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Abstract
Introduction Brachytherapy is a critical component in the treatment of gynecologic cancer. The total duration of radiation therapy (including brachytherapy) is particularly critical in the cervical cancer population, with the goal of all treatment being delivered within 56 days for best prognostic treatment outcome. Nurses often serve as coordinators for these patients and must anticipate and navigate any potential barriers to treatment completion, especially for interstitial brachytherapy requiring anesthesia. Such delays can include pancytopenia (especially from concurrent chemotherapy), electrolyte imbalances, new thrombosis, anticoagulation management, GIP/GLP-1 receptor agonist management, and psychosocial or socioeconomic issues, among others. Treatment delays can not only affect overall patient survival, but also contribute to emotional and financial stress. Nurses must be prepared to track these potential barriers in an efficient manner and coordinate interventions or plans to minimize delays. This can be done through the use of a standardized tracking tool.
Methods A standardized tool was developed by nurses at large hospital with a high volume gynecologic brachytherapy program. This tool tracks labs, medications, orders, radiation and chemotherapy treatment, insurance authorization, and other factors mentioned above. Any interventions are also tracked using this tool. Nursing Tracking Tool for GYN Brachytherapy Patients
Results This tool has been successfully implemented in the care of all gynecologic brachytherapy patients at our institution. By using this tool, care is streamlined and minimized treatment delays due to preventable causes.
Conclusion/Implications Strong nursing care coordination for gynecologic cancer patients, even through use of a simple tool, promotes high levels of patient care, safety and sustainable excellence.
