SHO
1. Start Thursday morning clinic at 8:45 am, preparing patients for
examination by consultant.
2. Start Friday afternoon clinic at 1:00 pm.
3. Attend Tuesday theatre session at 1:00 pm.
4. Attend Friday morning session at 8:45 am.
Registrar
1. Arrange for general ophthalmology patients to be brought in from
waiting list as necessary to fill spare theatre time.
2. Start Thursday morning clinic at 8:45 am, preparing patients for
examination by Consultant.
3. Start Friday afternoon clinic at 1:00 pm.
4. Attend Tuesday theatre session at 1:00 pm.
5. Attend Friday morning session at 8:45 am.
Oncology Secretary
Organize
oncology referrals
1. Register patient details on database. Pass printout to clinic clerk.
Send patient letter and information pack.
2. Organize accommodation for patients attending initial and follow-up
clinics, in response to telephone requests( in Hilsborough Suite if
possible).
3. Deal with patient queries.
Organize follow-up
clinics.
1. Check oncology database with RLUH database, to ensure no patients
are lost to follow-up. Adjust clinic list as appropriate, preventing
overbooking.
2. Organize monthly proton beam follow-up clinic in collaboration with
general oncologist.
3. Obtain E112 forms for overseas patients.
4. Retrieve photographic slides for follow-up clinics and return to
file afterwards.
Organize admissions
1. Update oncology database. Give printout to waiting list officer.
2. Book follow-up appointments for ward discharge patient and send card
to patient.
3. Handle incoming mail, datastamping each letter.
4. Type letters.
5. File correspondence.
6. Maintain general filing cabinet.
Organize theatre
sessions
1. Update oncology database.
2. Prepare theatre lists in collaboration with consultant and registrar
or SHO.
3. Distribute copies of theatre list to ward, theatre, day-case unit
and data manager.
Organize Consultant
Activities
1. Maintain diary.
2. Inform clinic supervisor of consultant absences.
Organize visits
by overseas medical staff
1. Send information sheet with list of dates.
2. Obtain CV.
3. Obtain approval from clinical director and RLUH medical director.
4. Organize medical examination.
5. Organize accommodation.
6. Prepare certificate of attendance.
Referral for
Proton Beam Radiotherapy
1. Complete initial data form and fax to Sue Simpson at CCO
2. Once dates received for simulation, remove ultrasound from notes,
initial status form (completed by consultant in theatre) and a copy
of detachment form picture. Send these to CCO together with copy of
discharge letter and representative colour transparency of tumour.
Patient satisfaction
surveys
1. At end of each month, send all inpatients a satisfaction questionnaire
and a self-addressed envelope.
2. Place a green spot on the lower left hand corner of each envelope.
3. Collect returned envelopes and store in box under desk.
4. At end of each week, send returned envelopes, unopened, to quality
control department.
Complaints procedure
1. Maintain a complaints file.
2. Advise Quality Facilitator located at Derwent House of complaint.
3. Prepare a report.
Data Manager
Maintain
and update oncology database
1. After each episode, check casenotes and update database.
2. Obtain missing data from referring ophthalmologist or general practitioner.
3. Provide weekly and quarterly review statements on activity for NSCAG.
4. Obtain and record NHS numbers for all patients.
Maintain Digital
Photographic Archives
1. Digitise selected slides.
Virus Protection
1. Organize protection for all oncology computers in collaboration with
IT Dept.
2. Obtain updates of protection software regularly.
Other Duties
1. Provide administrative cover when oncology secretary is absent.
2. If NHS number is not supplied by the patient, obtain NHS numbers
by phoning patients GP or local health authority.
3. Computerize information which is automatically dispatched from cancer
registry.
4. Once a year, send all referring ophthalmologists for that year a
satisfaction questionnaire and a self-addressed envelope. Count the
results as they are returned.
5. Maintain accident file.
Oncology Nurse
- Summary of Activities
Hospital
based counselling
1. After initial consultation.
2. During stay on ward.
3. At follow-up clinics.
Community based
counselling
1. Telephoning patients after discharge from ward making record on data-base
of important points raised.
2. By telephone, following discharge from Ocular Oncology Service.
3. Refer to appropriate support agency via GP if problem identified.
4. Liaise with other appropriate health care professionals.
Co-ordination
of a service assisting new patients to communicate with previously treated
patients.
1. Ask all new patients whether they would like to speak to previously
treated patients. Arrange communication, as appropriate.
2. Ask all patients whether they would like to volunteer to speak to
new patients, and if so, whether they would like to phone or be phoned.
Additional Duties
1. Provision of a 24 hour help-line.
2. Management of a system to assess and monitor quality of care and
patient centred outcomes.
3. Provide continuity of care for patients whilst assisting Ophthalmologist
in clinics, ward and theatre.
4. Advise nursing, medical and clerical staff on matters specific to
the Ocular Oncology Service.
5. Teach nurses in theatre and clinic, and at meetings within the hospital
and nationally.
6. Write articles for nursing literature.
7. Advise departmental administration on matters relating to the Ocular
Oncology Service.
8. Improve quality and continuity of care by facilitating communication
and inter-departmental co-operation.
9. Maintain links with the Ocular Oncology Nurses at other hospitals
within the country providing a similar service, ensuring best practice.
10. Act as the patient's advocate: the clinical nurse specialist is
uniquely placed to carry out this role as they are not part of the direct
care team. This allows for effective empowerment of the patient by providing
expert knowledge of the treatments available and the potential outcomes
of such treatments.
11. Attend professional meetings.
12. Attend meetings with Ocular Oncology Consultant and Ocular Oncology
Pathologist and to keep updated with medical research projects.
13. Liase with relevant medical research personnel for collecting patient
data, bloods and tissue samples.
14. Update database with relevant clinical information in accordance
with the data protection act.
15. Facilitate the development of research.
Consultant
1. Supervise oncology service.
2. Maintain and update oncology database, in co-operation with computer
engineers.
3. Formulate and update oncology practice guidelines.
4. Design proformas for case-notes in collaboration with oncology nurse.
5. Perform audit, in collaboration with data manager and statistician.
6. Provide education to junior staff, general ophthalmologists and optometrists,
within hospital and elsewhere.
7. Maintains accident or near-miss register, in collaboration with data
manager.
8. Maintains patient guide and staff protocol so that they are up to
date.
Business Manager
1. Organise quotes for treatment of overseas patients.
2. Book interpreters, as required.
3. Liase with D.O.H. for elements of NSCAG contract.
4. Ensure smooth running of service by provision secretary to cover
absences.
5. Liase with consultant on financial matters for developments within
the service.
6. Attend oncology meetings with D.O.H.
7. Liase with data manager to ensure information is available at appropriate
times.
8. Bank donations to Eye Tumour Fund.
9. Make application to trust fund committee for purchase from eye tumour
fund.
10. Advise and assist A&C staff.
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Photographer
File all new
photographs taken at new and follow-up clinics.
