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that it should be waited at least 6 months after RT to
perform restorative procedures, in which the Clearfil SE
Bond was less affected.
Electronic Poster: RTT track: Education and
training/role development
EP-1858 Implementation of nursing consultations
following adjuvant radiotherapy for breast cancer
S. Petri
1
, A.B. Krog
1
, L. Prenter
1
1
The Finsen Center - Rigshospitalet, Department of
OncologySection for Radiotherapy, Copenhagen,
Denmark
Purpose or Objective
The purpose of implementing nursing consultations for
women treated with adjuvant radiotherapy for breast
cancer was multiple. The primary objective was to
enhance the women’s experience of continuity and
consistency of care during the treatment trajectory.
Secondly the aim was to implement a preparation tool
"Supporting life with cancer”
(fig. 1) in the consultations
to address the problems and challenges the women could
experience in their everyday lives following the treatment
trajectory. The focus of the nursing consultations was
therefore on handling the toxicity experienced during the
radiotherapy as well as a specific focus on rehabilitation
and support in the future everyday life.
Material and Methods
Initially all RTTs (nurses and radiographers) received a
generic course regarding the use of the preparation tool
"Supporting life with cancer”
and assessment of
rehabilitation needs during the cancer treatment
trajectory. Subsequently the RTTs were divided in smaller
groups of 4 to 8 and participated in a course regarding the
specific content of the
consultations.
The
bullet points were:
- Nursing assessment of the radiotherapy induced toxicity
- Advice and guidance to cope with the toxicity in
everyday life
- Communication techniques to ensure a patient-centered
and
patient-driven
agenda
These sessions were conducted by the department’s
clinical nurse specialist, an experienced RTT and MscN.
Guidelines for the consultations and tip sheets on
communication and rehabilitation services were designed
in cooperation with the RTTs to support and simplify the
tasks of the consultations.Frequent follow-up sessions
with the small RTT-groups and the clinical nurse specialist
comprised adjustment and supervision continuously during
the implementation period.
In December 2015 the consultations were implemented to
a limited number of patients, in order to gain knowledge
on challenges that could occur. Small adjustments were
made and in February 2016 the consultations were
expanded to the entire patient group.
Results
The consultations were implemented successfully. The
results of an audit on 100 patient charts are showed in
table 1. Ninety-eight of the first 100 women, whom were
scheduled for the nursing consultation, received it. The
duration of the consultation was planned to 20 minutes,
and the mean duration was 21.5 minutes.
Furthermore the implementation process was evaluated
with the RTTs in smaller groups and statements like;
"a
meaningful task”, "well prepared”
and
"it’s not as
difficult as anticipated, I can actually handle this”
were
frequent statements.
Conclusion
The successful implementation of this project was
particularly due to the deep involvement of the RTTs in
the planning and adjustment of the project. In this way
the RTTs felt an ownership of the project while the new
tasks
were
considered
meaningful
too.
Future areas for improvement involve the patients’
perspectives of the consultations and the need assessment
preparation
tool.
EP-1859 RTTs challenge’s in re-plan decision
D. Radola
1
1
Greater Poland Cancer Centre, Radiotherapy
Department II, Poznan, Poland
Purpose or Objective
Important role of imaging, and verification on medical
accelerator depend on RTT team. From the past three
years, our Oncology Center develop advance scope of
practice dedicated to RTT depend on the level of the
education, allowed to managed and build strong team.
The priority is quality of the treatment. The main aim of
this work is to present changes in responsibility in daily
practice of the RTT allowed to improve the quality of
treatment, by fast detection of possible residual errors in
radiotherapy.
Material and Methods
Radiation Technology’ tasks included: patient positioning,
portal verification, irradiation delivery. The scope of
licentiates’ responsibilities (equivalent of bachelor’s
degree –) was extended to include QA dosimetric
procedures and the preparation of accelerators. The
existing duties of RTT with magister’s degree (equivalent
of master’s degree) were extended and supplemented
with new competences. These included the supervision of
the work on the accelerator, decisions on replanning,
assistance to the radiation therapist in preparing patients
for treatment, (immobilisation, iCT, organ at risk
contouring, verification of ready treatment plans on the
simulator).
Results
In 2011/12 number of re-plan was (481) and (523) which
correspond with 10% of all treating patient in our Center.
In 2013 we start developing idea of advance scope of
practice of our RTT. Next two years of experience in
Immobilization, treatment preparation, and contouring
indicate increasing number of quality control. Number of
re-plan in 2014/ 2015 was (581) (566) which corresponding
with 11.5% and it was higher by 1,5% according to first two