IIMPLEMENTATION OF THE HOST SERVICE IN THE A.C. CAMARGO CANCER CENTER RADIOTHERAPY DEPARTMENT AND THE REPERCUSSION ON THE PATIENT‘S THERAPEUTIC JOURNEY

The patient diagnosed with cancer begins the treatment process under the guidance of a specialist and support from a multidisciplinary team. At this early stage, imaging and laboratory examinations, as well as evaluation by other specialists, are often required to complement disease staging (tumor extension and organ and tissue involvement). In addition to being stressful, this step creates difficulty in understanding deadlines and requirements for the patient. Navigation refers to a direct patient care role that provides individualized support, ensuring consistent information about treatment steps and impacts on daily activities. We decided to reconcile navigation requirements in radiotherapy treatment, with the main purpose of reducing the time interval between diagnosis and initiation of treatment and reducing anxiety for patients and families. This study aims to evaluate the impact of the patients care service referred to the A.C.Camargo Cancer Center radiotherapy department in relation to the care flow. Data were collected from November 2017 to December 2018 through an Excel spreadsheet fed daily based on medical schedules and project host instrument generated through the Electronic Record System MV. 2328 patients with treatment indication were included in this study from January to December 2018. The welcoming project starts with Radiotour after medical consultation with the nursing approach and visit to the physical structure and concludes at discharge from treatment. . After implementing the actions of the multidisciplinary team, there was a reduction in the time between the initial consultation (when the therapeutic plan is proposed) and the planning of up to 07 days, corresponding to 30% of the initial time. This program showed us that it is possible to improve processes in various aspects, such as the effective management of the process by the multiprofessional team, implementation of 04 assistance / administrative indicators making the flow more agile, less bureaucratic and safer.