As part of the Juravinski Cancer Centre’s priorities for ambulatory care design, a comprehensive urgent care cancer service was required to provide proactive and rapid access to care for patients with complex, unpredictable, sudden or unmanaged symptoms or treatment toxicities. Improved accessibility by knowledgeable and experienced oncology care providers was a strategic focus for the cancer care program. The implementation of the RESSCU program was initiated in 2015. RESSCU is a Nurse Practitioner (NP) led clinic for individuals with cancer when they are receiving chemotherapy or radiation treatment. As part of the integrated team, two RN’s provide treatment within the RESSCU program between the hours of 8 am and 6 pm Monday to Friday. The implementation of the RESSCU program provides a direct referral for unscheduled care to a highly skilled oncology care provider. RESSCU provides integrated care by promoting access to the patient’s cancer record, and care by oncology nurses. The RESSCU care providers are knowledgeable about cancer treatments and their side effects. The NP collaborates with the patient’s Oncologist and oncology nurses. The NP provides close follow and evaluation of the care plan with visits in RESSCU or by telephone outreach. A unique cohort analysis comparing 15/16 and 17/18 data indicates there was a 4 % increase in patient treatment volumes overall. Despite this increase, there have been decreased admissions to hospital as well as decreased visits to the emergency department. These changes coincide with the launch of RESSCU. Additionally, patients report high satisfaction with the RESSCU program.
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