Tricia Strusowski, MS, RN
Over the last months, my ACCCBuzz blog posts have covered navigation documentation tools, orientation needs, patient education, and the value navigators bring to a cancer program. Navigators support patient-centered, coordinated, streamlined access to care. But what about the support navigators themselves need in order to provide the best possible care for the patients and their families while juggling a host of other responsibilities? This was a hot topic of discussion during a recent Academy of Oncology Nurse & Patient Navigators (AONN+) Navigation Metrics Subcommittee meeting.
My answer to this question takes me back four years. At that time I was director of the oncology clinical program at the Helen F. Graham Cancer Center at Christiana Care Health System, which had been in existence since 1998. I had registered nurses functioning in the navigator role, and I knew I needed to enable them function to the top of their license.
Throughout my career, I have been an advocate for all healthcare professionals to work at the highest level as outlined by their professional license in their state. In my present position as a manager at Oncology Solutions, LLC, I have been involved with assessing navigation programs across the country. Navigators I’ve spoken with have shared the complexities of their role and how frustrating their job becomes at times due to the amount of paperwork and the hours spent scheduling and coordinating appointments. Unfortunately, some of these clerical responsibilities have taken the place of assessing and educating patients and their families.
In my opinion, if a nurse or social work navigator is making appointments or faxing, they’ve become a very expensive clerk. While these clerical tasks are very important, they need to be delegated to an appropriate staff member so that nurse and social worker navigators can provide the services as outlined in their professional license.
Here are some practical steps administrators can take to support the role of navigator at your cancer program or practice:
Navigators need to function to the top of their license. Administrators can support this by being cognizant of the roles and responsibilities assigned to their navigators. As appropriate, provide clerical support to ensure your navigator is functioning as outlined by navigation core competencies, position statements, certification domains, and national guidelines.
For more on this topic, read “Barriers to Administrative Engagement in Navigation Programs,” published online March 2018 in the Journal of Oncology Navigation & Survivorship.
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