This dedicated webpage provides information to support community nursing partners in providing care for Peter Mac patients. It also serves as a comprehensive resource for nurses seeking insights and guidance on cancer nursing care in the community. Our Community Liaison Nurses coordinates all contracts with community providers and ensure adherence to the contractual agreement.
Peter Mac @ Home visits two categories of patient’s, Hospital in the home patient (HITH) and non-admitted patients (Non-HITH).
HITH patients are admitted patients to the hospital and require daily visits. The external provider should give a daily verbal handover and complete a documented day attendance form at each visit.
Non-HITH patients are not admitted patients to the hospital but require hospital nursing care in the home.
Chronic wound care should be referred to Bolton Clarke. If admitted to a ward and the patient is discharged, they are eligible for Post Acute care which must be completed by the referring ward.
Here you will find:
- Information that assists community nurse partners in the delivery of care for our patients in the community
- Resource for nurses seeking information about Cancer Nursing in the Community.
Central Venous Access Device (CVAD) Management
Our patients require a range of central venous access devices (CVAD’s) for systemic anti-cancer therapy, supportive therapy, and medication administration. Devices that we can insert at our Parkville campuses include:
- Portacath / Totally implantable venous access device (TIVAD)
- Peripherally inserted central venous catheters (PICCs)
- Tunnelled devices (Hickman and Permacath)
If we have outsourced the patient from Peter Mac @ Home, the Community Liaison Nurse will provide the community nursing provider with the following:
- Written information regarding the type of CVAD inserted, including location and date of insertion and when last accessed
- Dressing change date
- Adequate PPE if cytotoxic and sharps or equipment for disposal
- Adequate equipment for CVAD care
- Assessment required for CVAD care
- Troubleshooting
- How to contact Peter Mac @ Home or after hours
Considerations when choosing the type of CVAD include, but are not limited to:
- Patient diagnosis
- Treatment requirements
- Patient physical assessment
- Previous CVAD history
- Duration and type of therapy
- Where the therapy is administered
- Patient preferences, lifestyle, and level of support
The Central Venous Access Device CVAD Principles of Management clinical guideline provides information on all aspects of CVAD assessment and management.