Tumori Journal Abstract Book - October 2020 - 211

U - Oncology Nursing	
with cancer in quarantine was sometimes perceived as a
scaring and isolating condition of neglect, which added
uncertainty to the cancer experience.

U13
The safety of oncology care at
the time of Covid19
Cremona G.1, Muroni M.1, Bacchetta N.1, Proietto M.1, Signaroldi A.1,
Paradiso C.1, Groppi L.1, Palladino M.1, Politi S.1, Fedyniak B.1, Mele
R.1, Lis A.1, Gazzola S.1, Forelli E.1, Marenghi M.1, Marchionni M.1,
Biasini C.1, Madaro S.1, Piacentini G.1, Ambroggi M.1, Cavanna L.1
1

Dipartimento Oncoematologico AUSL Piacenza, Piacenza

Background: The U.O. of Oncology DH / DSA of the
Piacenza Hospital provides life-saving and indifferent services that could not be postponed or suspended even during the maximum spread of Coronavirus infection in the
city of Piacenza. In order to ensure continuity of care and
containment of the transmission of infected cases between
patients, visitors and health professionals, the organization
of the service was planned and changed.
Materials and methods: All patients were invited to wash
their hands with hydroalcoholic gel, to wear the surgical mask
and their temperature was detected. All patients were accepted
after triage performed by a nurse who, through the use of a
questionnaire, ascertained the health conditions, the geographical origin and epidemiological criteria at risk. Patients
who tested positive for screening were isolated and managed
in a specific area identified within the service and assisted by
dedicated staff. Access was allowed only to the person who
was to receive the service; the presence of Caregiver was
allowed for people who are not independent, if linguisticcultural mediation was required or in specific cases agreed
with the staff and the oncologist. The patient paths inside the
structure ware redesigned in order to guarantee the safety distance required by current legislation and the ventilation of the
locations. Patient appointments were spaced apart to avoid
gatherings in common areas. The patients were instructed to
contact their oncologist on the day before the appointment if
they had symptoms such as dyspnea temperature, gastrointestinal symptoms, dysgeusia. The use of telephone conversation as a tool for active patient surveillance was implemented.
All the processes for sanitizing environments, disinfecting
surfaces, equipment and care devices ware revised. Specific
procedures ware written for the wearing of operators and the
use of DPI based on the risk of exposure to Covid19.
Results: In the period from 21/02/2020 to 30/04/2020 there
were 2935 DSA accesses with an average value of 60 daily
accesses in five daily opening days of the service. During
this period, 2 patients, during the first cancer visit were
found positive post-nasopharyngeal swab, while no new
infections were found in the patients already in charge.
Conclusions: The reorganization of the service has made it
possible to provide safe and secure care to cancer patients.

211

U14
Being a nurse in Medical Oncology
during the Covid19 Epidemic
Doria A.1, Orsini B.1, Cometti B.2, Barbonetti M.B.1, Gnaccolini R.1,
Panella A.1, Lenatti C.1, Speziali V.1, Brunalli R.1, Nonini B.3, Matteri
A.3, Del Re R.3, Rocca E.2, Giumelli I.2, Bonetta S.2, Pini C.2, Sosio S.2,
Iancona L.M.2, Gottarello F.1, Pruneri R.2
1
ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio; 2ASST della
Valtellina e Alto Lario-Oncologia Medica, Sondalo; 3ASST della Valtellina e
Alto Lario-Oncologia Medica, Chiavenna

Background: Until February 21, 2020, Covid 19 was a
disease known exclusively in China. Since that date, our
working life has changed considerably. The number of
cancer patients has not changed and their needs have
always been fulfilled without interruption. Our department
has not stopped its activity and the staff have been exposed
to the risk of contagion because patients were not able to
access the preventive tampon.
Method: Our department has followed the regional and
internal directives issued by the Health Department in conjunction with those issued by the Istituto Superiore di
Sanità. The staff have protected themselves with PPE such
as masks of different types, gloves, sanitization and body
temperature monitoring. The same protection methods
have been used for patients. In order to avoid our patients'
unchecked access to the department, a doorbell has been
installed to signal their arrival. We have granted the correct
social distancing in the waiting rooms and the shifting in
the therapy rooms. Because of the absence of a secretary in
our department the staff has had to deal also with the several telephone calls, that in tis period have increased further. Our patients in oral treatment have received
medications to continue their treatment for a longer period
(two months), all the chemotherapy cycles with a second
day (e.g. Folfox-4) have been converted into a single day
(Folfox-6 and so on). Periodic checks have been postponed
after medical evaluation.
Results: During the months of March to May, 1589 chemotherapy cycles were performed. In the same period 49
patients were discharged from the hospital ward. Just first
or emergency visits were granted.
Conclusions: Our workload has not been reduced.
Patients were welcomed with new rules. No one has complained about our organizational changes. In a high turnout department like ours, this has been a stressful period
for our staff, because in addition to the infectious risk
from Covid the nursing and administrative workload
have both increased. The volunteer staff to whom the
reception is usually delegated remained at home and so
did the psychological and nutritional support. From a
psychological point of view, this period was not without
emotional consequences. None of the staff fell ill, while
some of 44 cancer patients tested positive were discovered during our work. 21 of them died.



Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020

Contents
Tumori Journal Abstract Book - October 2020 - Cover1
Tumori Journal Abstract Book - October 2020 - Cover2
Tumori Journal Abstract Book - October 2020 - I
Tumori Journal Abstract Book - October 2020 - II
Tumori Journal Abstract Book - October 2020 - Contents
Tumori Journal Abstract Book - October 2020 - IV
Tumori Journal Abstract Book - October 2020 - V
Tumori Journal Abstract Book - October 2020 - 1
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Tumori Journal Abstract Book - October 2020 - Cover3
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