Help Your Patients Get Up, Get Moving

What Is Get Up, Get Moving?

Get Up, Get Moving is a national quality campaign developed by ONS member experts to encourage oncology nurses to implement an evidence-based change in practice and recommend physical activity to patients with cancer during cancer treatment. 

Aim

The aim of this national quality campaign is to provide the education and resources necessary to increase the frequency with which oncology nurses recommend individualized physical activity to patients with cancer. 

Goal

Oncology nurses will provide individualized physical recommendations for physical activity to 100,000 or more patients receiving any treatment modality—chemotherapy, radiation, and immunotherapy—for cancer.

Why Is Physical Activity Important for Patients With Cancer?

Multiple organizations, including the American Cancer Society, American College of Sports Medicine, National Comprehensive Cancer Network, U.S. Department of Health and Human Resources, and ONS, recommend physical activity for cancer survivors in active treatment and during the survivorship phase of cancer care. 

A national pilot study of the ONS Quality Measures found less than 10% of a sample of patients receiving IV chemotherapy or in the first 12 months after treatment for breast cancer were given recommendations for physical activity as a part of cancer care to manage cancer and treatment related symptoms.

Research evidence supports that physical activity during cancer treatment significantly decreases disease and treatment-related fatigue. Along with fatigue, this intervention may improve quality of life by

• Helping to manage anxiety and depression
• Improving sleep quality
• Managing lymphedema
• Maintaining bone and muscle strength
• Decreasing recurrence.

Please find additional references here. 

Become a Get Up, Get Moving Champion

View our nurse and patient teaching videos and incorporate these resources into your cancer treatment education programs.

• Get Up Get Moving Overview
• Get Up Get Moving: A Patient's Journey to Physical Activity
• Get Up Get Moving: A Nurse's Journey to Physical Activity 

To request permission to reuse or adapt these videos into your teaching resources at no cost, please email pubpermissions@ons.org. Additionally, ONS welcomes the opportunity to license our intellectual property.

Physical Activity Recommendation Toolkit 

Helpful Tools and Forms

• Physical Activity Recommendation Form
• “Walking…A Step in the Right Direction." A Patient Education Brochure
• Godin Leisure-Time Exercise Questionnaire
• National Resources for Individualized Physical Activity Plans for Cancer Survivors
• Physical Activity Risk Stratification
• Types of Physical Activity by Intensity
• Par-Q & You
• The Timed Up and Go Test

Staff Education Resources

• Incorporating Physical Activity Into Cancer Care Slideshow
• Physical Activity Chapter Handouts

Putting Evidence Into Practice Resource

• Exercise

Help ONS Achieve This Practice Change to Improve the Quality of Cancer Care

• Complete 10 physical activity recommendations and submit Summary of Recommendation here.
• Use the Get Up, Get Moving patient teaching video for patient and staff education, and share it with your leadership.
• Track the number of patients given recommendations for exercise with this form using the ONS Quality Measures as part of your quality monitoring program.

Raleigh, NC

Audio Recording

Position: Director-at-Large

Susan D. Bruce, MSN, RN, OCN®, AOCNS®
Clinical Nurse Specialist
Duke Raleigh Cancer Center-Raleigh
NC Raleigh, NC

ONS member: 27 years

EDUCATION:
2007: Duke University School of Nursing, MSN
1978: University of Akron, BSN

ONS PARTICIPATION (national and local):
2016: ONCC Nominating Chair
2014-2016: ONCC Nominating Committee
2013: ONCC Board of Directors, President
2011-2013: ONCC Board of Directors, Vice President
2008-2011: ONCC Board of Directors
2016: ONS Oncology Nurse Generalist Competencies

WORK RELATED SKILLS AND LEADERSHIP:
2009-current; Clinical Nurse Specialist
2012-2013; Interim Clinical Operations Director
2013-current; certified Tobacco Treatment Specialist
2013-current; Coordinator of Schwartz Rounds
2010-current; Ethics Committee member
2007-2013; Duke University Institutional Review Board #1; nursing representative

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):

2013-current; National Association of Clinical Nurse Specialists
2011-2012; Triangle Chapter of Hospice and Palliative Nurses-President
2009-2010; Triangle Chapter of Hospice and Palliative Nurses-Vice president 2010-2013; Co-Captain for team "Silence Breakers" for the Annual Gail Parkins Ovarian Walk/Run 2005-2007 Sigma Theta Tau-beta Epsilon chapter-Nominating Chair

Position Statement: Serving six years on the Oncology Nursing Certification Corporation (ONCC) Board of Directors (member, vice president, and president), I developed numerous leaderships skills including, board governance, financial stewardship, strategic planning, and viewing the “big picture” on a national level. I believe this skill set is transferable to a position on the Oncology Nursing Society (ONS) Board of Directors and will lend my clinical and leadership expertise.

My leadership journey began in 1998 when I participated in the inaugural ONS Leadership Development Institute. Since them I have participated in a variety of project teams, review boards, editorial boards, and most recently in the development of the oncology nurse generalist competencies. I have published and presented locally, regionally, and nationally on a variety of oncology topics. Embracing new challenges fosters my professional development and commitment to lifelong learning.

I am ready to listen and advocate for ONS members, their needs as we move forward into a future of uncertainty in oncology care and how that will impact our patients and the services they receive. I would welcome a voice at the table to influence oncology nursing and ultimately the delivery of cancer care.

How have you advanced excellence in oncology nursing and quality cancer care? As an oncology Clinical Nurse Specialist, it is imperative to role model best practices and innovations in striving to advance cancer care. In 2013, I decided to take the next step in addressing an unmet need in our institution. I enrolled in an intensive course to become a certified tobacco treatment specialist (CTTS). I returned and outlined my implementation plan for smoking cessation counseling with patients. My referrals were slow at first but my lung cancer specialist embraced my program and became my primary referral source. Providers who were seeing 20-30 patients a day had limited time to counsel patients beyond the message that they should quit smoking.

In 2016, our organization brought a quit smoking program to the main campus. I immediately saw an opportunity for interdisciplinary collaboration with them to grow and enhance my program. Upon further discussion, they didn’t want to change my program, but enhance it with some additional resources. By 2016, I had seen over 300 patients and my outcomes show a 36% quit rate for 108 patients.

Provide a recent example of how you used innovation in your leadership experiences. Ten months ago, our institution’s leadership made a strategic decision to relocate our oncology patients to a surgical oncology floor to deliver a model of care where oncology is centralized to one unit. Timeline: 1 month. The biggest challenge was none of the surgical oncology nurses had chemotherapy administration experience. As the CNS, I lead the collaboration with unit nursing and cancer center nursing leadership. I developed content for an 8-hour Oncology Boot Camp. A 4-hour simulation component was added to measure what the nurses learned in boot camp. After successful completion of the adult chemo test, I coordinated placement of each nurse into one of our three infusion clinics with a preceptor for 8-hours of actual “hands on” chemo therapy administration experience.

This preceptor-guided experience provided not only chemotherapy calculations but administration of chemotherapy and care of the patient. Given the limited chemotherapy administered in the inpatient setting, I provided leader oversight to the preceptors and nurses during this time. To assist with learning medical oncology, I conduct weekly mini education sessions on various topics. The nurses have embraced this new opportunity and the transition has been a huge success.

Provide a recent example of how you used advocacy in your leadership experiences. My advocacy for patients has been demonstrated by my ongoing commitment to assist patients quit smoking during an incredibly stressful time of cancer diagnosis and treatment. I provide them with evidence-based medications, education on addiction and ongoing behavioral support.

I advocate for patients with pharmaceutical companies to provide free drug for eligible patients that are financially disadvantaged. It is one of my highest achievements as I celebrate this success with my patients. I advocate for nursing by serving as a positive role model. I am focused on ensuring that care is provided in the safest manner possible to patient. I am dedicated to evidence-based nursing practice, standards of care and best practices that ultimately lead to the best care for our patients. I advocate and help determine policy across our health care system, particularly in oncology. My vast experience in oncology plays a key role.

Having a seat on the ONS Board of Directors would allow me to continue to develop my role as an advocate on a national level working in complex systems to bring about change that will ultimately influence the health and well-being of our patients.

Duarte, CA

Audio Recording

Position: Director-at-Large

Anne M Ireland, MSN, RN, AOCN®, CENP
Clinical Director, Ambulatory Services
City of Hope
Duarte, CA

ONS member: 28 years

EDUCATION:
1990, MSN, University of Toronto
1984, BSN, University of New Brunswick

ONS PARTICIPATION (national and local):
2017, President-Elect, Inland Empire ONS Chapter
2013-2016, Director at Large, ONS Board of Directors
2011, Chair, ONS HIT Think Tank 2005-2008, ONS Steering Council
1999, ONS Leadership Development Institute
1997, Founding President of Northern Vermont ONS Chapter

WORK RELATED SKILLS AND LEADERSHIP:
2016-ongoing, Nursing Lead for Implemention of EHR at City of Hope
2013-ongoing, City of Hope, Clinical Director, Ambulatory Services, City of Hope
1998-2013, University of Vermont, Vermont Cancer Center, Nursing Director
1992-1998, Vermont Center for Cancer Medicine, Nurse Manager/Clinical Nurse Specialist 1989-1992, Sunnybrook Health Sciences Center, Oncology Clinical Nurse Specialist
1984-1989, Sunnybrook Health Sciences Center, Oncology Staff Nurse

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONALNURSING ORGANIZATIONS /Additional experience (community, political etc.):
2015-ongoing, Member, AAACN
2011-ongoing, Member, AONE
2001-2003, Secretary, Vermont State Nursing Association
1992-93, Vice-President, Canadian Association of Nurses in Oncology
1990-92, Secretary, Canadian Association of Nurses in Oncology

Position Statement: During my more than 30 years of oncology nursing experience, I have always been in awe of both the complexity and humanity of the care of people with cancer. I have had the opportunity to work in both Canada and the US in a variety of settings with inpatient and ambulatory care experience in a variety of roles ranging from clinician, practitioner to administrator. I have been involved in the Oncology Nursing Society at both the local and national level in an effort to advance the role of the oncology nurse across the continuum of care. I have sought out leadership roles in my chapters, on ONS Project teams, the Leadership Development Institute and the ONS Board of Directors.

I am committed to demonstrating the value of the oncology nurse in the care of people with cancer, to ensuring that every oncology nurse has access to evidence-based knowledge, and to contributing to the ongoing growth and development of our profession.

How have you advanced excellence in oncology nursing and quality cancer care? When I relocated to Northern Vermont in 1992, I quickly realized the oncology nursing community was lacking a local avenue that supported networking, the opportunity to learn more about oncology nursing as well as the interest in being a part of something bigger than they were on their own. I partnered with several other oncology nurses in the area to charter a new chapter that since 1999 has contributed to both excellence in oncology nursing and improved the quality of care for people with cancer in the area. Chapters have had an indisputable role in advancing the mission and vision of the Oncology Nursing Society. I believe that the active involvement of chapter members is integral to the success of our society at both the local and national level.

Provide a recent example of how you used innovation in your leadership experiences. Recently, I have been involved in the design and implementation of a new Ambulatory Care Model to improve coordination of care for people with cancer and their families. Through the introduction of a Nurse Care Coordinator role, we have developed a disease-based navigation role that provides a high level of oncology nursing expertise and support from the time of diagnosis through survivorship or end of life. This innovative role was designed using the ONS Oncology Nurse Navigator Competencies to determine the full scope of the role within the care team. Leveraging these competencies to enhance the care model has allowed my organization to advance oncology care and demonstrate leadership in care delivery.

Provide a recent example of how you used advocacy in your leadership experiences. In my role as the Nursing lead for the implementation of an electronic health record at my current organization, I have successfully advocated for nurse-driven protocols around the care and maintenance of central vascular access devices and urinary catheters. Using evidencebased practice and implementation science, I have supported the design and implementation of workflows that support nurses functioning at "top of license" to drive improved patient care and outcomes. I strongly advocate for the use of technology in health care to support advancement and innovation.

Winter Park, FL

Audio Recording

Position: Director-at-Large

Patricia I. Geddie, PhD, CNS, AOCNS®
Clinical Nurse Specialist
Orlando Health
Winter Park, FL

ONS member: 28 years

EDUCATION:
2015, PhD Nursing, University of Central Florida
1991, MS Nursing, CNS program, University of Oklahoma
1982, BSN Nursing, Florida State University
1978, Diploma, Amos P. Godby High School

ONS PARTICIPATION (national and local):
Current: Member, Oncology Nursing Society, CNS SIG, Research SIG
2017: President, Central Florida ONS Chapter
2011: Pilot Reviewer and content expert, ONS Caring for the Older Adult with Cancer Trainer Course
2008 - 2009: Development team and content expert, ONS Treatment Basics Course development and presentation at ONS Pre-Congress Session
2008: Field Reviewer and content expert, "So You Want to be an Oncology Clinical Nurse Specialist?" book 2005: President, Central Florida ONS Chapter
2004 - 2005: ONS Congress planning committee member, plan and coordinate sessions and volunteers for ONS Congress at Anaheim, CA and Orlando, FL
2005 - present: ONCC Certification Advocate
2002: OCN Item writer and content expert

WORK RELATED SKILLS AND LEADERSHIP:
2013 - 2017: Oncology Clinical Nurse Specialist, Corporate CLABSI SAFE Team, Coach for Medical Oncology and Surgical Oncology Quality PI teams
2010 - 2013 Oncology CNS, develop and grow in-patient and out-patient oncology nursing servies and competencies at smaller community hospital within large multi-hospital system, prepare team for external oncology surveyor.
2007 - 2010, Chair, Clinical Nurse Specialist SIG
2007 - 2009, Chair, Corporate Oncology Nurse Practice Council
2007 - Clinical Nurse Specialist, Corporate Blood Culture Contamination PI
2000 - present - Oncology Clinical Nurse Specialist for adult oncology service line for nursing practice policy and procedure content development, nurse skills check lists, oncology nurse courses, standardize oncology nursing practice and procedures across OH hospital system.
1995 - 2000 - Oncology Clinical Nurse Specialist for adult oncology service line for nursing practice policy and procedure content development, nurse skills check lists, oncology nurse courses, standardize oncology nursing practice and procedures across FH hospital system.

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):
2016 - 2018 Secretary, Sigma Theta Tau, Theta Epsilon, Orlando, FL
2014 - present Co-chair Florida Nurse Association (FNA) CNS SIG
2013 - present Member, National Association of CNS and Florida CNS Affiliate
2011 - present Member, Southern Nursing Research Society
2006 CNS representative, Florida Nurse Association Lobby Days, Tallahassee, FL

Position Statement: As a Clinical Nurse Specialist, my passion is to advance the practice of oncology nursing. I engage daily with oncology nurses and am acutely aware of current practice issues and challenges. The knowledge and skills I gained from graduate work has also equipped me to search, analyze, translate, and generate evidence for appropriate dissemination and implementation. In addition, I remain current regarding oncology nursing issues and trends through literature, professional meetings, and networking with other healthcare professionals. I have system leadership experience leading oncology and general quality and safety initiatives across a large multi-system hospital such as chemotherapy safety, sepsis, and central line infection prevention. I am skilled in adapting communication styles to meet diverse individual and group needs. I embody strong organizational and collaborative skills to build relationships that influence others and achieve goals. For example, I coordinated all Florida ONS chapters to serve as host and volunteers during the 2005 Congress in Orlando, FL. I have served and continued to serve as a leader in oncology nursing and clinical nurse specialist group. These characteristics and qualities have prepared me to successfully lead nursing and multidisciplinary groups at the work place, local chapter, and state level.

How have you advanced excellence in oncology nursing and quality cancer care? I am driven to advance excellence in oncology nursing and quality cancer care through quality improvement initiatives and research. One of my CNS role responsibilities is to serve as a coach to oncology unit nurse practice councils for performance improvement initiatives. The literature has reported unplanned hospital admissions are recurring and costly. Also, patients with advanced disease are often referred late to hospice. Last year, I led the medical oncology and surgical oncology unit nurse practice councils to conduct a retrospective analysis identifying key predictors of mortality, length of stay, and discharge disposition for patients with stage 4 solid tumor diagnosis. This year, we are identifying patients prospectively and prompting physicians for earlier hospice conversations.

For 3 years, I have served as a co-investigator of a nursing research study to explore older adults experiences with self-management of chemotherapy symptoms. I was thrilled to present an e-poster at the 2017 ONS Congress about using community advisory boards to develop a new and unique intervention to assist older adults with symptom self-management. This year, we are testing the intervention for feasibility and utility during chemotherapy treatments.

Provide a recent example of how you used innovation in your leadership experiences. Oncology patients have the majority of chronic central line devices than any other population at my facility. Cancer treatment induced immunosuppression increases the risk for central line blood stream infections which can result in sepsis and death. Central line maintenance care and CLABSI prevention is a primary nursing responsibility. I lead the hospital system's central line blood stream infections (CLABSI) team. In an effort to identify root causes and influencing factors that may contribute to CLABSI, each unit conducts a weekly CLABSI audit of observable maintenance care. The paper audits were not always completed and submitted in a timely manner, not always scan clearly, and the data had to be transposed into an excel file which is error prone. I collaborated with an informatics nurse to create an electronic CLABSI audit. The e-audit had all of the items from the paper form which was easy for end users conversion. Since the implementation of the e-audit, data is entered in real time and can be analyzed for trends and gaps. The next step is to create an e-form for unit CLABSI intensive reviews.

Provide a recent example of how you used advocacy in your leadership experiences. Standardized electronic nursing documentation formats do not always meet oncology nursing documentation needs. Patients are at risk for chemotherapy toxicity if pre-assessment documentation is not clear and standardized. This was especially evident for pre-Cytarabine neurologic documentation. The existing neuro assessment fields were too general and specifics had to be hand typed in empty fields which resulted in variation. I gathered examples of varied nursing neurologic documentation, a couple of cases of "near miss", and aligned the request to the organization's focus on safety. I submitted an urgent need to clinical informatics and cancer administrator advocating for an urgent need to add a specific and standardized neuro parameter for pre-chemotherapy assessment in the electronic medical record. The request was advanced to the top of the que. Today, there is a "Drug Toxicity Neuro Assessment" parameter available and is used by oncology nurses to document a standardized oncology specific neurologic assessment prior to each Cytarabine dose.

Beltsville, MD

Audio Recording

Position: Director-at-Large

Georgie Cusack, MS, RN, AOCNS®
Director of Education and Patient Safety National Heart, Lung and Blood Institute, NIH Beltsville, MD

ONS member: 32 years

EDUCATION:
1999, MS in Nursing, University of Maryland Graduate School of Nursing, Baltimore, MD
1984, BSN, University of Maryland School of Nursing, Baltimore, MD

ONS PARTICIPATION (national and local):
2017-ONS Governance and Leadership Projects-participated in development of online Governance Course and revisions to ONS Leadership Course.
2013-2016 and 2005-2008-Member ONS Nominating Committee.
Chair -2007-2008 and 2015- 2016-participated in recruiting members for ONS leadership positions 2008-ONS/MECC Leadership Course-Larnaca, Cyprus. Participated in three-day conference educating 50 nurses from 13 different countries on Leadership Development and use of PEP cards for symptom management
2004-Served as member of advisory panel for development of Putting Evidence into Practice (PEP) initiative.
2001-Graduate-Leadership Development Institute-Year-long course focusing on leadership development. Co-developed Ambulatory Intensity System (AIS) for Oncology Ambulatory Care Nurses
1985-present-Member Oncology Nursing Society.
2014-2017-Member-Capital Area Oncology Nurses.
1985-2013-Member, Potomac Area Oncology Nurses. Served as President, PresidentElect, Secretary, Treasurer, Nominating Committee Chair, Membership Chair.

WORK RELATED SKILLS AND LEADERSHIP:
2012-2013 and 2015-present-Director of Education and Patient Safety, NHLBI-provide regulatory, good clinical practice and disease-specific education to clinical trials nurses working with hematology, cardiology and pulmonary disorders Provide patient safety oversight for institute in collaboration with Clinical Center Patient Safety and Quality Committee. Codeveloped Genetics and Genomics in Healthcare Introductory and Intermediate Courses.
2013-2015-Director of Research Nursing and Education, NHLBI-led team of 23 Research Nurses in support of over 120 active and follow up clinical trials. Led three teams of research nurses to reclassify position descriptions, develop orientation and competency program and identification of workload indicators.
2011-2012-Nurse Educator-Clinical Center Nursing Department (CCND)-Provide oversight of all oncology education programs in CCND. Provide oversight for Oncology Nursing Internship 1st and 2nd year Programs.
2007-2011-Clinical Nurse Specialist for Outcomes Management-First Site and Survey Coordinator for National Database for Nursing Quality Indicators. First Project Coordinator for Acuity Plus-Workload Intensity System for defining inpatient, day hospital and ambulatory indicators. Led team of nurses to develop nursing sensitive outcome indicators for Clinical Center Nursing Department. First Project lead for Clinical Nurse Specialist Length of Stay indicators to define reasons for length of stay for our clinical trials participants
2001-2007-Oncology Clinical Nurse Specialist-provided clinical leadership and mentorship for ambulatory hematology/oncology and radiation oncology nursing staff. Co-developed oncology nursing workload system for day hospitals and radiation oncology at NIH. Co-developed NCI/NHLBI/CCND Bone Marrow Transplant Consortium. Codeveloped "Fundamentals of Clinical Trials" and "Clinical Trials-What Nurses Need to Know" education courses.
2000-2017-Principal and Associate Investigator on several OHSRP exempt research initiatives around Genetics/Genomics, Clinical Trials and Oncology Bone Marrow Transplant Quality of Life initiatives.

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):
2010-present, International Association of Clinical Research Nurses-member;
2016-present, International Association of Clinical Research Nurses, Chair, Membership, Marketing and Communications (MMC) Committee;
2015-present, Member, MMC Committee, MemberResearch Committee
2008-2017, Member, International Society of Nurses in Cancer Care,
2010-2014-Co-Chair Scientific Planning Committee-2010 Conference in Atlanta,
2012 Conference in Prague, Czech Republic,
2014 Conference in Panama City, Panama,
2013-2014-Management Committee Liaison and Scientific Planning Committee member. 2014-2017-Member, Policy and Advocacy Committee
2007-2017-Associate Faculty, University of Maryland School of Nursing-Mentor CNS/NP students, provide education on role of Advanced Practice Nurse
2000-2012-All-Ireland/NCI Consortium-Provide mentorship for oncology research nurses working in clinical trials from Northern Ireland and the Republic of Ireland. Host nurses for onsite experiences and provide education in the U.S. and in Ireland.
2001-2010-NCI/Middle East Consortium-Provide mentorship to oncology nurses working at the King Hussein Cancer Center. Provided intense 6 month education program in oncology nursing and continued mentorship up for development of policies and procedures in oncology nursing and career development.

Position Statement: As a nurse since 1984 and a member of ONS since 1985, I have developed several leadership qualities that will benefit the ONS Board. I have an indepth understanding of the mission and vision of ONS and feel confident that I can represent the members of this organization to lead the transformation in oncology nursing through innovation, excellence and advocacy. I have served in several leadership positions at the local, and national level for ONS and other professional organizations. I have had the opportunity to present at several ONS conferences and initiatives nationally and internationally, and published in several oncology nursing books and journals. I am a staunch patient and staff advocate and am not afraid to ask questions and explore new opportunities. I enjoy acquiring new knowledge, and promoting change using best practices and new ideas from my oncology colleagues. I love the nursing profession and believe that every nurse is a leader at the bedside and in each of our individual workplace roles. Through collaboration in our workplace, professional organizations, and the community, we can all make an impact for the profession. If elected, I would be honored to serve on the ONS Board.

How have you advanced excellence in oncology nursing and quality cancer care? Advancing excellence in oncology nursing is a passion for me. As the former chair of the Nominating Committee, I had the opportunity to assist in leading the transition to the current Leadership Development Committee (LDC). The Nominating Committee worked diligently each year to select a wonderful ballot for the ONS leadership. However, the new LDC provides an opportunity to step forward with providing formal mentorship for our ONS colleagues, inspiring each nurse to become the next leader of the organization. I had the opportunity to participate in developing the ONS Governance course and revisions for the ONS Leadership Development course. The International Society of Nurses in Cancer Care supports oncology nurses around the world. Serving as the Co-Chair of the Scientific Planning Committee provided me with the opportunity to provide education and best practices to nurses from more than 50 different countries. I have also been fortunate to participate in the leadership of several other national and international organizations which has affodred me the opportunity to learn from others and to lead the transformation for all nurses. I strongly believe that these opportunities will strengthen each individual, our professional organization and the nursing profession.

Provide a recent example of how you used innovation in your leadership experiences. To me, an innovative person is able to incorporate new ideas to create sustainable changes. As an oncology nurse for more than 30 years, I have always tried to be innovative. I am constantly reviewing the literature to identify best practices. I also surround myself with colleagues who are creative and think outside the box. I find that I have great ideas, but it sometimes takes a village to incorporate the strategies for change. I have a very collaborative relationship with several of my work colleagues who are oncology and clinical trials nurses. We created Introductory and Intermediate Genetics/Genomics courses and competencies for all of our colleagues at work to assist them to comprehend Genetics and Genomics. We use a variety of strategies to educate the nurses including, taste test strips, videos, interactive games, group exercises and automated response technologies. We are constantly reviewing the literature and our clinical trial protocols for new ideas and techniques in this expanding field. I am also a member of several professional organizations to stay abreast of the latest and greatest innovations in the field. Evaluations have been extremely positive and staff and research participants have a better understanding of our research endpoints.

Provide a recent example of how you used advocacy in your leadership experiences. In my position at the National Heart, Lung and Blood Institute (NHLBI), NIH, I am the Director of Education and Patient Safety. I work very closely with the Clinical Director and the Nursing Supervisor to support the mission of NHLBI and NIH. I also collaborate with the Clinical Center (hospital) to assure that patient safety is the highest priority for our Research Participants (RP) on clinical trials. I advocate for the RPs every day with physicians and other departments. One of the most recent incidents involved a 7 year old critically transplant RP who had several separate incidents occurring over a two week period. The incidents occurred in different areas of the hospital and were reported through our safety reporting system. As part of my role, I investigate the incidents from an NHLBI perspective. I was very concerned about some of the incidents and served as an institute and participant advocate which prompted several meetings and changes in current practice resulting in positive outcomes for this and future RPs. I support all participants in clinical trials and the mission of NIH, but strongly believe that patient advocacy and safety is always first and foremost for all nurses.

Kernersville, NC

Audio Recording

Position: Director-at-Large

Heather Thompson Mackey, MSN, RN, ANP-BC, AOCN®
Manager, Cancer Support Services; PRN Nurse Practitioner
Novant Health Derrick L. Davis Regional Cancer Center Kernersville, NC

ONS member: 21 years

EDUCATION:
2001, MS in Nursing with Adult Nurse Practitioner certification (Oncology), UNC-Chapel Hill, Chapel Hill North Carolina
1995, Diploma in Nursing, Watts School of Nursing, Durham North Carolina
1993, BS in Biology, UNC-Chapel Hill, Chapel Hill North Carolina

ONS PARTICIPATION (national and local):
2017 to present: Expert Reviewer, ONS Advanced Practice Nurse Competencies (national)
2015 to present: Newsletter Editor / Virtual Community Chair, Piedmont Triad Chapter ONS Board of Directors (local)
2014-2016: ONS Representative, American Cancer Society Breast Cancer Survivorship Clinical Care Guidelines Working Group (national)
2014 to present: Member, ONS Generalist Nurse Competencies Project Team (national)
2009-2015: Member, Piedmont Triad Chapter ONS oncology certified nurse (OCN) Review Course Planning Team (local)
2009-2012: ONS Honor Someone Special Nursing Recognition Program Implementation Committee (national)
2009-2011: Member, ONCC Recognition / Awards Subcommittee (national)
2009-2010: Chair, Piedmont Triad Chapter ONS OCN Review Course Planning Team (local) 2008-2009: Fellow, ONS Leadership Development Institute (national)
2008-2010: Website Coordinator, Piedmont Triad Chapter ONS OCN Review Course Planning Team (local)
2008-2012, 2015-present: Member, Oncology Nursing Foundation Excellence Awards Review Team (national)
2007-2009: Reviewer, ONS Advanced Practice Nursing Conference Abstracts (national)
2006-2009, Chair and Member, ONCC Certification News Editorial Board (national)
2007 to present: Advocate, ONCC Certification Advocates program (national)
2004-2011: Reviewer, ONS Annual Congress Abstracts (national)
2004-2006: President, Piedmont Triad Chapter ONS (local)
2004-2006: Member, ONCC Certification News Editorial Board (national)
2003-2005: ONS Membership / Leadership Advisory Panel (national)
2003: Chair, ONS Institutes of Learning (IOL) Project Team (national)
2002 to present: Member, Clinical Journal of Oncology Nursing Review Board (national)
2002-2004: President Elect, Piedmont Triad Chapter ONS (local)
2001-2007: Member, Oncology Education Services (OES) Continuing Education Review Team (national)
2001-2003: Team Member, ONS Institutes of Learning (IOL) Project Team (national)
1999-2000: Fellow, ONS / Aventis / AJN Nursing Program (national)
1999-2001: Secretary, Piedmont Triad Chapter ONS (local)

WORK RELATED SKILLS AND LEADERSHIP:
7/2017 to present: Manager, Cancer Support Services; PRN Nurse Practitioner, Novant Health Derrick L. Davis Regional Cancer Center, Winston-Salem NC: Administrative oversight of oncology nurse navigators, genetic counselors, licensed counselor, and support personnel; cancer committee; team member, multiple oncology advisory groups; program development - survivorship program; clinical oversight: high risk and genetic clinics

7/2016-7/2017: Nurse Practitioner, Cancer Survivorship, Cone Health, Greensboro NC: Managed and monitored chronic ambulatory conditions of cancer survivors including long and late term side effects and surveillance for recurrence / new malignancies; developed and completed survivorship care plans 2014 to present: Independent Contractor / Oncology APRN Consultant (self employed): Developed general and advanced practice oncology nursing educational programming and practice-related resources for oncology and nursing organizations; revision of practice guidelines for oncology and nursing organizations; oncology clinical practice facilitation / consultant

2012-2014: Project Manager, Education; Oncology Nursing Society, Pittsburgh, PA: Developed, coordinated, and implemented education activities and practice-related resources for general and advanced practice oncology nurses; served as clinical expert and liaison between organization, members, and general public for clinical oncology questions and concerns.

2009-2012: Nurse Practitioner; Winston-Salem Health Care Oncology, Winston-Salem, NC: Provision of medical and advanced nursing care to oncology patients; assisted in establishing referral program for outside physicians with patients requiring infusion therapy; enhanced safety and quality of care provided through creation and implementation of standardized chemotherapy order sets; Precepted oncology nurse practitioner students

2008 – 2009: Nurse Practitioner; Blood and Marrow Transplant, Wake Forest University Comprehensive Cancer Center, Winston-Salem, NC: Provision of medical and advanced nursing care to oncology patients undergoing autologous and allogeneic stem cell transplantation on outpatient and inpatient basis

2006-2008: Nurse Practitioner, Kate B Reynolds Hospice Home; Hospice and Palliative Care Center, Winston-Salem, NC: Provision of Provision of medical and advanced nursing care to patients with life limiting disease in inpatient hospice setting

2004-2007: Nurse Practitioner / Coordinator, Palliative Care Program; North Carolina Baptist Hospital, Winston-Salem, NC: Provision of medical and advanced nursing care to patients with life limiting disease; established the role of the advanced practice nurse in palliative care consultative service; created and implemented treatment algorithms to improve quality of symptom management; assisted in creation of Inpatient Palliative Care Unit; Precepted oncology nurse practitioner students

2001-2004: Nurse Practitioner / Coordinator, Thoracic Oncology Program; Wake Forest University Comprehensive Cancer Center, Winston-Salem, NC: Provision of medical and advanced nursing care to patients with thoracic malignancies; led implementation of multidisciplinary Thoracic Oncology Program; established role of coordinator / advanced practice nurse in multidisciplinary Thoracic Oncology Program

1996-2002: Staff Nurse, Blood and Marrow Transplant Unit; North Carolina Baptist Hospital, Winston-Salem, NC: Provision of specialized nursing care to oncology patients undergoing allogeneic and autologous stem cell / bone marrow transplantation; Chair, Blood and Marrow Transplant Unit Based Shared Governance Committee; member, Shared Governance Practice Council; Charge Nurse; Preceptor

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):

2015-2016: Co-Vice President, Sustainer Council, Junior League of Winston-Salem
2015-2016: Recruitment Chair, Susan G. Komen Northwest NC Affiliate Race for the Cure 2012-2013: President, Junior League of Winston-Salem
2011-2012: President Elect, Junior League of Winston-Salem
2008-2009: Chair, Governance Task Force, Junior League of Winston-Salem
2008-2008: Secretary, Executive Committee Member, SECU Family House Board of Directors, Winston-Salem, NC
2007-2008: Member, Selections Committee, Great 100 North Carolina Nurses
2007-2008: Chair, Nominating Committee, Junior League of Winston-Salem 2005-2009: Board of Directors, SECU Family House, Winston-Salem, NC 2002-2004: Ask-the-Expert Consultant, LungCancer.org
2001-2005: Member, Board of Directors, UNC School of Nursing Alumni Association
2000 to present: Member, Sigma Theta Tau International Nursing Honor Society
2000 to present: Alpha Alpha Chapter, Sigma Theta Tau International Nursing Honor Society 1999-2000: University of North Carolina School of Nursing Advisory Committee
1998-2000: University of North Carolina Undergraduate Mentoring Program
1998-2006: Speakers’ Bureau and Community Volunteer, American Cancer Society
1998-2001: Member, Forsyth County (NC) Professional Nurses Committee American Cancer Society

Position Statement:
I have been fortunate to practice as an oncology nurse over the past 21 years as a staff nurse, nurse practitioner, educator, contractor / consultant, and manager. This work has encompassed inpatient and outpatient oncology areas, survivorship programs, end of life settings, and within our professional oncology nursing organization, providing me with strong insight into the needs of oncology nurses. I have strived throughout my career to not only improve the quality of care delivered to my patients, but have closely collaborated with interprofessional team members to improve care delivered across the healthcare system. I am a strategic thinker and committed to the personal and professional development of myself and those around me. I have worked to educate the community on the needs of patients with cancer and foster collaborations to increase available resources. I have served as a leader within my local chapter and nationally through multiple project teams and committees. Skills resulting from my leadership roles in other organizations complement those gained through my oncology experiences adding to my effectiveness as a leader. These experiences, combined with my adaptability and skills as a communicator and facilitator, make me uniquely qualified to serve on the ONS Board of Directors.

How have you advanced excellence in oncology nursing and quality cancer care? As an oncology nurse, I am committed to providing the highest quality of care for both patients with cancer and their families throughout their trajectory of care. I maintain personalized relationships with patients, caregivers, and staff and consistently work to promote open lines of communication among all. I have worked to develop evidence based educational programming and practice-related resources for oncology nurses and nursing organizations, thereby increasing knowledge and improving quality of care. These include nursing competencies, web courses, clinical practice guidelines / standards, journal articles, and textbook chapters on multiple topics of interest to oncology nurses. I serve as an expert content reviewer for projects such as Mosby’s Clinical Skills (oncology) and the Clinical Journal of Oncology Nursing. I have worked to promote the benefits of oncology nursing certification on a local and national level, helping to ensure patients with cancer receive the best care possible. This includes work as an ONCC Advocate, oncology certified nursing review course chair and faculty, team member and Chair of the ONCC Certification News. I have served as both formally and informally as a mentor to oncology nurses and oncology nurse practitioners, assisting them to grow professionally, at varying points during their careers.

Provide a recent example of how you used innovation in your leadership experiences. Survivorship is an area of increasing attention and demand within cancer care. With advances in detection and emerging treatment modalities, patients are being diagnosed earlier and treated more effectively, leading to better outcomes and longer lifespans. Organizations such as the American College of Surgeon’s Commission on Cancer are including standards related to survivorship in their requirements for accreditation, which coupled with the growing numbers and needs of survivors, have led cancer centers across the nation to identify strategies to better care for this segment of the population. In my recent clinical role as the Nurse Practitioner in a newly created survivorship program, I was hired to establish and oversee the program for breast cancer survivors. This required a great deal of innovative thinking and strategizing to help determine best practices that not only met the needs of the patient population, but maintained accreditation standards and involved key clinicians and support personnel to ensure its success. Drawing upon my prior clinical experiences and knowledge, I was able to establish processes for the program and continually analyze and refine them to improve outcomes for our breast cancer survivors.

Provide a recent example of how you used advocacy in your leadership experiences. While working as the Nurse Practitioner for patients with breast cancer in our newly created survivorship program, one of my most important responsibilities was assisting patients and families in advocating for their needs. One of the more difficult long term challenges survivors face can be coping with the consequences of their treatment regimens. As oncology nurses, we know that treatments often lead to long and late term side effects that may go un- or under recognized by survivors and their primary care physicians. I had the fortunate opportunity to serve on a national expert panel of physicians, oncology nurses, and policy makers to establish the Breast Cancer Survivorship Care Guidelines for Primary Care Physicians. These clinical guidelines, endorsed jointly by the American Cancer Society and American Society of Clinical Oncology, help guide primary care providers in the recognition and treatment of long and late term side effects in breast cancer survivors. The guidelines increase clinicians’ awareness of survivors’ needs and include a patient version to assist survivors in better advocating for themselves. These guidelines provided an important teaching tool for survivors and their caregivers in addition to their survivorship care plan and an effective resource for clinicians across the system.

Seattle, WA

Audio Recording

Position: Director-at-Large

Kathleen Shannon Dorcy, PhD, RN, FAAN
Director of Clinical Research Education and Practice and Staff Scientist Seattle Cancer Care Alliance
Fred Hutchinson Cancer Research Center and the University of Washington Tacoma Seattle, WA

ONS member: 32 years

EDUCATION:

2011 PhD in Nursing University of Utah Salt Lake City, Utah
1991 MN and certificate in Ethics University of Washington, Seattle WA
1983 BSN and minor in Philosophy Seattle University, Seattle WA
1976 AA in counseling North Seattle College
1978 Practical Nurse North Seattle College
 

ONS PARTICIPATION (national and local):
2006-2017 PSONS Board Chair of Research Committee
1985-2017 PSONS membership
2013-2016 ONS ANR SIG-Leadership Advisory Council
2014 Position Paper for Redesign of Oncology Nursing Society Research Conference, author and researcher with Dr. Jean Johnson appointed by Margaret Wilmoth and Mary Gullatte
2004 and 2015 PSONS Symposium Planning Committee Frequent speaker at ONS meetings and educagtional offerings.
Key Note speaker for Katmai Alaska Denali ONA meeting in October 2017

WORK RELATED SKILLS AND LEADERSHIP:
2015-current Director of Clinical Research, Education and Practice Seattle Cancer Care Alliance 2014-current Chair of the Rosemary Ford Future of Nursing Scholarship Program
2009-Member Research Implementation Executive Steering Committee (RIESC), at Seattle Cancer Care Alliance
1994-current Scientific Member of the Fred Hutchinson Cancer Research Institutional Review Board 1999-2003 Invited by NIH Director Dr. Harold Varmus to be an Associate member on the National Institutes of Health Director’s Council of Public Representatives
1985-1991 Charge Nurse Pediatric Unit (including BMT pts) Swedish Hospital
1985 and 1987 Dean Search Committee Member for Seattle University

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):
2016-2018 Faculty Mentor for the Sigma Theta Tau International Nurse Faculty Leadership Academy
2014-2017 Board Member for the Seattle University College of Nursing
2006-2007 Board Member for Group Health Cooperative Foundation Seattle WA
2000-2010 Volunteer for the American Cancer Society Seattle Chapter fund raising and lecturing 1999-2004 Mentor for Seattle Public Schools, “Job Shadows, Exploring the Future,” program for young women interested in careers in science

Position Statement: The ONS Strategic Plan for 2016-2018 has two goals: 1. Advance the quality of cancer care and patient/staff safety. 2. Grow the Society by recruiting, engaging, and retaining a diverse mix of nurses caring for patients with cancer. These goals must be embodied in the people who are elected leaders on the ONS Board. Our leaders must have the capacity to embrace the spectrum of oncology nursing from expert bedside care delivery to mentorship of scientific inquiry and translational research to advocacy in policy formation. I have been privileged to work in translational research at large academic medical cancer center and to teach undergraduate and graduate nurses, the best of both worlds. I have been mentored by international and national oncology leaders to work with teams of oncology professionals to incorporate evidence into best clinical practice. Teaching new nurses and guiding graduate students has allowed me to develop the next generation of nurses and mentor innovation and inquiry. Serving on the ONS national board would be an honor that mandates maintaining existing strong individual relationships while simultaneously holding a larger, population health perspective to enable change and opportunity to continue to improve cancer outcomes in our world.

How have you advanced excellence in oncology nursing and quality cancer care? I have worked to advance excellence and quality in oncology nursing clinical practice and research in Bone Marrow Transplant (BMT) in pediatric bed side nursing. I went on to coordinate clinical trials across the spectrum of BMT care: graft versus host disease protocols, growth factors to decrease risks of neutropenia, and monoclonal antibody therapies that targeted specific markers on cells to cleave the double stranded DNA and thus interrupt the cell proliferation in acute myelogenous leukemia. Working with patients in early phase clinical trials I was an integral member of the clinical research team that brought forward data on key agents such as cyclosporine, growth factors and antineoplastic agents. Cures of cancer are inspiring but at the heart of my work has been the distinct value of each patient and family I have been privileged to share in the journey of cancer care. Excellence is defined as the BEST patient outcomes. It involves the ability to work with the most effective oncologic agents and modalities while also facilitating difficult conversations about disease progression. Being present in the final moments of life is as important as expert clinical care and something I hold as metric of quality oncology nursing care.

Provide a recent example of how you used innovation in your leadership experiences. Nothing innovative is ever done alone; team collaboration builds the strongest evidence to move research into approval by FDA and hopefully improve cancer outcomes for patients. Currently as a Nurse Scientist and Director of Clinical Research, Education and Practice an area I work with is immunotherapy (IMTX) including CAR-T cell therapies. The scientific teams bring forward state of the art new agents and clinical staff members work to perfect the standards of implementation in an ever changing clinical landscape. Our nursing staff working with the scientific teams set the standard for quality nursing care for IMTX, creating ways to measure and report implementation, process, and outcomes related to integration of the standard. Dissemination of evidence is essential and I mentored staff in submission of abstracts for the International Society of Nurses in Cancer Care (ISNCC) meeting in Anaheim. All abstracts from teams from IMTX were accepted for oral presentations on best clinical practices. Innovation begins with ideas and pre-clinical work, proceeds through strictly regulated phases to approval and eventually manifests in clinical practice where evidence based changes drive attainment of quality cancer care. Consequently all innovation is a collaborative effort that transpires between scientists, nurses, physicians, pharmacists and patients.

Provide a recent example of how you used advocacy in your leadership experiences. “Advocacy” originates from the Latin advocatus "one called to aid (another); advocate," noun use of past participle of advocare "to call or invite (as witness or adviser) in a court of justice." I see advocacy as an invitation to engage with others and build stronger more just systems. A recent example in my work is with the Uganda Cancer Institute, (UCI) with whom Fred Hutchinson Cancer Research Center has had a long term relationship building the medical staff. The nurse leader at UCI, Sister Allen and I have begun a program to support oncology nursing practice. We arranged to stream a live nursing conference between Seattle and Kampala. UCI nurses presented a case study, and one of our ONC/CRNII nurses presented a CE accredited class on central lines care. We are at the earliest phases of this collaboration between our organizations to improve outcomes for cancer patients. Recording these presentations we hope to build a repository of CE approved educational offerings that can be used by our staff as well as nurses in more remote clinical settings. I firmly believe that innovation, advocacy and advancing excellence in oncology nursing is always a collaborative, effort never a single individual’s endeavor.

Milwaukee, WI

Audio Recording

Position: Director-at-Large

Rosaleen Duggan Bloom, MS, RN, ACNS-BC, AOCNS®
Oncology Clinical Nurse Specialist
Aurora St. Luke's Medical Center Milwaukee, WI

ONS member: 15 years

EDUCATION:
Anticipated December of 2017 (currently a doctoral candidate with successful defense of dissertation), PhD, University of Utah
2007, MS, University of Minnesota
2001, BSN, Marquette University

ONS PARTICIPATION (national and local):

2009-2012: Government Relations Committee Member, Metro Minnesota Chapter of ONS
2010: President, Metro Minnesota Chapter of ONS
2009: President-elect, Metro Minnesota Chapter of ONS
2009: Advanced Role Delineation Task Force Member, Oncology Nursing Certification Corporation

WORK RELATED SKILLS AND LEADERSHIP:
2017-2018: Clinical Nurse Specialist representative, Aurora St. Luke's Nursing Coordinating Council
2015- present: Quality Coordinator, Aurora St. Luke's Clinical Program for Foundation for the Accreditation of Cellular Therapy (FACT)
2012- 2013: Co-Chair, Park Nicollet Methodist Hospital's Interdisciplinary Pain Committee
2012- 2013: Co-Chair, Park Nicollet Methodist Hospital's Nursing Pain Committee
2012-2013: Co-Chair, Park Nicollet Methodist Hospital's Nursing Research Committee
2010-2012: Co-Chair/member, Park Nicollet Methodist Hospital's Nursing Clinical Practice Council
2009-2013: Member, Park Nicollet Methodist Hospital's Institutional Review Board

HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):
2012- present: member/Gamma Rho chapter of Sigma Theta Tau
2009, 2011 & 2013: advocate/American Cancer Society, Minnesota's Day at the Capitol

Position Statement: As an oncology clinical nurse specialist for the past decade I have taken on many opportunities to lead multidisciplinary and collaborative groups in a variety of settings. I have stepped up to these challenges and used them to build my knowledge and skills as a nursing leader. I have led nursing units through a variety of practice changes by providing my clinical expertise, listening and advocating for nursing staff, learning new technologies and skills and collaborating across disciplines. I believe in lifelong learning and recently successfully defended my dissertation at the University of Utah. My previous experiences as an ONS chapter presidentelect and president helped me to identify the needs of a greater community of oncology nurses and work to strategically plan the future of the Metro Minnesota chapter. During my time as president-elect and president we applied for and received the Oncology Nursing Society Chapter Excellence Award, expanded scholarship offerings despite tough economic times and thrived as a chapter due to the active engagement and work of our Metro Minnesota board and committee chairs. I believe these experiences have provided me with unique qualifications to lead as a Director-at-Large.

How have you advanced excellence in oncology nursing and quality cancer care? As an oncology clinical nurse specialist my entire role has centered on ensuring nursing staff provides the best evidence-based care to cancer patients and their families. This work has included policy revisions, practice changes, quality improvement projects focused on oncology and continuing education of staff. I have worked on and/or chaired multiple committees including: interdisciplinary and nursing pain, nursing research, nursing coordinating and practice councils, and area coordinating/unit based quality teams. I continually use my clinical expertise when weighing in on committee decisions/directions. As a lifelong learner I have continued to advance my oncology knowledge through continuing education offerings and education. I have presented at various local and national conferences on oncology related topics and quality projects. As a PhD candidate, my dissertation focused on caregivers' social support received on social media. My future research will continue to focus on cancer caregivers both formal and informal.

Provide a recent example of how you used innovation in your leadership experiences. One of the areas I have been able to apply innovation is in the development of different electronic health care record (EHR) tools. I have worked hard to understand the different ways to innovatively maximize the EHR. One way I applied these learnings included collaborating with physicians and the EHR builders to create best practice alerts (BPAs) related to safe blood administration practices. This included creating BPAs that addressed oncology related blood product needs like leukoreduced and irradiated products or the need for Human Leukocyte Antigen (HLA) typed products. Due to my expertise I have consistently used my EHR knowledge to improve documentation for oncology nurses, physicians and pharmacists in the institutions I have worked.

Provide a recent example of how you used advocacy in your leadership experiences. As one of the oncology clinical nurse specialists for my current hospital I asked to become a part of the United States Pharmacopeia (USP) 800 work group. In this group I worked with the outpatient oncology clinical nurse specialist, nurses and pharmacy to ensure we were providing safe handling for our all of our caregivers. In the discussions regarding policy changes we advocated to ensure we provided more than adequate personal protective equipment recommendations for drugs with less defined requirements. The USP 800 scope is focused on drug administration and disposal but does not focus on body fluid handling. As part of my role I created education on the upcoming United States Pharmacopeia (USP) 800 requirements for safe handling. To ensure we had comprehensive education and addressed all risks of exposure I promoted the inclusion of education on safe handling of bodily fluids despite it being beyond the scope of the USP 800 chapter. I added this to the education to ensure we were protecting caregivers at all potential exposure points. I also created additional training for our inpatient nursing assistants since much of our safe handling of bodily fluids.