Reply To: Inpatient Nurse Navigator Role?

  • Sara Bennett

    Member
    December 13, 2022 at 12:13 pm

    This is a great thread! 

    I’m the Patient & Family Education Specialist at Texas Children’s Hospital.  This is a leadership role focused primarily on new diagnosis education inpatient.  My role is at the level of the nurse education coordinators. I follow and track all the newly diagnosed, newly relapsed, new to our hospital, and patient’s discharging home with CVC’s for the first time.  I supplement bedside nursing education on diagnosis, roadmap and chemotherapy treatment, blood counts, CVC care, who to call, and when to call.  I teach a Central line “Class” at the bedside.  I also provide clinic tours since our clinic is located in another building.  I am located inpatient and am about 20% staffing.  I precept our new nurses on educating our patients and families.  I work closely with physicians, social work, child life, care coordinators, and of course nursing staff.  

    Outpatient new diagnosis families are followed by the outpatient nurse coordinators.  I usually have between 16 and 22 patients currently admitted on my education list meeting one of the above criteria’s (66 bed acute care hem/onc unit). I could use two of me! 

    I am new to this role and would love further discussions on what other institutions are doing.  Feel free to reach out!

    Sara M Bennett, BSN, RN, CPHON
    Texas Children’s Hospital – Main Campus, Houston
    smbennet@texaschildrens.org

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    Sara M Bennett, BSN, RN, CPHON
    Texas Children’s Hospital – Main Campus, Houston
    smbennet@texaschildrens.org
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    Original Message:
    Sent: 12-13-2022 07:53 AM
    From: Nicolette Camarano
    Subject: Inpatient Nurse Navigator Role?

    Hi! I function as an outpatient pediatric heme/onc nurse navigator, if this helps any. I filter and triage our physician’s referrals and work with our community’s PCPs to get patients seen with us or treated in a PCP clinic appropriately. As far as inpatient, I will go with our physician at new diagnosis and educate the family on diagnosis, treatment plan, and answer any and all questions they have at that time. I become their point of contact at diagnosis so they have someone to reach out to when they have questions or concerns. I’ve gone inpatient to educate patients and families at first discharge, make sure they have handouts on central line information, phone numbers in case of oncologic emergencies, and can verbally teach back what to do/walk through various scenarios. At their first outpatient clinic appointment, I also go over what treatment will look like again, provide education and handouts and answer all questions prior to first outpatient chemo visit. Obviously I am not an inpatient role, but in the outpatient world, I fall under a non-staffing role so I am not included in staffing when it comes to outpatient census. That being said, I maintain chemo certification to stay educated and am willing to give chemo or hang meds when needed in clinic, which happens very rarely. Hope this helps!

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    Nicolette Camarano, BSN, RN, BMTCN, CPHON

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    Original Message:
    Sent: 12-13-2022 07:42 AM
    From: Pamela Dockx
    Subject: Inpatient Nurse Navigator Role?

    Do any of your institutions utilize an inpatient Nurse Navigator role? 
    We are looking at a position that would follow all newly diagnosed oncology inpatients from admission to first time discharge with responsibilities including ongoing patient family education, discharge med rec and review, updating home care agencies etc. 
    Do any if you have this position presently? 
    If so, can you describe their title, responsibilities, and does this position fall as direct or indirect patient care for your staffing plan?
    Thank you
    Pam Dockx, BSN, RN, CPON
    Boston Children’s