Page 130 - Hospital Authority Convention 2018

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2018

F3.3 Clinical Safety and Quality Services I 14:30 Room 421

Fostering Patient’s Need Outside Hospital – The Extended Breast Care Nurse Role
Chun OK, Or YM, Wong NS, Wong WL, Cheng ML
The Breast Centre, Department of Surgery, Kwong Wah Hospital, Hong Kong
Introduction
There are many health issues related to breast patients. These issues can detour patients attending emergency department
as well as following up with patient care. If the function of integrated nurse clinic is further enhanced to take care of patients’
other problems, theoretically it can reduce the rate of unnecessary admission. A new service is developed to look after
patients’ health needs outside hospital including psychological support to reduce anxiety related to the disease, and caring
of daily physical problem. If there are problems unresolved, Bresat Care Nurse (BCN) can refer and arrange patients to follow
up early in Specialist Outpatient Clinic.

Objectives
(1) To reduce unplanned hospitalisation; (2) to provide patients with timely access to BCN; (3) to educate and correct
uncertain health issues; and (4) to improve patients’ satisfaction of care

Methodology
Monday, 7 May 2018 and contact number is given to patient in the stage of diagnosis. Patient enquiry is allowed to walk in or give call to her
A designated site in integrated nurse clinic serves this specialty patient group. The assigned primary nurse with name card
primary BCN for her health concern. A brief memo record is designed for documentation:
(1) The duration used for enquiry
(2) The major concerns and problems
(3) The outcome of this nursing service

Results
From January 2017 to December 2017, over 700 enquiries were received. Nearly 90% are from phone consultations. On
average, the BCN used 7.39 minutes for every enquiry and nearly 90% enquiries would settle within 10 minutes. The results
indicated that 90% patients were breast cancer patients and the majority of problems related to pre-operative psychological
issues and post-operative early rehabilitation concerns. The results also showed that around 20% of the patients required
earlier follow up in integrated nurse clinic but no one needed for admission.

Nowadays, addressing the physical needs of a patient is not enough and the care delivery must expand to personalised care
and encompass patients’ psycho-social needs. This is patient initiative service. The results highlighted that competent and
qualified BCNs are a good resource person to manage patients’ enquiries, provide psychological care and patient education

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