BCN scope of practiceThe Northern experience

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BCN scope of practice-The Northern experience

• Kathy Wallace
• Breast Care Nurse

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Introduction

• Multi-Disciplinary Approach
• Northern Numbers
• BCN role/pathway
• Case Study
• Limitations
• Recommendations

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Multi-disciplinary approach

• Members
• Meeting
• Clinic

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Northern facts

• MD breast clinic
• Day Oncology
• Additional Programmes/facilities

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Day oncology numbers
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BCN pathway
1st Contact Breast Clinic
2nd Contact Home visit and/or PAC
3rd Contact Inpatient
4th Contact Home visits 3 - 4
5th Contact Clinic post MDM pathology results
6th Contact 1 6 weeks
7th Contact 3 6 months Including Day
Oncology contact
8th Contact PRN post treatment Follow up review
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Thuy 1st contact-clinic

• 32 yr old single mother
• Vietnamese
• Lack of support

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2nd Contact- home visit

• Environment
• Surgery and implications
• Family support
• Psychological assessment

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3rd Contact-Inpatient

• Surgery
• Information and support
• Referrals

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4th contact- home post op

• Physical care
• Social supports
• Cultural issues

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5th contact-MD breast clinic

• Pathology results
• Adjuvant treatment
• Plan

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6th contact 1-6 weeks

• Adjuvant treatment
• Referrals
• Social supports/children

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Follow up contacts

• Psychological support
• Disease progression
• Outcomes

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Limitations to scope of practice

• Home Visits
• Increasing workload
• Resource

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Conclusion and recommendations

• BCN role
• Future for Northern