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REGIONAL ONCOLOGY NURSING COUNCIL
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.
"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
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
'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.email@example.com
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
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,
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,
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.
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.
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.
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.