Team approach of chemotherapy treatment for outpatients--a report from the chemotherapy treatment room at Kitasato University East Hospital

摘要

At Kitasato University East Hospital, the number of cancer patients who receive chemotherapy in the Chemotherapy Treatment Room for Outpatients (CTRO) is increasing (more than 200 a month). In order to enforce chemotherapy safely and efficiently, we are advancing a mutual collaboration between nurses and other occupations (doctors, pharmacists, etc.) in each ward and CTRO. First, we attained a unification of the system connecting each ward and developed the clinical path, progress nursing document (NCI-CTCAE ver. 3.0) and operating procedure. We keep the protocol for every patient in the file. Each occupation checks the protocol and patient's condition from each professional angle in order to prevent an accident. Moreover, the orientation for the patient by CTRO nurses is useful to create an image of their treatment process and makes the shift for patients from the ward to CTRO go smoothly. While the patients receive chemotherapy, the nurses grasp the patient's condition from various sides and support decision-making around the treatment. We collaborate with the committee and with study groups of nursing, which consist of a clinical nurse specialist and other occupations. We need to continue to improve the quality of medical treatment.