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BIENNIAL REPORT Document Transcript

  • 1. BIENNIAL REPORT REGIONAL ONCOLOGY NURSING COUNCIL OF SOUTHEASTERN ONTARIO REGIONAL ONCOLOGY NURSING COUNCIL APRIL 2005 of Southeastern Ontario OUR MISSION providing cancer care, however, guidelines (EBPG) and To advise and collaborate with the there are nursing practice implement existing EBPG for Vice President, Regional Cancer variations across the care oncology consistent with the Program, Chief Nursing Officer - continuum. The oncology nurse’s Nursing Professional Advisory Cancer Care Ontario and Chief role is critical to the safe delivery of Committee of CCO. Nursing Officers of partner care that involves: coordination relationships on regional oncology and communication, assessment 3. Develop oncology nursing nursing practice, education, and management of symptoms, expertise in the region leadership and research issues / administration of treatment consistent with the Canadian initiatives for all patient populations (chemotherapy, biotherapy, Association of Nurses in along the continuum of cancer hormone therapy, supportive Oncology (CANO) Standards care (genetics, prevention, therapies) and identification of of Care, Roles and screening, diagnoses, treatment, cancer and treatment-related Competencies. follow-up, after-care, rehabilitation oncological emergencies (e.g. and palliation). febrile neutropenia). 4. Participate in the development of a model for coordination of MESSAGE FROM THE CHAIR Nurses do not always have access care, continuity of care and The Cancer Centre of to the most up-to-date or in depth collaboration across the region Southeastern Ontario (SEO) at the information / education to support for cancer patients and Kingston General Hospital is a them in their practice to deliver families. partner of Cancer Care Ontario patient care based on evidence (CCO). and safety standards. 5. Generate new knowledge in oncology nursing through CCO released the first Ontario The Regional Oncology Nursing collaboration and participation Cancer Plan in November 2004 Council of Southeastern Ontario in research. identifying six priority areas (RONC-SEO) was implemented to necessary to drive improvement in support oncology nurses across the 6. Utilize quality indicators across access to quality care for cancer care continuum and to enhance the region to assess the impact patients. The plan proposes patient care. Critical to the on patient outcomes. activities to strengthen the council's success is the development and use of commitment of the council MEMBERSHIP COMMENTS guidelines and standards across members and agencies and the "Belonging to the RONC-SEO has the province and to integrate and willingness to break down the silos provided me with a forum to coordinate services through within our discipline. discuss professional practice issues regional cancer programs. Linda Robb-Blenderman, Chair and research opportunities with my colleagues throughout the region. Currently, the organization and RONC-SEO TERMS OF Networking with other nurses has delivery of specialized cancer REFERENCE helped me to come up with services is fragmented and not well 1. Provide regional oncology creative solutions to improve coordinated. There are nursing leadership in practice, patient care, and fostered my discrepancies between existing education and research. enthusiasm for oncology nursing practice standards and actual and oncology nurses". care delivery. Throughout the 2. Participate in the development Jane Warner, Clinical Nurse region registered nurses are of evidenced-based practice Specialist, Breast Assessment Program, Hotel Dieu Hospital.
  • 2. "Community home oncology Linda Kessler, Administrative and the Paediatric Oncology nursing is increasingly complex. Director of Geriatric Psychiatry Group of Ontario. Membership on the RONC-SEO has Services, PCCC - Mental Health CCO Provincial Oncology been invaluable for the regional Services. Nursing Rounds-Successfully community nursing agencies (All lobbied for all regional nurses Care, VON, St. Elizabeth’s etc.) ACCOMPLISHMENTS to have access to the providing specialized home Demonstrated leadership in presentations. oncology care. Membership has regional oncology nursing Website launched on April 19, provided opportunities such as excellence. 2005. participating in oncology nursing Recognized as a leader for research, collaborating to find developing the first regional PRESENTATIONS solutions for enhancing cancer oncology nursing council in RNAO 2nd Biennial International care and sharing educational Ontario. Conference on Nursing Best resources. The RONC-SEO is Raised profile of Council to Practice Guidelines (June 2003) leading and fostering oncology CCO through Chief Nursing 15th Annual CANO Conference nursing excellence across all Officer of CCO. (October 2003) settings.” Raised profile of Council to OHA Convention - National Linda Morgan, Nursing Manager, Ministry of Health and Long Best Practices Display Oncology Palliative, All Care Term Care through Chief (November 2003) Health Services. Nursing Officer of Ontario. CCO Provincial Oncology Developed a regional Nursing Rounds (November "The resource sharing and oncology nursing research 2003) communication have done much agenda. Nursing Research Conference, to foster good collaborative Input provided for the 2004 Kingston (June 2004) working relationships within our Provincial Cancer Plan. Abstracts (2) submitted to the Southeastern Ontario Region. Not Participant at the Regional 17th Annual CANO Conference only can patient satisfaction and Prevention and Screening (January 2005) outcomes improve but also Strategic Planning Meeting oncology nursing development (2003). INITIATIVES IN PROGRESS and job satisfaction”. Adopted the adoption of the Implementation of CANO Marilyn Pape, Program Manager of CANO Patient Care Standards, Standards of Care, Roles and Oncology & Critical Care Roles and Competencies. Competencies. Jane Palmateer, Charge Nurse, Adopted the Oncology Nursing 2005 Registered Nurses Ambulatory Oncology Clinic, Society (ONS) Chemotherapy Learning Needs Survey for Quinte Health Care Corporation – and Biotherapy Guidelines and Nurses working across the Belleville General. Recommendations for cancer care continuum. Practice. Implementation of "The support of the council is Adopted the ONS Safe Chemotherapy and Biotherapy invaluable to a smaller community Handling of Hazardous Drugs Guidelines and such as Cobourg where resources Guidelines. Recommendation of Practice. are limited. Being a member of Adopted Cancer Care Ontario Implementation of Safe the RONC-SEO puts you in touch CCO Telephone Nursing Handling of Hazardous Drug with a network of oncology nursing Practice & Symptom Guidelines. leaders that together, can achieve Management Guidelines. Implementation of Telephone better care for our patients". Raised profile and facilitated Nursing Practice Symptom Brenda Weir, Program Director, opportunities to engage Management Guidelines. Northumberland Hills Hospital. regional nurses across settings Participation in the in oncology nursing research. development of a Fatigue "The partnership between the Participants in Regional Collaborative Care plan with oncology nurses on the RONC-SEO Palliative and End-of-Life members of the Palliative Care and the nurses working within the Planning. Integration Project. Geriatric Psychiatric Services is Support provided for the South Beginning stages of invaluable. Cancer patients over Eastern Ontario Palliative Care collaboration with Regional the age of 60, which is Integration Project with the Colleges and Universities on approximately 80%, may also MOHLTC. regional curriculum experience a co-morbidity of Improved regional development for Post-RN mental health issues (i.e. communication and Oncology Nursing Education. depression, delirium)". information sharing with CCO
  • 3. Exploring implementing a device management. This has Co-I-Linda Morgan, AllCare Community of Oncology become a provincial initiative, Health Services LTD. Nursing Practice for Regional with the support from the Co-I-Jane Warner, Hotel Dieu Cancer Treatment e.g. Program in Evidence-based Hospital, Kingston. systemic therapy, Care, but the impetus came radiotherapy. form the members of the RONC- FACTORS ASSOCIATED WITH Participants on the CCO Expert SEO, who are members of the FUNCTIONAL WELL-BEING IN Panel on Oncology Nursing guideline development. Sensitive Outcomes (Dr. Joan OLDER PERSONS LIVING Tranmer and Linda Robb The RONC-SEO model is one that WITH CANCER Blenderman represent the can be implemented in other A nurse-lead prospective cohort RONC and SEO). regional programs. With the study lead by (Dr. Joan Tranmer, framework of regional cancer PI; Linda Robb-Blenderman, Co-I; MESSAGE FROM THE CHIEF programs underway, there is a Esther Green, Co-I) is in progress distinct advantage that south- to obtain a profile of personal NURSING OFFICER, CANCER health and social factors east Ontario has in relation to CARE ONTARIO being 'miles ahead' of the other associated with functional well- The Regional Oncology Nursing regions in Ontario. being in older persons diagnosed Council of Southeastern Ontario with cancer. Three hundred and is unique in Ontario. With I commend Linda Robb- fifty patients, greater than 65 leadership from Linda Robb- Blenderman and her colleagues years of age, diagnosed with Blenderman, this is the first such in southeast Ontario for their cancer, attending the Cancer community of practice to be vision and implementation. Centre of Southeastern Ontario, established with a focus on Esther Green, have participated in the study to oncology nursing contributions to Chief Nursing Officer and date. cancer patients and their Director, Health Human Resource families. The RONC-SEO serves as Planning, Cancer Care Ontario It is anticipated that the a model for other regional information gained from this cancer programs in the study will contribute to the sub- province, and as Chief Nursing LEARNING NEEDS SURVEY specialty of geriatric oncology Officer, I have directed leaders Inconsistencies in levels of and future planning of age- in other programs to this model. oncology nursing knowledge sensitive health services for older and expertise were identified as persons living with cancer. This excellent model has brought a priority for the Council. The together what might have been 2005 Registered Nurses Learning Needs Survey will be RONC-SEO WEBSITE 'disparate' groups, who have a Launched on April 19, 2005, the common focus and similar implemented regionally May 2. Council lobbied and received needs. That is one reason why resources to implement a this council is so effective; it The goals of the survey are to: 1. Identify the learning needs of regional website. The Website will allows this community to focus act as a vehicle for knowledge collaboratively on common oncology nurses in our region 2. Identify preferred methods of translation, dissemination of issues, offer advice and support information and to support the across the region, and serves as learning of oncology nurses 3. Influence regional curricula for implementation of regional a consultation to all of the evidence-based cancer care. partners. The opportunity to work oncology nursing education in collaboration has meant that 4. Improve access for oncology projects are focused and nurses to educational materials CONTACT INFORMATION directed. An example is the and tools Linda Robb-Blenderman collaborative research projects Clinical Practice Leader, undertaken with Dr. Joan Investigative team members are: Oncology Cancer Centre of SEO Tranmer's leadership, to assess PI-Linda Robb Blenderman, at Kingston General Hospital the factors that support or Cancer Centre of Southeastern 25 King Street, West burden elderly cancer patients. Ontario at Kingston General Kingston, Ontario K7L 5P9 The interest in development of Hospital 613.544.2631 Ext. 6701 Co-I-Dr. Margareth Zanchetta, Linda.robb-blendermann@krcc.on.ca practice promoted an Queen’s University Or opportunity to work in Co-I-Brenda Weir, RONC-SEO@krcc.on.ca collaboration with pediatric oncology nurses in relation to a Northumberland Hills Hospital guideline on central venous
  • 4. MEMBERSHIP Asselstine, Brenda. Home & Giles, Linda. Cancer Program Rennick, Cheryl. Palliative Care Community Care, Tyendinaga Manager, Kingston General Nurse Specialist, St. Vincent de Health Centre, Deseronto. Hospital, Kingston. Paul, Brockville. Barnes, Melanie. Victorian Order Green, Esther. Chief Nursing Robb Blenderman, Linda, Clinical Of Nurses, Hastings, Officer & Director of Health Practice Leader, Oncology, Northumberland, Prince Edward Human Resource Planning, Kingston General Hospital, Branch, Trenton. Cancer Care Ontario. Kingston. Bass, Brenda. Regional Heffernan, Mary Catherine. Simon-Chambers, Beth. Clinical Administrator Ontario Breast Charge Nurse, Oncology Clinic, Nurse Clinician, PCCC-St. Mary’s Screening Program-SEO, Kingston Peterborough Regional On The Lake, Kingston. General Hospital, Kingston. Healthcare Centre, Peterborough. Broeders-Morin, Dot. Manager, Jessop, Pam. Supervisor, Ontario Tracey, Patti. Manager St. Elizabeth Health Care, Breast Screening Clinic Program- Oncology, Peterborough Kingston. SEO, Kingston general Hospital, Regional Healthcare Centre, Kingston. Peterborough. Burrows, Karen. Resource Nurse- Kessler, Linda. Administrative Tranmer, Joan. Director, Nursing Oncology/Palliative Care, Director Geriatric Psychiatry Research, Kingston General Perth/Smiths Falls District Hospital, Services, Providence Continuing Hospital, Kingston. Smiths Falls. Complex Care (PCCC) -Mental Health Services, Kingston. Van Mamen, Lori. Advanced Practice Nurse, Cancer Genetics Closs, Cathy. Chief Nursing Lyle, Kathy. Clinical Nurse Familial Oncology, Kingston Officer, Corrections Canada, Specialist, PCCC-St. Mary’s On General Hospital, Kingston. Kingston. The Lake, Kingston. Vine, Debra. Early Detection of Coulson, Kathy. Advanced McLaren, Capt. Cindy. Primary Cancer Program, KFL&A Public Practice Nurse, Palliative Care, Military Nursing Officer, Health, Kingston. Kingston General Hospital, Canadian Forces Base, Kingston. Kingston. Warner, Jane. Clinical Nurse Specialist & Coordinator of Cowperwaithe, Bernadette. Morgan, Linda. Program Development, Breast Gynecological-Oncology Liaison Palliative/Oncology Coordinator, Assessment Program, Hotel Dieu Nurse, Kingston General Hospital, All Care Health Services, Hospital, Kingston. Kingston. Kingston. Debruyn, Margriet. Program Palmateer Jane, Charge Nurse, Weir, Brenda. Program Director, Manager, Brockville General Oncology Clinic, Quinte Northumberland Hills Hospital, Hospital, Brockville Healthcare Corporation-Belleville Cobourg. General, Belleville. Duhn, Gwen. Faculty Nursing Pape, Marilyn. Program Whitmarsh, Claudia. Director of Science Program, St. Lawrence Manager, Quinte Healthcare Patient Services, PCCC-St. Mary’s College, Kingston. Corporation-Belleville General, On The Lake, Kingston. Belleville. Gibson, Maryanne. Pediatric Peel, Karen. Case Manger, Zanchetta, Margareth, Assistant Oncology Group of Ontario- KFL&A Community Care Access Professor, Faculty of Health Nurse Representative, Kingston Centre, Kingston. Science, Queens School of General Hospital, Kingston. Nursing, Kingston.