Introduction
Queensland undertook to standardise the skills required to safely handle and/or administer cytotoxic medications by implementing ADAC. Queensland determined that ADAC was relevant to all clinical staff who may be involved with cytotoxic waste management or administration of oral cytotoxic medications for malignant and non-malignant disease. To achieve course requirements and address geographical disparity, the Central Integrated Regional Cancer Service (CIRCS) Nurse Educator engaged Telehealth to provide aspects of course content, enable clinical practice and assess clinical competence.
Objectives/Aims
To provide all clinical staff with the skills to meet the National Safety and Quality Health Service Standards (2012) for Medication Safety: 4.11 and High Risk Medicines – Medication Safety Self Assessment (2012): 10.38 by using a blend of face-to-face and Tele-education strategies to deliver ADAC.
Description/Methodology
ADAC implementation and sequencing was modified to meet Queensland’s needs. A model was developed to demonstrate the complexity of this process and the importance of networking and communication using a ‘top down’ ‘bottom up’ approach. ADAC delivery via Tele-education is an innovative model which has helped to achieve course requirements by:
Results
There are currently over 1300 Queensland participants enrolled in ADAC with the use of Telehealth for clinical practice demonstrations, competency assessment and delivering the ADAC Train the Trainer and skills workshop. ADAC training delivered via Tele-education meets eviQ Education guidelines.
Conclusion
ADAC has enabled the standardisation of safe handling, oral and IV cytotoxic medication administration. The innovative delivery of ADAC in Queensland helps to provide a supply of skilled health professionals to manage safe handling and administration of cytotoxic medications.