Nursing Division

Introduction

Recently, there has been a need to administer medical treatment to cancer patients in their homes, which serve as recuperation places. The focus of cancer treatment is therefore shifting from inpatients to visitor units, as exemplified by the increasing number of chemotherapy patients in the visitor unit of the National Cancer Center Hospital East (NCCHE). Chemotherapy follow up services by phone for patients have been provided by the Nursing Division.
The Division started follow up services by phone after discharge, screening discharge adjustments as support services, to provide cooperation with the visiting nursing station.
This year, 290 consultation cases were handled by the "Consultation services for cancer patients and families" organization of various medical staffs started in 2007.
In 2008, as a hospital management, the Division took an active part in the introduction of electronic medical records in our hospital and in preparation of examination by Japan Council for Quality Health Care.

Vision: to shine with learning and act full of life

  1. To provide high quality nursing care by designing careers as a specialist.
  2. To contribute to administrative bases establishment and improve administrative bases and working conditions.

Strategies

  1. Enrich nursing education system.
  2. Strengthen cooperation with the community.
  3. Maintain awareness of administrative bases among staff.
  4. Strengthening of organization.

Action plans

  1. Complete the education system inside and outside the hospital.
  2. Conduct case conferences.
  3. Cooperate with stakeholders such as OPD, IPPD and the community.
  4. Expand nursing consultation.
  5. Promote team medial.
  6. Efficient management of sickbed patients.
  7. Proper management of consultation reward and commodity management.
  8. Improve nurse work.
  9. Support parenting for staff.

Routine activities

In 2008, the number of operations conducted was 2383. The average number of outpatients per day was 627.7, while that of inpatients was 355.6. The average hospitalization term was 15.2 days.
Of the current 267 nurses, 50 are newly employed. The Division aims to improve nurse education to provide proper quality nursing services. Four courses have been initiated: (1) an introductory course for new employees, (2) a practical course, (3) a specialized cancer nursing course, and (4) a power up course.
There are 16 Certified Expert Nurses specializing in wound ostomy continence care (3), cancer pain (5), cancer chemotherapy (3), palliative care (2), infection control (1), eating disorders (1), and breast care (1). There are 2 expert nurses.
We have started training for cancer nursing expert with NCCHC, dispatched seminars for nursing students, and conducted open seminar "Rehabilitation for cancer patients" with 243 participants.

● T. Ichihashi ●

The number of trainee (< 1 week)
  2006 2007 2008
  Postgraduate Nurse
  Certified Expert Nurse
  Expert Nurse
  Others
  Total
  Nursing Student		1
6
-
0
7
148		7
6
-
1
14
175		8
12
6
9
35
208

Number of Nursing Training Participants
  2003 2004 2005 2006 2007 2008
  Teaching nurse 1) 2)
  Supervisor 1)
  Nursing management training 1)
  Overseas nursing training 3)		 9
2
1
1		 5
1
0
1		 2
2
1
0		 6
0
2
2		 6
0
1
1		 3
0
1
1
Total 13 7 5 10 8 5
Note: Organized by 1) Ministry of Health and welfare, 2) Chiba prefecture,
3) Nursing training at Mayo Clinic, USA

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