Challenges and responce
| Challenge . | Response . |
|---|---|
| Lack of diagnostic capability | External computed tomography service in local private hospital |
| Pathology services in Phnom Penh, Cambodia, and Milwaukee, WI | |
| Flow cytometry and molecular studies in Seattle, WA | |
| Difficult for AHC to manage the service with 1 oncology fellow, especially when he is on external training | AHC Hematology-Oncology Unit created in 2017, comprising 3 doctors. |
| ASH-HVO now provides teaching to the new team members. | |
| Difficult to deliver the service with only 1 oncology nurse | Two part-time oncology nurses recruited from existing staff (work in the emergency department-pediatric intensive care unit) |
| Increasing number and complexity of cases | Teaching to general staff, including a multidisciplinary workshop delivered by AHC and the expatriate oncology team |
| Concern amongst staff regarding safety of chemotherapy drugs | Pharmacy safety hood and chemotherapy room provided for drug preparation |
| Regular teaching to pharmacy and nursing staff: how to prepare and administer chemotherapy drugs safely | |
| Nursing and pharmacy standard operating procedures | |
| Impoverished patient population, often living far from the hospital | Support from AHC social work (transportation costs, food while at AHC), phone consultations |
| Challenge . | Response . |
|---|---|
| Lack of diagnostic capability | External computed tomography service in local private hospital |
| Pathology services in Phnom Penh, Cambodia, and Milwaukee, WI | |
| Flow cytometry and molecular studies in Seattle, WA | |
| Difficult for AHC to manage the service with 1 oncology fellow, especially when he is on external training | AHC Hematology-Oncology Unit created in 2017, comprising 3 doctors. |
| ASH-HVO now provides teaching to the new team members. | |
| Difficult to deliver the service with only 1 oncology nurse | Two part-time oncology nurses recruited from existing staff (work in the emergency department-pediatric intensive care unit) |
| Increasing number and complexity of cases | Teaching to general staff, including a multidisciplinary workshop delivered by AHC and the expatriate oncology team |
| Concern amongst staff regarding safety of chemotherapy drugs | Pharmacy safety hood and chemotherapy room provided for drug preparation |
| Regular teaching to pharmacy and nursing staff: how to prepare and administer chemotherapy drugs safely | |
| Nursing and pharmacy standard operating procedures | |
| Impoverished patient population, often living far from the hospital | Support from AHC social work (transportation costs, food while at AHC), phone consultations |