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1 Oncology Nursing Log Book 2017
Hong Kong College of Medical Nursing
Advanced Practice Nursing (Medicine) Certification Program
Fellow Membership Examination (Sub-Specialty - Oncology)
Clinical Log Book
Endorsed on 5 May 2017
Name of Candidate ___________________________________________________
2 Oncology Nursing Log Book 2017
Advanced Practice Nursing (Medicine) Certification Program
Fellow Membership Examination (Sub-Specialty Module – Oncology Nursing)
Clinical Log Book
Table of Contents
1. General Instruction for Candidate ………………………………………………………………. 3
2. Purpose of the Log Book ……………………………………………………..……………………… 3
3. Responsibilities of the Candidate ……………………………………………………………….. 3-4
4. Responsibilities of the Mentor ……………………………………………………………………. 4
5. Personal Data of the Candidate ………………………………………………………………….. 5
6. Record of Experiences ………………………………………………………………………………… 6-15
7. Record of Case Study and/or Presentation …………………………………………………. 15
8. Quality Improvement Activities ………………………………………………………………….. 15
9. Change Management/ Management and Leadership Skill ……..…………………… 15
10. Clinical Log Sheet ……………………………………………………………………………………….. 16
11. Evaluation Form ………….……………………………………………………………………………… 17
12. Reference: Competency Framework 18
3 Oncology Nursing Log Book 2017
1. General Instructions for the Candidate
The Candidate should regularly read and access information related to Specialty Training
published by the Hong Kong College of Medical Nursing as updated on website
2. The purposes of the Log Book
1. To assist the Candidate in reflecting the learning opportunities in clinical practices
2. To facilitate the Mentor to access the clinical competence of the Candidate and
provide support and guidance to accomplish the Certification Program
3. Responsibilities of the Candidate
1. Each Candidate, upon enrollment, will be issued with the Log Book at the
commencement of Advanced Practice Nursing (Sub-Specialty: Oncology)
Certification Program training. It will be the property of the Candidate.
2. The Candidate should record the followings:
I. All supervised assessments on the patients
II. All supervised interventions on the patients
III. All special encounters with the patients/ families
IV. All nursing activities in Nurse-led Clinic/ Patient Support Group
V. Case conferences
VI. Research activities
VII. Journal reading and reflection
VIII. Continuous professional development activities
- Attending mortality and morbidity meetings
- Attending/ leading continuous nursing education activities
- Case presentations
- Nurses rounds
- Attending/ presenting in conferences, seminars
- Speaker of author in nursing education seminars/ conferences/
journal paper
IX. Leading patient safety activities
X. Leading occupational health & safety activities
XI. Leading risk management and quality improvement programs
XII. The above list is not exhaustive as the log book serves as a means that
demonstrate reflective learning of the Candidate.
4 Oncology Nursing Log Book 2017
3. The Candidate is strongly advised to keep the Log Book with him/ her at all times
and to fill in relevant information on a regular basis. Patient(s) MUST NOT be
identified by names or Hong Kong Identity Card numbers. Cases should be
recorded using patient’s initials and/ or hospital numbers.
4. The Candidate should discuss his/ her progress as documented in the Log Book
with his/ her mentor at regular intervals. This dialogue serves and opportunity
for the Candidate to reflect on the learning and growth in the nursing profession.
This regular assessment allows deficiencies in experience to be remedied early in
the course of the training. Evaluation Form must be signed by the mentor and
endorsed by the Chairman of Examination Panel before recommendation to the
Hong Kong Academy of Nursing for admission to Fellow Member.
5. The Candidate should seek the mentor’s endorsement of the Training Program
before submission to the Examination Panel.
6. The Candidate should complete at least 70% of the Log Book (fulfill all
mandatory items) before final assessment.
4. Responsibilities of the Mentor
1. The Mentor facilitates the Candidate to map learning opportunities in the clinical
practices to the competence framework.
2. The Mentor has the responsibility to guide the Candidate to reflect on
encounters in the clinical areas by asking what has happened, why and what is
the learning point?
3. The Mentor is to facilitate the Candidate to identify opportunities to develop the
leadership abilities to lead the team.
4. The Mentor is to polish the Associate Member’s presentation and writing skills
and encourage him/ her to present cases and papers.
5. The Mentor is to encourage the Candidate to be active team players in clinical
rounds.
6. The Mentor should not take more than three Candidates at the same work place.
7. The Mentor should not hold Trainer status in more than 2 statuses.
8. The Mentor has the responsibility to guide the Candidate to prepare for the
Training Program.
5 Oncology Nursing Log Book 2017
5. Personal Data of the Candidate
Name of the Candidate _______________________________ Sex ____________
Chinese Name _________________________________________________________
Registration Number of the Candidate ______________________________________
Date of Entry into the Training Program _____________________________________
Address ______________________________________________________________
_____________________________________________________________________
Email _______________________________ Telephone _______________________
Mentor’s Name ________________________ Title/ Rank ______________________
Institution/ Department/ Unit ____________________________________________
Supervision Period _____________________________________________________
6 Oncology Nursing Log Book 2017
6. Record of Experience
(* = Mandatory items)
A. Cancer screening and prevention (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
B. *Assess the findings of history and physical examinations, diagnostic investigations and
tumour markers related to the diagnosis and staging of cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
C. Breaking bad news and care of patient and family (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
D. *Systemic therapy (Chemotherapy, Targeted therapy, Hormonal therapy,
Immunotherapy)
I. Pre-treatment assessment in holistic approach (total 8 scenarios, at least 1 for
hormonal therapy and 1 for immunotherapy)
Date Patient
initials Experience
Mentor’s
sign
7 Oncology Nursing Log Book 2017
II. Pre-treatment patient education (understanding, ability to learn, aim of treatment,
side effect and related care) (5 scenarios)
Date Patient
initials Experience
Mentor’s
sign
III. Proper techniques and safe administration of systemic therapy (5 scenarios)
Date Patient
initials Experience
Mentor’s
sign
IV. Safely handling for cytotoxic hazardous agents and wastes (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
V. Management of spillage of cytotoxic agents (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
8 Oncology Nursing Log Book 2017
VI. Care of patients with Central Venous Access Device (CVAD) (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
E. *Radiation therapy
I. Care of patients receiving radiation therapy (5 scenarios)
Date Patient
initials Experience
Mentor’s
sign
II. Radiation protection and principles of safe handling/ disposal of radioactive sources
(e.g. time, distance and shielding) (5 scenarios)
Date Patient
initials Experience
Mentor’s
sign
F. Hematopoietic Stem Cell Transplant
Management of patients receiving hematopoietic stem cell transplant (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
9 Oncology Nursing Log Book 2017
G. *Management of patients with breast cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
H. Management of patients with brain and central nervous system cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
I. *Management of patients with colorectal cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
J. *Management of patients with upper gastrointestinal cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
K. Management of patients with hepatobiliary or pancreatic cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
10 Oncology Nursing Log Book 2017
L. *Management of patients with gynecological cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
M. *Management of patients with head and neck cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
N. Management of patients with leukemia/ lymphoma (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
O. Management of patients with renal cell cancer or genitourinary cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
P. *Management of patients with lung cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
11 Oncology Nursing Log Book 2017
Q. *Management of patients with prostate cancer (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
R. Management of patients with other solid tumour (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
S. Oncology Emergencies
I. *Management of extravasation (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
II. *Management of febrile neutropenia (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
III. Management of hypercalcemia (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
12 Oncology Nursing Log Book 2017
IV. Management of increased intracranial pressure (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
V. *Management of spinal cord compression (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
VI. *Management of superior vena cava obstruction (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
VII. Management of tumour lysis syndrome (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
T. Disease and treatment related side effects and symptom management
I. *Management of patient with altered mucosal integrity (e.g. oral mucositis, nasal
mucositis) (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
13 Oncology Nursing Log Book 2017
II. *Management of patients with altered skin integrity (e.g. radiation dermatitis, skin
reactions, malignant ulcer) (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
III. Management of patients with neurological impairment (e.g. seizures, peripheral
neuropathy) (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
IV. *Management of patients with altered mobility (e.g. range of motion, lymphedema)
(2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
V. Management of patients with impaired ventilation (e.g. dyspnea, pleural effusion,
lung fibrosis) (2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
VI. Management of patients with impaired circulation (e.g. edema, pericardial effusion)
(2 scenarios)
Date Patient
initials Experience
Mentor’s
sign
14 Oncology Nursing Log Book 2017
VII. Management of patients with impaired urinary function (e.g. cystitis, anuria) (2
scenarios)
Date Patient
initials Experience
Mentor’s
sign
VIII. *Management of patients with pain (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
IX. *Management of patients with altered metabolic function (e.g. electrolyte, endocrine
imbalances, malnutrition) (3 scenarios)
Date Patient
initials Experience
Mentor’s
sign
U. *Management of patients with altered mental or psychosocial status (e.g. confusion,
anxiety, depression) or under palliative care requiring psychosocial and spiritual
support (6 scenarios)
Date Patient
initials Experience
Mentor’s
sign
15 Oncology Nursing Log Book 2017
V. Management of patients requiring end-of-life care and bereavement (4
scenarios)
Date Patient
initials Experience
Mentor’s
sign
7. *Case Study and/or Presentation
(Not less than 2 cases, please refer to Clinical Log Sheet at the back as a
reference format)
8. Quality Improvement Activities (2 activities)
Date Activity Mentor
signature
9. Change Management/ management and Leadership Skill (2 activities)
A. Nurse Led Clinics – planning, development and operation
Date Activity Mentor
signature
B. Facilitate change management and adopt evidence-based practice in nursing care/
trial or project
Date Activity Mentor
signature
16 Oncology Nursing Log Book 2017
10. Clinical Log Sheet
This is a suggested format to facilitate mentor mentee discussion
Session date:
Level of care the Candidate provided:
Observation only Primarily mentor managed Independent care with
presentation to mentor agreement
Client information:
Initial Sex/Age Occupation
Social background
Resource / support network
Diagnosis / medications
Relevant medical, mental conditions and other parameters
Physical psycho-social problems identified
Intervention and education
Management and education provided
Reflection / learning
Mentee signature Date:
Mentor comment
Mentee signature Mentor signature
Date: Date:
17 Oncology Nursing Log Book 2017
11. Evaluation form to be completed by the Mentor for recommending to attend
assessment leading to award of HKAN Fellow Member
Name of Mentee
Supervising
Period
EVALUATION
Subject areas Grading
Pass Needs
improvement
Borderline
fail
Fail
Clinical knowledge & Professional judgment
Meeting the domain of competence
Managed patient with complex clinical profile
Established therapeutic relationship with
patient/family
Reliability / sense of responsibility
Led CQI activity
Led nursing team and demonstrated leadership
abilities
Overall rating
Recommendation
Recommended as qualified and competent
Not recommended
Additional comments (use additional sheet if necessary)
Name of Mentor Signature
Fellow number
Endorsed
Not endorsed
Chairman of Examination & Accreditation Committee Signature
Date
18 Oncology Nursing Log Book 2017
12. Reference: Competency Framework
Domains
1 Managing clients with complex healthy conditions
2 Enhancing therapeutic nurse-client relationship
3 Demonstrating effective leadership and team work
4 Enhancing quality assurance and improvement
5 Managing & negotiating innovative & effective approaches to care delivery
6 Enhancing professional attributes of general & advanced practice
7 Enhancing personal attributes
Subject areas Domains
1 2 3 4 5 6 7 6.1 Prevention, Early Detection and Screening of Cancer
2,3,5,9,10,11 1,2,3,4,5,6,8 1,2 1,4 1,2,3,4,5,8,
9,10 1
6.2 Diagnosis and Staging of cancer
1,2,3,4,5,6,7, 9,10
1,3,4,6,8 2 1,6 1,2,5,8 1
6.3 Treatment Modalities
a) Surgery all all 1,2,3,4,5 2,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6,7,8,
9,10,11,12 1
b) Systemic therapy all all 1,2,3,4,5 2,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6,7,8,
9,10,11,12 1
c) Radiation therapy all all 1,2,3,4,5 2,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6,7,8,
9,10,11,12 1
d) Concurrent combination therapy
all all 1,2,3,4,5 2,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6,7,8,
9,10,11,12 1
e) Hematopoietic stem cell transplant
all all 1,2,3,4,5 2,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6,7,8,
9,10,11,12 1
f) Complementary alternative health care
1,2,6,7,8,9,11 all 1,2,3,4,5 4 2,8,9,10
6.4 Knowledge of Cancer Diseases – Management of Patient with
a) Breast cancer all all all all all all all
b) Brain and central nervous system cancer
all all all all all all all
c) Colorectal cancer all all all all all all all
d) Gastrointestinal cancer all all all all all all all
e) Genitourinary cancer all all all all all all all
f) Gynecological cancer all all all all all all all
g) Head and neck cancer all all all all all all all
h) Leukemia all all all all all all all
i) Lung cancer all all all all all all all
j) Lymphomas all all all all all all all
k) Melanoma all all all all all all all
l) Myelomas all all all all all all all
m) Prostate cancer all all all all all all all
6.5 Symptom and Treatment Management
19 Oncology Nursing Log Book 2017
6.5.1 Oncology emergencies
a) Disseminated intravascular coagulation (DIC)
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
b) Extravasations 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
c) Febrile neutropenia 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
d) Hypercalcemia 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
e) Hypersensitivity 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
f) Increased intracranial pressure
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
g) Malignant bowel / urinary obstruction
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
h) Neoplastic cardiac tamponade
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
i) Pneumonitis 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
j) Sepsis 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
k) Spinal cord compression 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
l) Superior vena cava obstruction
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
m) Syndrome of inappropriate antidiuretic hormone (SIADH)
1,2,3,4,5,6,7, 8,9,11
all all all all 1,2,3,4,5,6,7,8,
9,10,11,12 1
n) Tumour lysis syndrome 1,2,3,4,5,6,7,
8,9,11 all all all all
1,2,3,4,5,6,7,8, 9,10,11,12
1
6.5.2 Treatment delivery device and systems
6.5.2.1 Role and types of treatment delivery devices
2,10 3 3,7 1,5,6,8,10,11
6.5.2.2 Care and maintenance of venous access devices
1,2,3,4,5,6,7, 8,9,11
1,2,3,4,5,6,8 all 1,2,3 all 1,2,3,4,5,6,7,8,
9,10,11 1
6.5.2.3 Patient education and subsequent monitoring
1,2,3,4,5,6,7, 8,9,11
1,2,3,4,5,6,8 1,2,3 3,4,5,6 all 1,2,3,4,5,6,7,8,
9,10,11 1
6.5.3 Disease and treatment related side effects and symptom management
a) Bone marrow function 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
b) Mobility 1,2,3,4,6,7,9,
11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
c) Skin integrity 1,2,3,4,6,7,9,
11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
d) Neurological status 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
e) Mental status 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
f) Circulation 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
g) Ventilation 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
h) Gastrointestinal function 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
i) Metabolic function 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
j) Urinary function 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
k) Pain 1,2,3,4,5,6,7,
8,9,11 1,2,3,4,5,6,8 3 1,2,3,4,6 all all 1
6.6 Supportive Care
6.6.1 Patient diversity 2 all 3 4 3,7,8 1
6.6.2 Sexuality and intimacy 1,2,9,11 all 3 2,3,4 3,7,8 1
20 Oncology Nursing Log Book 2017
6.6.3 Patient and family support throughout the cancer continuum
1,2,3,11 all 3
4 1,8 1
6.6.4 Rehabilitation 1,2,3,4,6,7,8,
10,11 all 3 1,2,3,4,5,6 3,4,5,6,7,8 1
6.6.5 Survivorship 1,2,5,9,10,11 all 3 2,4,6,7 1,2,3,4,5,6,8,9
10,11,13,14 all
6.6.6 Palliative and End-of-Life
care
1,2,3,4,5,6,7, 8,9,11
all 3 1,2,6 all all all
6.6.7 Bereavement 1,2,3,4,5,6,7,
8,9,11 all 3 1,2,6 all all all
6.7 Continuity of Care
6.7.1 Navigate the patient in the health care system
1,2,3,7,9,10, 11
1,3,4,8 1 4 4,6 2,8,9
6.7.2 Interprofessional health care team communication and collaboration
1,2,3,7,10
4 6
13
6.8 Ethics, Legal Obligations and Research
6.8.1 Ethical principles in care of cancer patient
3 3,4 2,3,8,9,11,14 1
6.8.2 Ethical dilemmas 3 3,4 2,3,8,9,11,14 1
6.8.3 Legal obligations 3 3,4 2,3,8,9,11,14 1
6.8.4 Purpose and design of research studies
6 3,6 1,5,6,7 1,4,5,6,7 1
6.8.5 Ethical principles associated with research
3,6 3,4 2,3,8,9,11,14 1
6.9 Development of nurse-led clinics
all all 1,3,4,5,6 all all 1,2,8,9,10 all
6.10 Facilitate change and adopt evidence-based practice in nursing care
all all 1,2,3,5 5 2,3,7 3,4,5,9,10 all
6.11 Quality and risk
management 9 1,3,4 all 2,3,4,5,7 all 1
6.12Management & leadership all all all 3,4,5,6,7 all all
