what has changed in oncology since 92

jemb · Aug 31, 2002

New drugs and better diagnostics are always being developed. Biological modifiers are being used a lot. Fewer patients are being hospitalized for chemo and surgery stays are shorter -- mastectomy patients are discharged in 24 hours with drains still in place. (Reimbursement is tougher). I am seeing much better control of side effects and more patients with central lines/ PICCs, ports, being placed for chemo. Because of the internet, many patients are more informed now of their options, etc., and have a lot more questions than they did a decade ago.

renerian, BSN, RN · Aug 31, 2002

Thanks Jemb. I saw lots of people in the home for the mastectomies to teach them about how to empty drains. Most insurance only paid for one visit which most people do okay with, but for some it is horrible for them as they can barely look at their wound. Have you worked on oncology?

renerian

jemb · Aug 31, 2002

I've worked oncology for fifteen years plus. The first five were totally inpatient, but as the inpatient popluation became less oncology and more med-surg oriented, I began my move to outpatient, working both per diem for a few years. I've worked only outpatient for the last 3 years. Our clinic is in a large medical center and is physically connected to the hospital, so I'm able to stay in touch with the whole picture for the most part. Inpatient is often so poorly staffed (too few onc nurses for the combo ward) that some patients who could have started treatment while in-house end up coming to the clinic after thy are discharged. You are much needed!

renerian, BSN, RN · Aug 31, 2002

Jemb so I hear on being needed. Even with just starting on the unit I will have the most oncology experience of anyone....

renerian