Gastrointestinal Cancer Navigation
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Coralyn Martinez, MSN, RN, OCN Nicole Messier, BSN, RN
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Gastrointestinal Cancer Navigation
- 1. Gastrointestinal Cancer Navigation Coralyn Martinez, MSN, RN, OCN The Lacks Cancer Center Nicole Messier, BSN, RN Vermont Cancer Center
- 2. Gastrointestinal (GI) Cancer Navigation Coralyn Martinez MSN, RN, OCN The Lacks Cancer Center Saint Mary’s Health Care Grand Rapids, MI Nicole Messier BSN, RN Vermont Cancer Center Fletcher Allen Health Care Burlington, VT
- 12. Multidisciplinary Team Approach Survivor Network Pathology Clinical Research Familial Cancer Program Financial Counseling Prevention Program Cancer Education Specialty Physicians Nutrition Services Palliative Care and Integrative Medicine Social Services Radiology Nurse Navigator Medical Oncology Surgical Oncology Radiation Oncology Nurse Navigator
Editor's Notes
- Simple introduction of ourselves – Basically why we deserve and are credible to be speaking Nursing background, schooling, years of oncology, ect.
- Simple introduction of ourselves – Basically why we deserve and are credible to be speaking Nursing background, schooling, years of oncology, ect.
- Nicole speaks about her hospital and location
- Nicole speaks about her UGI Program
- Coralyn speaks about her hospital and community
- 1 of 30 NCCCP sites, only one in West Michigan. 42 hospitals, 4 th largest catholic health system. Two divinci robots
- Coralyn Speaks about her GI MDC program
- Maybe towards the very beginning, after we introduce ourselves, so we can define who are audience is and where they are coming from (we can use the colored cards for this) We should have each question with possible answers/responses come onto the slide separately Any other good to know info questions? It’s important to get an understanding of who our audience truly is, we need to understand where they are coming from so that we can help them to improve their programs. Oncology Nurse Navigator (ONN) The Oncology Nurse Navigator is a professional whose clinical nursing expertise guides patients, families and their caregivers to informed decision-making; collaborating with a multi-disciplinary team to allow for timely cancer screening, diagnosis, treatment, and increased supportive care across the cancer continuum. Patient Navigator (PN) The Patient Navigator can be a layperson, a social worker or nurse who is dedicated to the individualized assistance to patients, families, and caregivers to help overcome health care system barriers and facilitate timely access to quality medical and psychosocial care from pre-diagnosis through all phases of the cancer experience. NCONN.org definations
- Look for articles to support this…. Freeman identified barriers that affected timely diagnosis - lack of insurance, poor social support, poor coping styles and poor health literacy.
- A clear understanding of role, duties and how the navigator improves care Marketing – Community, organization, self!! Majority of referrals from GI, PCP, and Patient themselves. Clear consistent communication between patient, support staff, referring, PCP, all departments NCCN guidelines – Learn how to read them, use and refer to them often Tracking – Database, navigation software, documentation (by tracking this info can help validate the need for the navigator, and perhaps the need for additional navigators, as well as the MDC itself) Who to present, when to present, How to present Assuring the patient is never lost, providing support, education and continued consistency for patients
- Visualization of nurse navigator
- It’s important to get an understanding of who our audience truly is, we need to understand where they are coming from so that we can help them to improve their programs. Oncology Nurse Navigator (ONN) The Oncology Nurse Navigator is a professional whose clinical nursing expertise guides patients, families and their caregivers to informed decision-making; collaborating with a multi-disciplinary team to allow for timely cancer screening, diagnosis, treatment, and increased supportive care across the cancer continuum. Patient Navigator (PN) The Patient Navigator can be a layperson, a social worker or nurse who is dedicated to the individualized assistance to patients, families, and caregivers to help overcome health care system barriers and facilitate timely access to quality medical and psychosocial care from pre-diagnosis through all phases of the cancer experience. NCONN.org definations
- Is there anyone different that they work with or have present on their team?
- So what we really hoped to achieve is patient centered multidisciplinary care, one stop shopping, designed to increase communication between the specialists and to ensure fewer visits to the facility
- If we improve the efficiency, we hopefully increase pt satisfaction Clear communication with pcp/referring MD, and the treating team re: the plan very important
- Radiology, Pathology
- Maybe these questions after slide 15, tying in with the question posed-”where do you get your referrals from?”
- Role – What we do, why we do it, how it is a benefit for the patient By using an intake form you are consistent in “getting to know” your pts prior to their MDC appt, less apt to forget asking key questions Education – is an important part of our role as nurses, Pictures are GREAT! If you don’t have a lot of pamphlets or booklets, there are many available there the NCI, ACS, and independent organizations. Websites – In the beginning I tend to educate patients and families to try to stay away from the websites. It can be too overwhelming and there is a lot of BAD out there. AT the point of referral we often don’t have the whole picture put together yet and we are still looking for more pieces to the puzzles. Cancer. Org and cancer.gov are good places to start. Important to clarify what pt’s already know, what their biggest questions, fears, concerns are Appt-this is the most important part of the discussion, pt’s need the reassurance that they have an appt, therefore will have a plan, to reduce as much of their initial anxiety as possible Make sure to explain what they can expect the day of their appt-who, what, when, where, why
- ACCC-cancer.org
- Summary of appointment, calendar and next steps. Dates and times of future appointment.
- As a nurse navigator what would you do next??
- Maybe these questions, +/- any others you may think of, at the end, time allowing