Reply To: RN Role in Hematology/Oncology Ambulatory Clinic and Infusion Center

  • Courtney Erickson

    July 15, 2019 at 10:37 am


    Have you received any feedback on these questions? I am also curious as our clinic runs very similar. I also wonder what your role of the RN Coordinator in follow up/active treatment is in the clinic. Do your RN Coordinators always see patient’s in the clinic as well? 


    Courtney Erickson, BSN, RN
    Cancer Cell Therapy Nurse Coordinator
    Lucile Packard Children’s Hospital Stanford
    Bass Center for Childhood Cancer and Blood Diseases
    725 Welch Rd #150
    Palo Alto, CA 94304
    Original Message:
    Sent: 01-24-2017 09:18 AM
    From: Kimberly Duback
    Subject: RN Role in Hematology/Oncology Ambulatory Clinic and Infusion Center

    Our hospital recently opened a combination hem/onc clinic and infusion space. We see an average of 15-20 patients that are a combination of current oncology patients receiving chemotherapy, hematology patients receiving transfusions or IV medication to hematology, and hematology/oncology patients who are regular clinic patients receiving no treatment.

    For those of you who see hematology and post-treatment oncology patients who are no longer receiving treatment but coming in for follow-up visits with their physician, what role does the RN have in seeing and assessing those patients? For our active treatment oncology and hematology patients who are receiving treatment or procedures in the clinic, our nurses complete and document a basic head-to-toe assessment and then any assessment/follow-up documentation needed for the specific medication/treatment/procedure, etc. For the “clinic” patients who do not receive any treatment or procedures, our nurses have not been doing physical assessments on these patients. However, because we see them in the same space within the children’s hospitals, we were wondering if we should be standardizing our care regardless of the type of patient visit. In consideration of this, we are wondering what other facilities do in terms of the RN role in follow-up clinic visits?

    We really appreciate your input! Thank you!

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    Oak Lawn, IL
    United States of America