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Joint Meeting EBMT (UK) NAP & EBMT NG Friday October 5th 2012, London What do you know about JACIE? - An Interactive Workshop Eoin Mac Hale Senior Consultant & Trainer [email protected]

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Joint Meeting EBMT (UK) NAP & EBMT NG Friday October 5th 2012, London What do you know about JACIE? - An Interactive Workshop Eoin Mac Hale Senior Consultant & Trainer [email protected]. Answering Questions. = A/Yes = B/No = C/Don’t know. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Answering Questions

Joint Meeting EBMT (UK) NAP & EBMT NG

Friday October 5th 2012, London

What do you know about JACIE? - An Interactive Workshop

Eoin Mac HaleSenior Consultant & Trainer

[email protected]

Page 2: Answering Questions

Answering Questions

= A/Yes

= B/No

= C/Don’t know

Page 3: Answering Questions

Question 1. Do you work in a JACIE Accredited Centre?

Question 2. In addition to nursing responsibilities how many hold a quality management role?

Question 3. Were you involved in the development and implementation of the quality management system?

Page 4: Answering Questions

Question 1

Which edition of the JACIE Standards is currently in use ?

A = 4th editionB = 5th editionC = 6th edition

Page 5: Answering Questions

1st edition – 1996 2nd edition – 20033rd edition – 20064th edition – 2009

5th edition – March 2012

Page 6: Answering Questions

Question 2

The JACIE Medical Director is based in which country?

A = SpainB = Italy C = None of the above

Page 7: Answering Questions

The JACIE Medical Director is:

Dr. John Snowden Sheffield, UK

Page 8: Answering Questions

Question 3

Who is responsible for issuing the JACIE Inspection Report (post onsite inspection) ?

A = JACIE Office in BarcelonaB = JACIE Medical Director C = JACIE Accreditation Committee

Page 9: Answering Questions

Question 4

What is the format of the current JACIE Standard?

A = Clinical, Collection & Processing B = Clinical, BM Collection, Apheresis Collection & Processing C = Clinical Adults, Clinical Paeds, Collection & Processing

Page 10: Answering Questions

Question 5

Is JACIE Accreditation of HSCT Programmes a legal requirement in the UK?

A = YesB = NoC = Don’t know

Page 11: Answering Questions

JACIE Accreditation is a requirement in the following countries : Regulations• France

Engagement with JACIE a requirement for allogeneic transplant centres according to Arrêté du 3 avril 2009 relatif au contenu du document d’évaluation des activités de greffes d’organes et de greffes de cellules hématopoïétiques

• Switzerland Accreditation required to receive reimbursement from Social Insurance for treatments

• Italy Decreto Legislativo 25 gennaio 2010, n.16 implementing the European Directives on Tissues and Cells cites a 2003 agreement recognising JACIE

• The Netherlands Accreditation required to receive authorisation to transplant from Ministry of Health

Page 12: Answering Questions

Guidelines

o European Directorate The Quality of Medicines & HealthCare Guide to the Safety and quality assurance for the transplantation of organs, tissues and cells, 4th edition (2010)

o Italy Piano Oncologico Nazionale 2010-2012 cites JACIE accreditation

o United Kingdom: - JACIE cited in National Institute for Health and Clinical Excellence (NICE) guidelines Improving Outcomes in Haematological Cancer - The Future of Unrelated Donor Stem Cell Transplantation in the UK. A Report from the UK Stem Cell Strategic Forum (July 2010). NHSBT - JACIE cited in Specialised Services National Definitions Set (3rd edition) SSNDS Definition No.2, Specialised Services for Blood and Marrow Transplantation (all ages) - Certain health funding regions of the UK insist that all centres (allogeneic and autologous) must be JACIE accredited in order to receive reimbursement of treatment costs

Page 13: Answering Questions

Question 6

What does JACIE stands for ?

A = Joint Accreditation Committee International and European

B = Just Act Cool It’s Easy

C = Joint Accreditation Committee ISCT and EBMT

Page 14: Answering Questions

Question 7

According to the JACIE Standards (5th edition) what is the recommended nurse/patient ratio for a BMT Unit (clinical facility) ?

A = 2:3

B = 1:3

C = none of the above

Page 15: Answering Questions

Question 8

If the Clinical Programme requests accreditation for allogeneic transplantation a minimum of ten (10) new allogeneic patients shall have been transplanted during the 12 months preceding accreditation.

TRUE or FALSE ? A = True

B = False

Page 16: Answering Questions

Question 9

The transplant programme must have an intensive care unit located on the same site as the Clinical Facility.

TRUE or FALSE ?

A = True

B = False

Page 17: Answering Questions

• ICU within the institution • Multisystem support capabilities with the

inpatient programme • Arrangements with a neighbouring institution

(established/documented/audited)

Page 18: Answering Questions

Question 10

Mid-level practitioners (CNS) shall have received specific training and maintain competency in both: • Donor and recipient informed consent • Diagnosis and management of HPC graft

f failure TRUE OR FALSE ?? A = TrueB = False

Page 19: Answering Questions

Question 11

According to standard B3.6 nurses working on the BMT Unit in a senior position must have undertaken formal education/training in haematology i.e. recognised postgraduate haematology course

TRUE OR FALSE ??

A = TrueB = False

Page 20: Answering Questions

Question 12

According the standard B3.6.3 nurse training shall only include:

- neutropenic fever- infectious procedures- mucositis - nausea and vomiting - pain management

TRUE OR FALSE ??

A = True / B = False

Page 21: Answering Questions

B 3.6.3 requires training in : B3.6.3.1 – Haematology/oncology patient careB3.6.3.2 – Administration of preparative regimens B3.6.3.3 – Administration of blood products B3.6.3.4 – Care interventions (neutropenic fever, infectious procedures, mucositis, nausea and vomiting and pain management)B3.6.3.5 – Recognition of cellular therapy complications and emergencies requiring rapid notification to the clinical team

Page 22: Answering Questions

Question 13

The minimum required nursing SOPs according to B3.6.4 are:

B3.6.4.1 – Care of immunocompromised patientsB3.6.4.2 – Administration of preparative regimens B3.6.4.3 – Administration of cellular therapy products B3.6.4.4 – Central venous access device careB3.6.4.5 – Administration of blood products

TRUE OR FALSE ??

Page 23: Answering Questions

Question 14

Standard B4.8 (qm/audits) requires the following nurse specific audits:

1. Hand hygiene2. Administration of chemotherapy3. Central venous catheter hygiene

TRUE OR FALSE ??

Page 24: Answering Questions

Question 15

Standard B7.3 Extracorporeal Photopheresis (ECP) is a standard to be achieved by the Apheresis Facility staff ?

TRUE OR FALSE ??

Page 25: Answering Questions

Standard B7.3 requires:

B7.3.1 – there shall be a consultation with the facility the performs the ECP prior to therapyB7.3.2 – there shall be a written order from the physicianB7.3.3 – a final report of the details of ECP administrationB7.3.4 – ECP SOP in placeB7.3.5 – outcomes of ECP administration should be discussed annually (*relates directly to the clinical programme – physicians and nurses)

Page 26: Answering Questions

Nurses & JACIE

• Join your hospital QM Group/Committee • Take part in the consultation for 6th edition • Link to the EBMT Quality Management Group• Train as Inspector (Apheresis Collection)• Develop your role in Quality and Audits

Page 27: Answering Questions

REMEMBERNurses comprise the largest workforce

population in every department – use that voice!!

(In UK Nurses make up the largest part of the entire NHS workforce, at just under 30% - Department of HealthNov 2011)