Transcript Document

Nursing
What is a Protocol Nurse?
The Protocol Nurse works with the
investigative team in developing and
implementing clinical protocols on the GCRC.
Each protocol nurse is experienced in their
area of specialty as well as in clinical
research.
This unique blend of expertise provides the
investigative team with the clinical skill and
expert knowledge needed to develop,
implement and execute clinical protocols.
Protocol Nurse (Continued)
To further aid in our clinical expertise, all
GCRC nurses work within clinical cluster
groups such as neurology, psychiatry, neurobioimaging, cardiology, critical care,
endocrinology, infectious disease, pediatrics
and oncology.
In addition, the nurse provides the
compassion and human caring necessary to
ensure the well being of our subjects.
Nursing Responsibilities
Development and implementation of the
protocol in collaboration with the study team
and GCRC staff, including:
Collaborates with study team to develop
research data collection tools.
Assist with physician order implementation.
Conducts regular evaluation of protocol
progress with PI, study staff, GCRC staff.
Conducts Nursing assessments.
Nursing Responsibilities
(Continued)
Educates GCRC staff on protocolspecific procedures.
Designs a plan of care that ensures:
subject safety
 maintenance of subject’s health state
 prompt identification and treatment of
adverse events
 Implementation of the discharge plan.

Nursing Responsibilities
(Continued)
Monitors subjects’ physiological and
psychological status during the study.
Oversees accuracy of lab slips and
specimen labels.
Administers study medication and
procedures and observes and records
subjects’ response.
Nursing Responsibilities
(Continued)
Participates in preparation of study
findings for presentation and
publication.
Participates in research protocol review
with membership on Partners HRC
committees and MGH Patient Care
Services Collaborative Governance
committees.
Common Nursing Procedures
Performs clinical assessment of the subject.
Implements emergency preparedness.
Performs venipuncture or IV placement for
administration of medication.
Continually assesses subjects’ response.
Completes EKG and physiological
monitoring.
Conducts study-specific procedures and
equipment usage as appropriate.
Common Nursing Procedures
(Continued)
Teaches protocol requirements, reviews
study visit, injection teaching, urine
collection, medication administration,
etc.
Processes laboratory samples in the
absence of lab tech staff.
Develop protocol-specific scheduling
templates.
Study Staff Requirements
Confirm study visit date and time with the
research subject.
Arrive at the scheduled time.
Submit approved doctors’ orders two
business days before scheduled visit.
Delivers protocol-specific equipment and
supplies, including medications and protocolspecific aliquots and tubes.
Pick up specimens in a timely fashion.
Study Staff Requirements
Notification of cancellation:
 Call the front desk at 6-3294 or 60807 (BIC) ASAP.
 Cancel visits through the “Request for
Appointment” program, which will
update the Turbo Scheduler.
PATIENT IDENTIFICATION AREA
MASSACHUSETTS GENERAL HOSPITAL
GENERAL CLINICAL RESEARCH CENTER
OUTPATIENT HEALTH HISTORY
GCRC USE ONLY
PROTOCOL #______________
CONSENT SIGNED
EXPIRES_________________
Welcome to the General Clinical Research Center. Please take a few minutes to give us some general information on your
health. This information is confidential and will enable us to assist you during the study.
Name:_______________________________ Hospital ID#(if known)_______________Today’s date_______________
Date of Birth__________ Sex: Male Female Marital Status: Single Married Divorced Widowed Other
Address:__________________________________________Telephone: Home____________Work:_______________
Emergency Contact and Phone Number_________________________ Employed: Yes No Retired Disabled
Insurance Yes No Last exam by Primary Care Physician_____________________Name____________________
Do you smoke cigarettes? Yes Packs per day?____ No How many alcoholic drinks do you consume a week?____
Are you on other research studies? Yes No What kind?____________________Where?_____________________
What study are you here for today?__________________________ __Study Physician__________________________
What have you been hospitalized for in the past?_________________________________________________________
What surgeries have you had in the past?_______________________________________________________________
MEDICATIONS List medications you are currently taking
(Continue medications on reverse side if necessary)
ALLERGIES To medications,
foods or other substances
SYMPTOMS Check ( ) symptoms you currently have or have had in the past year.
GENERAL
GASTROINTESTINAL EYE, EAR, NOSE, THROAT
 Chills
 Appetite poor
 Bleeding gums
 Depression
 Bloating
 Blurred vision
 Dizziness
 Bowel changes
 Crossed eyes
 Fainting
 Constipation
 Difficulty swallowing
 Fever
 Diarrhea
 Double vision
 Forgetfulness
 Excessive hunger
 Earache
 Headache
 Gas
 Eye discharge
 Loss of sleep
 Hemorrhoids
 Hay fever
 Loss of weight
 Heartburn
 Hoarseness
 Nervousness
 Indigestion
 Loss of hearing
Numbness
Nausea


 Nosebleeds
 Sweats
 Rectal bleeding
 Persistent cough
MUSCLE/JOINT/BONE
 Stomach pain
 Ringing in ears
Pain, weakness, numbness or
 Vomiting
 Sinus problems
previous fractures/breaks in:
 Vomiting blood
 Vision - Flashes
 Arms
Hips
CARDIOVASCULAR
 Vision - Halos
 Back
Legs
SKIN
 Chest pain
 Feet
Neck
 High blood pressure
 Bruise easily
 Hands
Shoulders
 Irregular Heart Beat
 Hives
GENITO-URINARY
 Low Blood Pressure
 Itching
 Blood in urine
 Poor circulation
 Change in moles
 Frequent urination
 Rapid Heart beat
 Rash
 Lack of bladder control
 Swelling of ankles
 Scars
 Painful urination
Varicose
Veins

 Sore that won’t heal
MEN only
 Breast lump
 Erection difficulties
 Lump in testicles
 Penis Discharge
 Sore on Penis
 Other_____________
WOMEN only
 Abnormal pap smear
 Bleeding between periods
 Breast lump
 Extreme menstrual pain
 Hot flashes
 Nipple discharge
 Painful intercourse
 Vaginal discharge
 Vaginal dryness
 Other_____________
Date of last menstrual
period________________
Date of last pap
smear________________
Have you had a
mammogram?_________
Are you pregnant?______
Number of children_____
*** CONTINUE FILLING OUT FORM ON OTHER SIDE ***
Contact Us!
Maureen E. Schnider, Interim Nurse Manager
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Phone 617 726-3201
Fax
617 724-3497
E-mail [email protected]
MGH White 13
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Phone (617) 726-3294
Fax (617) 726-7563
Biomedical Imaging Core (BIC) CNY building
149 2nd floor
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Phone (617) 726-0807
Fax (617) 724-3101
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