ESTRO 36 Abstract Book

S1001 ESTRO 36 2017 _______________________________________________________________________________________________

that it should be waited at least 6 months after RT to perform restorative procedures, in which the Clearfil SE Bond was less affected.

made and in February 2016 the consultations were expanded to the entire patient group. Results The consultations were implemented successfully. The results of an audit on 100 patient charts are showed in table 1. Ninety-eight of the first 100 women, whom were scheduled for the nursing consultation, received it. The duration of the consultation was planned to 20 minutes, and the mean duration was 21.5 minutes.

Electronic Poster: RTT track: Education and training/role development

EP-1858 Implementation of nursing consultations following adjuvant radiotherapy for breast cancer S. Petri 1 , A.B. Krog 1 , L. Prenter 1 1 The Finsen Center - Rigshospitalet, Department of OncologySection for Radiotherapy, Copenhagen, Denmark Purpose or Objective The purpose of implementing nursing consultations for women treated with adjuvant radiotherapy for breast cancer was multiple. The primary objective was to enhance the women’s experience of continuity and consistency of care during the treatment trajectory. Secondly the aim was to implement a preparation tool "Supporting life with cancer” (fig. 1) in the consultations to address the problems and challenges the women could experience in their everyday lives following the treatment trajectory. The focus of the nursing consultations was therefore on handling the toxicity experienced during the radiotherapy as well as a specific focus on rehabilitation and support in the future everyday life.

Furthermore the implementation process was evaluated with the RTTs in smaller groups and statements like; "a meaningful task”, "well prepared” and "it’s not as difficult as anticipated, I can actually handle this” were frequent statements. Conclusion The successful implementation of this project was particularly due to the deep involvement of the RTTs in the planning and adjustment of the project. In this way the RTTs felt an ownership of the project while the new tasks were considered meaningful too. Future areas for improvement involve the patients’ perspectives of the consultations and the need assessment preparation tool. Purpose or Objective Important role of imaging, and verification on medical accelerator depend on RTT team. From the past three years, our Oncology Center develop advance scope of practice dedicated to RTT depend on the level of the education, allowed to managed and build strong team. The priority is quality of the treatment. The main aim of this work is to present changes in responsibility in daily practice of the RTT allowed to improve the quality of treatment, by fast detection of possible residual errors in radiotherapy. Material and Methods Radiation Technology’ tasks included: patient positioning, portal verification, irradiation delivery. The scope of licentiates’ responsibilities (equivalent of bachelor’s degree –) was extended to include QA dosimetric procedures and the preparation of accelerators. The existing duties of RTT with magister’s degree (equivalent of master’s degree) were extended and supplemented with new competences. These included the supervision of the work on the accelerator, decisions on replanning, assistance to the radiation therapist in preparing patients for treatment, (immobilisation, iCT, organ at risk contouring, verification of ready treatment plans on the simulator). Results In 2011/12 number of re-plan was (481) and (523) which correspond with 10% of all treating patient in our Center. In 2013 we start developing idea of advance scope of practice of our RTT. Next two years of experience in Immobilization, treatment preparation, and contouring indicate increasing number of quality control. Number of re-plan in 2014/ 2015 was (581) (566) which corresponding with 11.5% and it was higher by 1,5% according to first two EP-1859 RTTs challenge’s in re-plan decision D. Radola 1 1 Greater Poland Cancer Centre, Radiotherapy Department II, Poznan, Poland

Material and Methods Initially all RTTs (nurses and radiographers) received a generic course regarding the use of the preparation tool "Supporting life with cancer” and assessment of rehabilitation needs during the cancer treatment trajectory. Subsequently the RTTs were divided in smaller groups of 4 to 8 and participated in a course regarding the specific content of the consultations. bullet points were: - Nursing assessment of the radiotherapy induced toxicity - Advice and guidance to cope with the toxicity in everyday life - Communication techniques to ensure a patient-centered and patient-driven agenda These sessions were conducted by the department’s clinical nurse specialist, an experienced RTT and MscN. Guidelines for the consultations and tip sheets on communication and rehabilitation services were designed in cooperation with the RTTs to support and simplify the tasks of the consultations.Frequent follow-up sessions with the small RTT-groups and the clinical nurse specialist comprised adjustment and supervision continuously during the implementation period. In December 2015 the consultations were implemented to a limited number of patients, in order to gain knowledge on challenges that could occur. Small adjustments were The