer Nursing RCN London

Silva O and Zurrida S 2006 Breast Cancer. A practical guide (3rd edn) Elsevier Churchill Livingstone

Shockney LD 2010 Breast Cancer Survivorship Care: A Resource for Nurses Jones & Bartlett

Summerhayes M and Daniels S 2003 Practical Chemotherapy – a multidisciplinary guide. Radcliffe Medical Press

Tadman M and Roberts D 2009 Oxford Handbook of Cancer Nursing OUP Oxford

Tashian AG and Smith BL 2009 Current Multidisciplinary Oncology: Breast Cancer
Demos Medical Publishing

Tobias J and Hochhauser D 2010 Cancer and its management 6th edn. Prentice Hall, London

Wilkes GM 2010 Targeted Cancer Therapy Jones & Bartlett

Yabro CH, Gobel BH and Wujcik D 2010 Cancer Nursing Principles and Practice 7th ed Jones & Bartlett

Paediatric Chemotherapy
Bailey S and Skinner R (eds) 2009 Paediatric Haematology and Oncology OUP Oxford
Carroll WL and Finlay J 2010 Cancer in Children and Adolescents Jones & Bartlett
Royal College of Nursing 2001 Administering intravenous therapy to children in the community – Guidance for nursing staff. RCN London
Royal College of Nursing 2000 A framework for developing practice in paediatric oncology nursing. RCN London
Tomlinson D and Kline NE 2009 Pediatric Oncology Nursing: Advanced Clinical Handbook (2nd ed) Springer

International society of paediatric oncology

International Confederation of Childhood Cancer Parent Organisations (ICCCPO)


Cancer Nursing
Cancer Nursing Practice
European Journal of Oncology Nursing
Journal of Advanced Nursing
Oncology Nursing Forum

Useful Websites

Patient information and support

Patient diaries

Management and Awareness of the Risks of Cytotoxic Handling

Education opportunities

Useful forums

Multi-national association for supportive care in cancer
National Cancer Research Network
Adjuvant! Online

Toxicity management



Extravasation guidelines

Last Updated
29TH JULY 2010