Caroline McCaughey, Debbie McKelvey, Adrian Bell, Patricia McQuaid Development of an on-line systemic anti-cancer therapies (SACT) multiple choice assessment Caroline McCaughey, Debbie McKelvey, Adrian Bell, Patricia McQuaid

SACT competency assessment Venepuncture Cannulation Mentor allocation and competency assessment Within 12 months IV drug administration Management of CVADs Gold standard Minimum standard 12 week university validated module: Administration of SACT module 2 day in house introduction to SACT study days

Supervised practice and assessment

SACT competency assessment Approx 160 SACT competent staff

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Information Technology Working group Information Technology Nursing Management Nursing Education

Topics Venous Access Devices Principles of Cancer and SACT Legal, professional and ethical issues Health and safety considerations Principles of Cancer and SACT Toxicity identification, assessment and management Nursing care of the patient receiving SACT

Learning management system Secure – on Trust intranet Individual log in Password protected Piloted over 2 month period and amendments made Launched April 2016

Design Supporting resources Paper one 45 questions Minimum 70% pass mark Paper two - 5 red flag 100% pass mark Related to patient safety

Functionality Randomised Timer – 50 mins/10mins Ability to revisit previous questions before submitting Immediate feedback on result/score 2 attempts allowed at each paper Evaluation and certificate

100%

Reports – export into Excel

Communication Automatic email to teacher(s) when papers completed Automatically forwarded to infusional services team who hold competency database for service group Ability to review papers for feedback purposes Automatic annual mail to remind nurses to renew their training

Evaluation Evaluation % of staff No problems logging in 97% Easy to navigate, well laid out and informative 99% Relevant 94% Would recommend 96% Improved personal practice (rather than solely being regarded as a mandatory requirement) 35% 68 staff successfully completed to date 3 staff have required a 3rd attempt following feedback and support

Evaluations indicate that the on-line SACT MCT is user friendly and has been fully integrated into practice Provision of electronic tablets in the clinical areas is planned over the coming months, to provide optimal and flexible access to the MCT Feasibility to offer the on-line exam regionally, to all cancer units in N. Ireland, is under exploration

Future plans Build question bank Copyrighting – not straightforward Development of e learning case-based interactive resources Development of paediatric specific on-line MCT Development of intrathecal chemotherapy on-line assessment