. : Our Stories
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Rana Jin, RN, BScN, MSN, DNP(c), CON(C)
Recipient of the 2019 Boehringer Ingelheim Oncology Nurse of the Year Award
Princess Margaret Cancer Centre
My passion for nursing began when I followed in my grandmother’s and mother’s footsteps. My grandmother was a pediatric RN and my mother was an acute care/emergency RN. But it was when my grandmother was diagnosed with cancer and then passed away, which led me to choose oncology nursing as my career. I have been an nurse for twenty years and this is where I have truly found my passion because I never left oncology nursing. I cannot say that I have one memorable moment in nursing, but I am very thankful to have had such wonderful mentors in oncology nursing early in my career, at Lion’s Gate Hospital, North Vancouver, BC.
I am now proud to work as an oncology nurse at the Princess Margaret Cancer Centre in the geriatric oncology clinic because I feel like I am part of a movement to improve treatment, and personalize care for older adults. I am fortunate to be working with a wonderful oncology team and it is tremendously gratifying and provides me with a sense of purpose in my career and my life. I am proud of the initiatives we are performing, research we are currently undertaking, and dream of a future where it can be part of the evolution of oncology care across Canada and throughout the world.
Juliana Park Roden, RN, MN, NP(P)
BC Children’s Hospital
I became a nurse almost by accident, when a mistake on my university registration led me to the nursing program. I had never previously thought of nursing as a career, but after a year in the program, it felt like a natural fit for me. I enjoyed the interactions with patients and families, the science of diagnosis and treatment, and the camaraderie amongst fellow nurses. After my pediatrics rotation in third year, I thought I had found my ultimate career path.
My career in pediatric oncology was also almost by accident. I was starting a new job at BC Children’s hospital in general pediatrics, but was asked to consider working in pediatric oncology instead. I had always had a curiosity about cancer care, but no personal or professional experience with it. I agreed to switch, and that was over 20 years ago.
There is something very special about working in pediatric oncology. It is a privilege to witness and participate in the journey of these unbelievably resilient children and families. The strength and sheer will of these families to protect and guide their children through a scary and sometimes painful process is inspirational. It makes me want to be a better parent, and an overall better person. I have been a pediatric nurse practitioner in blood and marrow transplant since 2007. I bear witness to one of the most intensely strenuous journeys that one can experience, and I witness it in children.
People often ask me how I do what I do, that they could never work where I work. And it’s true, sometimes it is emotionally draining. But I really do get so much more out of this job than I put in. I get to experience this journey with the most amazing families. I see their anger, stress and sadness, but I also see their strength and resilience. I get to see children being children despite enduring multiple rounds of chemotherapy. I get to see them giggle and play, and clap along to music therapy. I get to see parents and caregivers forming bonds and supporting one another. I love this job, and I love working in oncology. It is a special place where one can truly experience the best of the human spirit.
Steven Hall, BSc, 4th Year BSN Candidate
University of Saskatchewan College of Nursing
My career in oncology nursing is just starting, and I fell into it serendipitously. I am a fourth-year student in the final weeks of my program at the University of Saskatchewan College of Nursing. Last year, I was hired as a research assistant by Dr. Kristen Haase, whose research area is geriatric oncology.
We started by working together on a patient-oriented research project, working with older adults with cancer to set priorities for supportive care. I was lucky enough to present this work at the Undergraduate Research Symposium, and I received First Place in the Social Sciences Category. Dr. Haase supported my hobby of creating videos and allowed me to produce a short animated film of our preliminary findings, which on YouTube (view here).
As my love for research in the world of oncology continued to develop, I applied to complete my final preceptorship in oncology at Royal University Hospital. There, I fell further in love with the specialty and my passion for oncology nursing was affirmed.
I’ve recently been accepted into the Master of Nursing thesis-based program at the University of Saskatchewan, and I will be following in the footsteps of my supervisor, focusing my thesis in geriatric oncology. I couldn’t be prouder to be working in such a unique field with some of the best nurses I’ve ever met.
Happy Oncology Nursing Day to all of the hard-working, phenomenal oncology nurses across Canada!
Philiz Goh, RN, BScN, CON(C)
2019 Ontario – Greater Toronto Chapter Champion
Sunnybrook Health Sciences Centre
What led me down the oncology path began 15 years ago when my father was diagnosed with terminal brain cancer. I observed the care that the nurses had given my father and my family. Upon my father’s passing, I decided to research with the Odette Cancer Centre focusing on palliative care. It was such an eye-opening and life-changing experience. About nine years ago, my mother was diagnosed with breast cancer; I took on the role of the primary caregiver. This experience helped me affirm my decision to pursue a nursing career. I currently care for breast cancer patients throughout their cancer journey, which I believe is a real privilege. To be present with them when they are first being told of their diagnosis, or when they are taking their last breath, or to when they have ‘graduated’ and moved onto survivorship is genuinely something special. We, as nurses, can provide the care and navigation that each patient and their family need during a critical time in their lives. We should not squander that opportunity away but take the opportunity to provide the best possible care to them during their time of need. I remember an instance when a patient was informed of her diagnosis, and I recognized that she was in shock and was not taking any information in from what the doctors were saying. What made the situation more difficult was that she came alone. I answered her questions once the physicians had left and spent time with her when the information finally settled and she cried. I remember that by the time the patient left, we were the only ones left in the entire floor, the doors were locked and it was 8pm and clinic finished at 6pm. These are the times when we shouldn’t be looking at our watches, or be upset that everyone has left us behind; our focus is always the care we give to our patients. At the moment, I am completing my Masters of Nursing; I plan to continue to research with the Odette Cancer Centre and continue to publish and present at national and international conferences.
Karen Running, RN, CON(C)
Juravinski Cancer Centre
I am honored to be asked why I am proud to be an oncology nurse. I am proud to be an oncology nurse because I feel I help people every day. Since I work in the outpatient setting in hematology, I am often my patients’ and their families’ “go to” person for advice, support and liaison with physicians. I like to know that my advice has given patients comfort and help in times of need. I also help patients access various supports as needed with their day to day issues. Patient teaching and assessment and phone support are a big part of my role.
I have worked in hematology my whole nursing career–not planned, just where I was fortunate to get hired! I have now worked in the outpatient hematology clinics for 22 years and this means I have had a long relationship with many of my patients and their families. They become like my extended family. I am also fortunate to work with a very caring and expert hematology team including specialized nurses, doctors, social workers, pharmacists to name a few.
Hematology patients span various hematologic diseases from chronic to acute. We now have ever changing and new drugs and protocols extending some of our patients life expectancies which is great to see and be part of but keeps us on our toes!
Everyone asks me when I am going to retire. My answer to this is “Not now.” I enjoy my work. There is nothing more rewarding than guiding patients through hard times and watching them flourish in the good times. I can’t imagine myself doing anything else….until I have grandkids!
Edith Pituskin, RN, MN (NP – Adult Oncology), PhD
Recipient of the 2019 Pfizer Nursing Research Award
University of Alberta
‘Nursing’ research, in my humble opinion, has been a challenging, and challenged area in the last many decades. Nursing research has frequently retreated to the academic world, where those conducting the projects have little clinical experience. Similarly and conversely, during BSc education, nursing research is taught, but is often an educational hurdle, rather than lifelong critical thinking skills relevant to daily practice. This disconnect leads many nurses to believe that research has no relevance to them.
However, I argue that research is a daily experience in oncology nursing. Oncology is a unique specialty of health care in the aim for personalized care. Specific drugs are increasingly tested in patient populations with specific targetable mutations. In addition to these invisible mutations, though, oncology nurses contribute their communal research repository of knowledge. Patient-reported symptoms, tachycardia, restlessness and other visible patient metrics inform nursing assessments and interventions, further refining personalized oncology care.
Taken together, we perform nursing research every day. For Oncology Nursing Day, I urge you to consider yourself a Researcher!
Gladys El-Helou, BScN, RCN, MSc
Jewish General Hospital
Nursing is without a doubt a vocation and throughout my 11-year career, I have constantly been guided by the notion that I have a mission that goes beyond my day-today tasks. Oncology research is equally challenging and fulfilling. I am essentially the patient’s guide throughout their “breast cancer journey” which our research team has dedicated their professional life to studying & improving: I am there from the day she is diagnosed, providing explanations, treatments, support and overall care until the end. The work is demanding but knowing you are contributing to a global fight against breast cancer is immensely motivating. The breakthroughs in the field occur at a dizzying speed and each one feeds our team’s faith that diagnoses and treatments are constantly improving and we are inching towards a potential cure. I am genuinely invested in my patients’ lives and get excited when they qualify for a new treatment and even more when they respond positively to it. In contrast to these hopeful moments, we are often faced with the vicissitudes of the disease: the adverse effects and the unsuccessful treatments, the patients who relapse or never recover. In these instances, my role as a caregiver takes on its full meaning: I may not have the power to effectively tend to the disease, but I still have the power to tend to the person. I believe that a crucial part of caring for a patient is being a steadfast and reassuring presence during her journey. I strongly believe that the compassion I offer my patients is extremely precious: a listening ear, a reassuring smile and an overall empathy for their hardships and feelings goes a very long way. It helps them combat the isolation, despair and loss of identity they experience. This has proven true many times over, especially in my experience with Ms. F. Her journey was long and challenging and I had been her nurse from its beginning to its dreaded end. I knew there was nothing more than empathy that I could offer her but admit to feeling helpless and useless at that point. Shortly before passing away, she presented me with a drawing she had made during her stay at the hospital: it was a beautiful flower surrounded by beams of sunlight. She told me that it symbolized her feelings for me, how I had brought warmth and grace to her in this difficult time and it had enabled her to see the beauty in life again. That drawing now sits in my office and is a daily reminder that while we cannot cure everyone, we always have the power to be a reassuring presence for them.
Janice Stewart, RN, BScN, MHS
Sunnybrook Health Science Centre
I have worked in oncology nursing for 37 years at 3 different organizations and through my roles have been able to interact with oncology nurses across Ontario, Canada and Internationally. The thing that stands out for me whenever and wherever I interact with oncology nurses is that we are aware of the unique privilege we are given to provide care, comfort, education and support to our patients and their loved ones often at their most difficult times in their lives. That privilege drives my passion for the role and has sustained me through some challenging periods in healthcare. Working on the frontline during SARs and now COVID-19 and having the confidence in my nursing colleagues so that I can reassure families who cannot accompany their loved ones to appointments/treatments that they will be well cared for by an oncology nurse is key for me to be able to deliver such a difficult message over and over each day of the crisis when access is restricted.
In my career I have seen such growth in the care and treatment options for cancer patients it is exciting to be part of the advancement of these including stem cell transplants, immunotherapy, oral cancer therapy, biosimilars and new radiation therapy technology. This rapid advancement equates to the requirement for constantly learning that drives my passion. In this year of The Nurse and Midwife during this Pandemic the theme for Oncology Nursing Day; Now and Forever Oncology Nursing resonates strongly.
My thoughts are with all of you during these very challenging times worldwide in healthcare and in particular, Oncology Care.
Barbara Ammeter, RN, BN, CON(C)
In my 27 years of oncology nursing, 7 years were in outpatient clinics and chemotherapy treatment and 20 years in clinical trials research. As a research nurse I met with patients to explain the research protocol and procedures and the potential benefits and risks. I tried to ensure they received adequate information and understood their options, whether the best available standard treatment, a trial involving new treatments, or possibly no treatment at this time. I worked with a multidisciplinary team of oncologists, clinic and chemo treatment nurses, radiation therapists and others but was often the patient’s primary contact person during the course of treatment and sometimes for the rest of their life.
I believe that people with cancer are entitled to the best care available and that I was one of many people who could help to make that happen. Oncology nurses play a vital role and are in a good position to assess the patient’s situation, support them, and help them make informed decisions.
As a research nurse, I believe I made a difference in the lives of my patients by making available to them the information, resources, emotional support, and best possible care and hopefully improved quality of life.
Working with individuals with cancer and their loved ones has definitely influenced me as a person and a nurse. In previous nursing positions I gained considerable knowledge and skills, but the jobs were often largely task-oriented. I did not get to know patients and their families as I did as an oncology nurse. In the emergency department I witnessed numerous deaths from accidental causes or illness. But I did not know these people previously and so even though the situation was tragic and emotional, it was not the same as what I experienced when on of my oncology patients died. I had sometimes known my patients for months or years and saw them more frequently than most of my relatives!
I have observed in many with cancer that their outlook on life, attitudes and relationships to others changes when they face uncertainty and their mortality. Being an oncology nurse has given me a much greater appreciation for my life and good health.
There have been so many changes in the treatment of cancer: new surgical techniques, improved symptom management and quality of life, more effective chemotherapy, immunotherapy, targeted therapies, delivery of radiation treatment, etc. Survival rates of several cancers have increased, largely due to improved treatments from clinical trials. I am proud of the work that has taken place at CancerCare Manitoba, across Canada, and the rest of the world.
However, there is so much still to be done and I pass the torch to my colleagues and future oncology nurses to continue.
My husband Tony was diagnosed with cancer of the esophagus in Dec 2013. This photo as taken at my retirement in Sept 2017. Tony passed away 4 months later. I was honoured to have cared for him and hundreds of others.
Pamela J. West, RN(EC), NP-Adult, MSc.
Princess Margaret Hospital
A SHARED SECRET
I love cancer care! After almost 40 years nursing in the oncology world, it is a challenge to celebrate ‘just one’ aspect of my career! So, I want these words to honour all the amazing patients I have had the joy to know!
Relationship and relationship-building is the foundation of cancer nursing. With very little encouragement, cancer patients generously share their stories; their fears and their innermost secrets. For the most part, they speak with an openness seldom shared by most people. For the mere offering of an ear and a little time, oncology nurses reap the reward of a patient’s inner sanctum. The windows open wide and we see, fully revealed, the heart, mind and spirit of each patient.
To illustrate this, I will share a recent story. As a research assistant, I recently interviewed a gentleman in the systemic therapy clinic. His home of origin is/was Barbados. I went to Barbados once and remember having ‘flying fish’ for a meal. It was the most delicious fish dish I have ever tasted and I told him so! This is called “helper self-sharing!” I think for a moment he and I could almost taste the deliciousness of these sea delicacies!
Weeks later, I contacted this same gentleman by phone. I said I thought I had met him in the clinic. Immediately, and without prompting, he said: “You’re the nurse who loves flying fish!” We were right back to our first meeting, totally connected by this small phrase!
I always try to share one small thing about myself with every patient I meet. As a result, I am rewarded with so much information; more than anyone should ever receive!
I am so thankful and appreciative of all the most wonderful stories I have had the privilege to share. Thank you to all the hundreds of patients who have given me themselves as a gift.
Doris Howell, RN, BScN, MSsN, PhD
Recipient of the 2019 Lifetime Achievement Award
When I was in high school, my goal was to be a Registered Nurse Assistant until my biology teacher challenged me to seek a higher goal. After that I just kept reaching higher both educationally and in seeking positions that might position me to transform care systems to be more humanistic. Every position in nursing I have held from staff nurse to advanced practice nurse, nurse administrator and now as a researcher has been focused on advancing the therapeutic capability of nursing care to optimize the quality of an individual’s living or dying.
There have been so many memorable moments throughout my career as an oncology nurse that stand out and influence who I am as a nurse researcher today. My most memorable moments occurred when working as a staff nurse in the palliative care unit at the Grace Hospital in Toronto, Ontario; and as an Advanced Practice Nurse leading the development of palliative care programs throughout Ontario. At the Grace Hospital, I learned so much from every one of those patients. Bernadette taught me that just being present could reduce fear and ease suffering. Stu taught me that even the smallest of hopes such as his bird singing that lived with him on the unit can still bring joy even when facing death. Annie taught me that loss was still felt even when you were ninety as you had to say goodbye to your own children and grandchildren. As an advanced practice nurse, one of my most memorable moments was when the oncologist said to me how much he had changed from observing my practice and how he learned it was okay to develop deep therapeutic relationships with patients and still be able to make the right medical decisions. As a health services researcher, while the rewards are not as immediate as in direct clinical practice, being able to influence health services towards person-centeredness care and advancing symptom science and enabling patients in self-management of health is truly rewarding. I am still the disrupter I have been throughout my career from the days of making sure patients were able to die at home if that was their wish to now testing mobile devices for remote monitoring and management of cancer treatment toxicities.
Finally, other memorable moments have been seeing the excitement of nurses working in oncology for the first time and discovering how incredibly rewarding it is to walk alongside patients and their families as they face cancer. Most recently, one of my students shared how what she had learned about coping with illness in my course was being used in her practice but was now helping her to think about illness appraisal and coping as she confronted life-threatening illness in her own family.
Being an oncology nurse means to me that I am now a different person because of my experience and lifelong career in working with cancer patients and learning what they taught me about holding onto hope and gratitude and meaningful moments in the face of suffering.
Shauna Houshmand, RN, MN, CON(C)
Recipient of the 2019 Pfizer Nursing Leadership Award
Practicing in ambulatory care oncology was a door that opened early in my nursing career. In the beginning, it felt like a new world, with so much to learn, so many new words! I was so fortunate to have incredibly knowledgeable, passionate and confident nurses as mentors. They openly shared their experience and love of oncology. It didn’t take long to know that oncology was where I wanted to be. I loved the continuous learning. I loved the teamwork between nurses, physicians and other health professionals. I especially loved the relationship with patients and their families. As much as I chose it, I felt that it also chose me.
Many patients left an indelible mark on my heart. One such patient was a young man with leukemia who had recently learned he was palliative. His dad accompanied him as he attended an outpatient appointment. As he looked intently at me, with heartfelt genuineness, he asked how my day was. The selflessness of those few words had a profound impact on me. His grace and dignity manifested the inner strength and compassion of the human spirit. The memories of special moments such as this are innumerable and enduring, as they are for every oncology nurse.
I have been fortunate enough to work for organizations that embraced education as much as I loved it. Attending presentations and conferences such as CANO fuelled my excitement and thirst for knowledge through exposure to expert oncology nurses involved in practice and research. Achieving and maintaining CNA certification in oncology was and continues to be important to me professionally. Access to oncology resources through various means helped form enduring collegial relationships and knowledge exchange.
My passion for oncology continues to be driven by powerful collegial relationships across organizations and provinces, multidisciplinary teamwork, the need for continuous learning, and patients and their loved ones. Despite working in a nonclinical role for a number of years now, the needs of our patients and their support system continue to fuel my love of oncology. Wishing colleagues across our country Happy Nursing Oncology Day. Now more than ever, you make a difference.
London Regional Cancer Program
My calling to oncology nursing started in the ’90’s when permanent full time work was scarce. As a means of supplementing my income, I chose to work in the community. The patients and families I worked with were predominantly undergoing cancer care in some form. I remember my mindset of what I had experienced in the acute care setting as a nurse in the OR, Transplant unit and orthopaedics changing and a side of nursing practice not previously experienced being ignited. After that, I would seek out oncology patients in the various settings I worked. When asked why I chose to become an oncology nurse I like to say that although I did not initially choose oncology nursing-it chose me. I was able to make the move to full time ambulatory oncology nursing practice and was incredibly fortunate to have had the mentorship of experienced oncology nurses who were eager to share their expertise. I saw not only the knowledge and experience required in the oncology setting, but the difference it can make in the care provided by a proficient oncology team. The recognition that no person is diagnosed alone- that a spouse, a partner, a friend or other family member are also affected is paramount in providing expert care. As oncology experts, oncology nurses are the patient and family ‘guides’ to providing education, treatment, symptom management, advocacy, and access to resources.
Most importantly however, we are a listening empathetic ear -a powerful tool in our skillset which is paramount to making a difference as an oncology nurse.
“And what is as important as knowledge asked the mind? Caring and seeing with the soul answered the mind”. Flavia.
Zoe Ignacio, RN, BN, CON(C)
Recipient of the 2019 CANO/ACIO CNA Scholarship Award
What do you do when you work in one of the rare types of cancer, not taught in nursing school or in any orientation? Most of us learn on our own. What do we do with the knowledge and skills learned? Most of us share to our colleagues and most importantly, to and for our patients.
Two years ago, 2018 Oncology Nursing Day, marked the 2nd year anniversary of my first presentation on Neuroendocrine Tumour. This was held on CANO MB Chapter Annual OND evening information session. Supported and sponsored by my dear friends, Joanne and Angie, of IPSEN. In the following months, IPSEN sponsored the CANO Neuroendocrine Tumour Webinar were I was honored to be the presenter.
In 2019, the Canadian Neuroendocrine Tumour Society (CNETS) held the National NET Patient Conference, a biennial event, and I was invited to speak on Symptom Management on NETS. I was the only nurse speaker amongst the Canadian NET medical specialists and a US NET dietitian. Over 200 patients and families in attendance and some watched on the live stream.
That same year, CNETS sponsored the 1st patient and family NET information session in Winnipeg or Manitoba that I organized. We have 3 speakers: Dr. Gordon, who is one of the 2 NET specialists in Manitoba; Robin, a NET dietitian; and me, a NET clinic nurse. My presentation was on Supportive Care and I also gave an introduction to CNETS, including its outreach programs. This opened the formation of Manitoba’s NET Patient and Family Group, lead by Pat, who is CNETS’ patient liaison in Manitoba. Pat and I are working closely to identify the needs of our NET patient and family group and working on those needs.
In the same year again, at CANO Conference 2019, Dr. Wong (the other Manitoba NET specialist) and I gave a medical and nursing perspective presentation on Neuroendocrine Tumour during one of the breakfast symposium. My dear friend, Gordon, helped with coordinating the event, which was supported by Lisa and sponsored by IPSEN.
This year 2020, in February, due to one of the identified needs on NET based on the 2 articles – “Improving the Success Rate of Gluteal Intramuscular Injection by Boyd et.al” and “Gluteal Nodules in Patients with Metastatic Midgut Carcinoid Disease Treated with Depot Somatostatin Analogs by Debono et.al.” an education session was held. This was sponsored by NOVARTIS, which Kurt and I organized. I spoke on Neuroendocrine Neoplasm incorporating information for treatment nurses. My presentation was followed by the injection preparation and administration demonstration.
The worldwide data from last year’s global survey identifying the needs of patients and health care providers in the care of Neuroendocrine Cancer is available in this link: https://incalliance.org/abstracts-articles/. There is still more to be done on awareness and education and improvement in the delivery of patient care, to patients and their families affected by this used-to-be-rare type of cancer.
Sarah Quinn, SN
Recipient of the 2019 CANO/ACIO Rising Star Award
Foothills Medical Centre
As a nurse working in Surgical Oncology, my favourite part about my job continues to be how we can make a huge difference in what to us may seem like such small insignificant ways. The intense time constraints of our job enables us to be creative in findings ways to truly make a difference for our oncology patients. I remember one patient who had been NPO for a number of days following extensive cytoreductive surgery. This patient was a very quiet middle-aged fellow that many would describe as, “a man of few words.” When he did chat, this man expressed how the dry mouth and throat soreness from his nasogastric tube was all he could think about all-day. I felt slightly embarrassed approaching the surgical senior resident for permission to give this patient one popsicle per day. However, this day I learned that yes, even a popsicle can make all the difference. After this patient absolutely devoured his mango popsicle he told me it was, “The greatest thing I have ever tasted in my entire life, thank you.” Also, I think I may have been lucky enough to see the slightest smile form ever so briefly on his face. Perhaps just my imagination… but that is what got me through a difficult 12 hour shift.
Jennifer Wiernikowski, RN, MN, ACNP, CON(C)
Recipient of the 2019 CANO/ACIO Award of Distinction
Juravinski Hospital at Hamilton Health Sciences
In 2015 I met a young man with relapsed Hodgkins Lymphoma who had come to the unit for an autologous stem cell transplant. I was his Nurse Practitioner throughout his admission. He was autistic and lived with his aunt and uncle who are dog breeders and show their dogs in competition. They were a tight and loving trio and his dogs were a great source of comfort to him.
During his transplant he would leave instructions on his door for any of us that were coming in to provide care. We would see, “tell a story”, “sing me a song”, “recite a poem”, “wear a hat” every day was something new. It was a great way to build a relationship and we became close through all the fun.
One day I had to tell him he needed more care and observation that we could provide, he was headed to ICU. During this time he really wanted to cuddle his dogs, his aunt learned that our pet visiting policy was very cumbersome and difficult to navigate. Although he did get his pet visit he worried that other patients without a strong family advocate might not get to see their pets and he believed that connection with pets was essential to healing.
He relapsed after his transplant and at one of his last visits to the cancer centre he asked his aunt to wheel him over to the ward. He wanted to have a word with me. He could barely speak at this point, his voice was only a whisper, but he sure got his point across. He told me his Aunt Donna needed my help to build a pet visiting program at our hospital that would allow for easy access to pets for everyone. I will never forget that, he looked me right in the eyes and said, “promise me you will help”. Who could say no? but I worried it might be a tall order.
Together Donna and I and a dedicated group of staff set out to build the program, we called it Zachary’s Paws for Healing. We used the hospital’s policy for pet visiting and built a group of volunteers that could enact that policy for patients and families including facilitating vet visits if needed, animal assessments, getting consents, transporting and supervising pet visits etc. The hospital embraced it, the barriers I anticipated never showed up. Our first official visit happened in January of 2016. It was not a run of the mill visit, a cancer patient at the end of life asked to see her horse one last time. Donna got it done, the horse arrived in a trailer and they met outside of shipping and receiving. It was one of the most moving moments of my career. The patient died less than 24 hours later and she was thrilled to have had that time with her horse. The program has grown enormously and now includes therapeutic pet visits every Wednesday to our unit so everyone can benefit from animals. Patients who live alone can have their pets fostered out to volunteer families so they don’t have to worry about who will look after them while they are in hospital and in some cases Donna can facilitate adoption of those pets if needed to ensure they have a home after their owner has died.
Oncology nursing offers us the opportunity to build amazing relationships with our patients which often evolve quickly because of the crisis they face and the type of nursing we provide. These relationships shape us in amazing ways and open unexpected doors. The day I met Zachary I had no idea how he would impact me and our hospital. I am so very proud of the program he dreamed of, so happy I could help move it along to fruition.
When he asked me to promise, I wondered how on earth we could make it happen, but I said yes. That was one of the most memorable moments of my oncology nursing career, imprinted on my memory forever.
Leah Lambert, RN, PhD
Recipient of the 2019 CANO/ACIO Clinical Lectureship
My passion for oncology nursing was born from personal experience. At 29 years old, my brother was diagnosed with cancer. Despite a poor prognosis, he is doing well today and for that I am forever indebted to BC Cancer. In helping my brother through his cancer journey and witnessing the exemplary care he received, I felt a strong pull toward oncology. I saw first hand how incredibly difficult a cancer diagnosis can be for a family and knew I wanted to give back to the system that saved my brother. When I started my MSN, I chose to focus my graduate studies in oncology. Fast forward several years and 3 kids later, I completed my PhD at UBC in 2019, wherein I studied adherence to adjuvant endocrine therapy after breast cancer. Currently, I am embedded at BC Cancer and hold a Health System Impact Postdoctoral Fellowship from the CIHR Institute of Cancer Research, Michael Smith Foundation of Health research and BC Cancer. My fellowship program of work is focused on mitigating barriers impeding effective care transitions for women diagnosed with breast cancer. I am fortunate to collaborate with a passionate group of interdisciplinary care providers on research and health system initiatives that lead to evidence-informed improvements in care, better patient outcomes, and increased system performance. So many opportunities exist for nursing to make a meaningful contribution in shaping the evolving landscape in cancer care. With patients at the heart of everything we do, nurses are well positioned to be at the forefront of the scholarship, leadership and impact of health system change aimed at improving outcomes for people diagnosed with cancer and their families. I am proud to be an oncology nurse and will continue to work hard to determine how to most effectively provide quality and efficient health services and deliver excellent person-centred care across the cancer care trajectory.
Carolyn Roberts, RN
Recipient of the 2019 Helene Hudson Lectureship Award
Indigenous Cancer Program, The Ottawa Hospital
In 2016, I became the first First Nations, Inuit and Métis (FNIM) Patient Nurse Navigator for the Indigenous Cancer Program (ICP) at The Ottawa Hospital (TOH). Prior to accepting this job, my nursing career included more than 10 years of working in FNIM communities in northern Quebec. This front line experience provided me with an awareness of and respect for, the incredible strength and resiliency of Indigenous and Inuit peoples- and I bring this knowledge and respect to work with me everyday. We know that a diagnosis of cancer can be devastating. For FNIM peoples, this awful news is coupled with a long history of colonization, racism and a general mistrust of western authority, including that within healthcare organizations. We also know that Indigenous peoples have a higher burden of cancer and we, as a health care system, need to implement strategies to make sure patients receive better care every step of the way.
Throughout my time at TOH, I had the great fortune to have the support of my manager Gwen Barton, my colleagues on the ICP team and many other TOH staff and physicians who recognized that the role of the FNIM Nurse Navigator could not fit into the traditional, western nursing model. To be completely patient centred, I had to step out of the box and connect with my patients and their families in a way that was culturally informed and culturally safe. The FNIM peoples are made up of many, unique and culturally diverse populations. However, there is one common cultural reality – they are people from the land. People who share a connection with nature both historically and presently. They depend on the resources nature provides to prosper, to grow, to find comfort and to heal. So, as an Indigenous nurse navigator, I built this connection into my nursing approach. You will never see me in a white lab coat in an office. I find the time and space to meet patients in their community and in nature which contributes significantly to my ability to establish a trusting relationship.
So in summary, some of you may wonder what is the role of the Indigenous Nurse Navigator exactly. My best answer to that is depends on how you define ‘nursing’. To me, nursing is multi-faceted and is difficult to capture all the dimensions, especially within this context. However, I feel that there are common elements of nursing that transcend all roles. We always advocate for our patients through promoting optimal wellness, we do our best to give patients a voice in their care, and we do everything in our power to ensure comfort with the resources we have.
Nanette Cox-Kennett, RN, MScN
University of Alberta Hospital/Cross Cancer Institute
I became an oncology nurse by accident. Back in the 1990s, there were massive layoffs within Alberta and my position was eliminated. I followed the supervisor I trusted to hematology. Within weeks, my skills were being put to the test as the chemotherapy protocols called for different assessment skills, complex patient teaching, and heightened awareness of the emotional turmoil caused by a cancer diagnosis.
I’ve since gone on to become a Nurse Practitioner for hematology/BMT and continue to feel challenged. As I have a few more grey hairs now, I ask myself, why am I still in this? What keeps me going? Why not retire especially in these tumultuous times? And it comes down to this … every day in some small way, I know that I am making a difference. I see it when I see patient take a calming breath after I’ve explained their new diagnosis of chronic leukemia. I see it as a patient makes a complex decision about his treatment after being presented with the evidence for each of the options. I feel it in the hug from a grateful family member after watching our team handle a complex drug reaction.
One of my fondest memories from that time on the ward involved an older leukemia patient named Linda. One night she was having difficulty sleeping and as I did the rounds, she asked if there was any possibility of having a bath. In the middle of the night with less staff, this was a big stretch, but somehow we got it done. She had some trouble with her energy getting out of the tub and she slipped and slid in that lift sling like a wet seal, but we got back into a geri-chair and she and I sat for a few minutes side by side watching snowfall outside her hospital window onto the parklike entrance to the hospital. Below us, a solitary person moved through the snow seemingly intent on going nowhere. They moved back and forth kicking up the snow and exposing the grass beneath. Eventually, a message was clearly written – it read “MIKE STINKS”. Holding hands, Linda and I laughed and laughed. She returned to bed happy and kissed my hands lightly saying, “Thank you for tonight” and slept soundly.
As an oncology nurse, we have the privilege of holding our patient’s safety, their trust … and their hand. None of these, to me, is more important than the other. These patients and the colleagues that I am privileged to work with are my WORK family. So why am I still in this? Well, because – as Lilo and Stitch taught, “family means no one gets left behind”. For as long as I can make a difference to my work family, I’m in it for the long-haul.
Anne Katz, PhD, RN, FAAN
CANO/ACIO Vice President
This past week I was answering calls for nurses who are away (on vacation). I am originally from South Africa with an accent that persists despite being in Canada for 35 years.
I call a patient who had left a message for the nurse who normally provides his care (we are an out-patient facility). I answer his question and then he asks me where I’m from. I tell him and he thanks me for making his day. Apparently my accent made his day and this made me smile for the first time that day.
Small things …
Heather Brander, RN, BScN, CHPCN(C), CON(C)
Recipient of the 2019 Pfizer Clinical Practice Award
Nova Scotia Health Authority
Over the years I have been asked many times about why I have chosen to work as an Oncology Nurse. My answers have come with ease each and every time, and have always included two main themes: the profound privilege of working with this population of patients and their families, and the amazing Oncology professionals I have had the great fortune to work with, and learn from.
In light of the COVID19 outbreak, both of these main themes are amplified. I truly believe that we are seeing a small glimpse in to the tremendous uncertainty that our patients and their families face on a daily basis. With their cancer diagnosis, they have had their reality shaken and shattered, and they are trying to find safe spaces to process and reconcile this new reality. We, as Oncology nurses are now finding ourselves in a similar reality, and with tremendous uncertainty. Despite the challenges, I have seen my colleagues find the ability to put their own fears and anxieties aside, to truly focus on what is important- our patients. They are working tirelessly to ensure that the care continues in the safest way possible, and are finding new approaches to make sure that this happens. There will be silver linings amongst all of this turmoil, and many of them will be in the Oncology world, thanks to our amazing Oncology Nurses and colleagues.
Recipient of the 2019 CANO-ACIO/BD Commitment to Safety Award
Cross Cancer Institute
My career in oncology began in 2003. For my final preceptorship I was placed in my second choice (my first was palliative care!) at the Cross Cancer Institute in Edmonton, Alberta. I started in inpatient care and have remained there since. I have done numerous roles throughout my career on inpatients, with my current role being charge RN of our stem cell transplant unit and apheresis unit. The past three years have been filled with many new endeavors for our team. I feel blessed to work with such an amazing group of nurses, managers, health care aides, lab, unit clerks and the countless other members of our team at the CCI. I am proud of the care we provide and I am most grateful for the amazing patients that allow us to become part of their journey. Every day I love coming to work and look forward to continuing my journey at the CCI.
Robin Morash, BNSc, MHS
Recipient of the 2018 Boehringer Ingelheim Oncology Nurse of the Year Award
I started my career in Surgical Oncology at the Toronto General Hospital and then returned to Oncology after a number of varied positions at The Ottawa Hospital. I had no idea back in Toronto where I would end up as I never seemed to know what I wanted to do when I grew up!! I was thrilled that my path brought me back to Oncology. In those early days, we had a very different view of cancer care …. People didn’t survive with the rates they do now. Which is thanks to the work of many people in this room and those who have gone before us.
In my more recent years in oncology care I’ve really enjoyed teaching and supporting patients with bladder cancer as well as developing patient care programs, mentoring others and being a part of an dynamic team within the Ottawa Hospital Cancer Program, a number of whom are here today.
I was at my 35th reunion this past weekend… Queen’s Homecoming… for those of you who read about it in the news yearly, it’s always quite an event!
My classmates and I had a wonderful time and looking around the table at dinner we all agreed that none of us had aged a bit over the 35 intervening years. Having said that, we were quite an impressive group including professors, clinical leaders, a hospital CEO, FHT leaders, public health nurses and NPs. Cancer care touches all facets of nursing. Although I was the only one actively involved in cancer care, they all played a part in the lives of people with cancer.
When I look back over my years in nursing all I have is good memories of the fun, challenges, amazing people I’ve worked with, inspirational patients and great mentors I’ve had.
I started my nursing career on an acute inpatient surgical oncology unit. We were primarily all new graduates with a small core group of “senior” experienced nurses (some who only graduated the year before us!). We would not have survived the new learning, workloads, and tragic patient scenarios without the support of each other, our “senior” colleagues, and our unit social worker.
Fast forward a few years, I returned to oncology and was thrilled that my path brought me back to our specialty. We have advanced leaps and bounds in our screening, assessments, treatments and care for our patients and families since the 1980’s. In reflecting, the one thing that is unchanged is how we support each other and our patients and families. Underlying all our advancements is the teamwork integral to all aspects of cancer care. What makes me proud to be an oncology nurse is how we can become a part of people’s lives during times of both illness and wellness, and how we do this as members of a strong supportive team.
Jennifer Deering, BScN, MN, NP
2018 Winner of the Pfizer Award of Excellence in Nursing Clinical Practice
Princess Margaret Hospital
As a young adult, I experienced the loss of a beloved family member to cancer. This was one of my first experiences watching a loved one being diagnosed and then shortly dying from a disease. During this difficult time, what I remember was the stead fast support, kindness and guidance of the oncology nurses who cared for my aunt. They walked besides us during my aunt’s journey providing calmness, much needed laughs and practical advice as we encountered so many unknowns. When my aunt died peacefully, surrounded by those she loved, my family were so thankful for the genuine compassion shown by the oncology nurses who were present during her final breathes. At the time of my aunt’s death, I was just starting out in my nursing career. I had been struggling to find my focus and considered working on an organ transplant unit. However, after this experience I realized the career path I wanted to take was in oncology. I wanted to make a difference in the lives of patients and families struggling with cancer diagnoses and treatments as the oncology nurses I encountered had done for me. I have now worked in oncology for over 20 years. Often during my career, I have had different friends and family members comment that my job must be difficult and sad. My reply has consistently been that there is nothing more rewarding then making a difference, even if it is small, in a person’s cancer journey and to me not doing this would be difficult and sad. It is a privileged being an oncology nurse and 2 decades into my career I can honestly say it still remains my passion.
Tracy Truant, RN, MSN, PhD
CANO/ACIO Past President
University of British Columbia
I have had the good fortune and outstanding opportunities to work as an oncology nurse over the past 30 years! I have held a variety of clinical, education, research and leadership roles over these past 30 years at local, regional, national and international levels. All of these wonderful roles and (BSN, MSN, PhD) degrees built upon each other to deliver, evaluate and research high quality care. However, it is patients and families and nursing colleagues that provided the outstanding opportunities to optimize cancer care.
In the 1980’s, in my first clinical oncology nursing role at BC Cancer, I felt that I had “come home” to the environment and nursing care models where nurses’ psychosocial care was embedded, using our heart, mind and voice with patients and families. This approach fostered high quality person-centred care systems and interventions that went beyond the excellent physical care that nurses already provided. Along the cancer trajectory, from diagnosis to end of life, I remember caring for patients and families, each who taught me how to support their whole being and families’ needs. The clinical oncology nurses that I worked with as well as Clinical Nurse Specialists, Nurse Educators, and many others were spectacular, and many are still my key collaborators and friends!
In the 1990’s I began in a new BC Cancer role as a Regional Professional Practice Leader, Nursing, and then most recently as the Director of Research, Education and Innovation. Through these roles I have worked nationally with colleagues to develop, implement and evaluate nursing standards, competencies, guidelines and practice tools; internationally to build capacity in oncology nursing practice in Latin America using knowledge translation strategies.
For more than 20 years, my love for and impact of oncology nursing research and outcomes grew and allowed me to collaborate with numerous patients and families, nurses and other heath professionals. I was able to hold over $2.75 M in oncology research funding that focused on equity within cancer survivorship care systems; cancer symptom management interventions; enhancing patient nutrition and exercise counselling by oncology nurses; complementary medicine decision making; and exploring opportunities for evolving nursing’s role to foster high quality, equitable care for people experiencing cancer.
I recently completed my term as President of the Canadian Association of Nurses in Oncology (CANO) where I led the advancement of strategic initiatives nationally, including establishing international partnerships and collaborations. Working with CANO board members and various committee members was a life-changing experience. I will forever remember and honor them as key leaders, collaborators, and innovators that nationally raise the quality of person centre cancer nursing care.
Even after 30 years, I continue to feel so grateful for all the opportunities to contribute to the development of equitable high quality person centred care experiences, models of care and health care systems.
Jennifer Smylie, RN, MHSM
2018 Winner of the Pfizer Award of Excellence in Nursing Leadership
The Ottawa Hospital
I started my career in nursing on a surgical inpatient unit providing care to patients in the demanding, fast-paced environment of general surgery. Though I knew many patients were undergoing surgical treatment following a cancer diagnosis, I didn’t fully grasp the comprehensive requirements of oncology care. Like many of my colleagues, I saw myself as a surgical nurse, first and foremost. Understandably, this changed over the years as I transitioned to other specialties, gained more experience and took on new nursing roles.
Before retiring this past year, I spent more than a decade nursing within a cancer program. I had the privilege of managing a breast health centre and met many patients that were just learning their diagnosis or making choices about their surgical treatment, a decision they shared with their surgeon. I had to learn a lot in a short period of time. Patients, families, radiologists, surgeons and other colleagues taught me something new every day. However, it was the experienced oncology nurses at the breast centre that helped me to understand the truly important role of the oncology nurse. They demonstrated their value daily in their practice that included patient education, navigation, providing supportive care to patients and families, and much more. They were professional, collaborative and, best of all, willing to share their knowledge with me.
A short while later I was involved in planning and implementing several Diagnostic Assessment Programs (DAPs) in order to improve access and reduce wait times for cancer services in our region. At this point I recognized that oncology nurses would be integral to our success. That turned out to be the case. The nurses soon became expert in their navigational role but also provided supportive care and expert knowledge while effectively collaborating within an interprofessional team. Over the years I did my best to support and engage oncology nurses in continuing their professional development by enrolling in programs, completing courses, and presenting at conferences. Nursing colleagues in various roles within the cancer program also served as mentors and role models. After working alongside these expert nurses and learning so much for over a decade, I too am proud to call myself an oncology nurse.
Zoe Ignacio, RN, BN, CON(C)
Cancer Institute in Philippines
Health Sciences Centre and CancerCare Manitoba
Over my 24 years of direct nursing care, majority is in oncology. My first 5 years of nursing practice was in oncology. My experiences were diverse that time. In a day, I would looked after young children to old age, men and women, a number of DSGs, preparing and administering chemotherapy, symptom management, to looking after dying patients. In another day, assisting in brachytherapy and looking after them as in-patient. An 8 hour shift could be with 8 patients in brachytherapy or with 50 or so of in-patients. It was more task-oriented and so, I have always felt inadequate in some areas. Cancer was more of a deathbed then. There were children with sarcoma and leukemia; women with ulcerating or fungating breast cancer wound; a patient dying alone; and, watching the eyes of patients and their families, with unanswered questions and hopelessness.
I have undertaken other nursing specialty after that, such as Emergency, Psychiatry, Neuroscience, Post Anesthesia, Intensive Care and Vascular Access. Although, I enjoyed working on those areas, more so on others, I still encountered patients with cancer. I remember in Neuroscience, with brain cancer patients requiring craniotomy and Gamma Knife treatments. In Vascular Access Team (VAT), patients undergoing chemotherapy, requiring PICC insertion, PICC care, and Cooks catheter repairs. I remember going in an in-patient cancer unit, when I was with VAT, and these are patients on intensive systemic treatment, on bone marrow and stem cell transplant, requiring vascular access. I get called in when some of them have febrile neutropenia, requiring blood cultures and central catheter removal. I’ve seen some friends, co-workers, or their child, undergoing treatment.
I went back to oncology in 2011, in ambulatory care setting. Since then, I have worked with variety of DSGs. More time in each of them, from several months to years, in Gyne-Oncology, Prostate Cancer Centre, Head and Neck, Lung, Hematology and Leukemia. Presently, for almost 4 years now, I’m with Neuroendocrine, Sarcoma, GI and GU. The change of practice in oncology specialty has grown exponentially, compared to when I started in 1995. Cancer has become a chronic disease. A number of cures and chances for longer survival. Some lives are shortened but a number has been lengthened. Some with successful stories and some living with new, varying degree of, normalcy. It can still be heartbreaking. Some days, I find myself crying alone, then shaking it off and moving on. There are, however, rewarding stories, rays of sunshine. Oncology nursing is complicated, demanding and challenging but, I am proud to be an oncology nurse. To walk alongside with patients in their cancer journey and their families, to working with passionate health care providers and amazing oncology nurses, is fulfilling for me. Every time patients and families appreciate what I do for them, they recognized my commitment and drive to providing excellent care, it reaffirms that oncology nursing is my true calling.
Nesan Bandali, BA, BScN, RN
Winner of the 2018 Kidney Cancer Canada Award
Sunnybrook Odette Cancer Centre
When I was asked to write a few words about my experience as an oncology nurse, it took me a while to go back through my life to pinpoint the time that I decided I wanted to be a nurse.
For as long as I could remember I had wanted to be a nurse. I talked about it to everyone who asked me what I wanted to do when I graduated. Then when I was in high school I remember my father gathering our family together to take us to his doctor’s appointments. As we were sitting there at our doctor’s office, we were told he had metastatic Prostate Cancer. There started our journey of treatment and hospital stays. He had his surgery and then started his month-long radiation treatment at Sunnybrook Hospital. Since I was the only one who drove, I would get up early in the morning to take him to his treatment and then take him to work for the day. He made sure the treatments were early morning in order for me not to miss school and for him to get to work every day as he was determined to continue working. To tell you the truth I don’t know how we all got through it all. Over the years we had many ups and downs with his treatment and we dealt with whatever came our way. We got used to this new normal. We were so lucky to have some amazing nurses in the years that he was being treated. Unfortunately, at my first year of nursing he passed away. He had been so proud that I had decided on this career path and I was determined to go on.
I completed my nursing degree and then turned my eye onto Oncology nursing. I started my career in pediatric oncology and was at The Hospital for Sick Children as a front-line nurse for many years and then after 10 years decided to move into clinical trials at the Odette Cancer Centre within Kidney/Prostate/Bladder group. I came full circle. The hospital who took care of my dad is the same hospital that I now work in.
In this position, my biggest reward has been teaching patients about their clinical trials and what is offered to them in their treatment journey. When patients are first approached for a clinical trial they can be quite stressed and overwhelmed. To be able to go through all the treatment options, side effects and then the mechanisms action thoroughly and then to see the understanding in their eyes when they finally get that not only may they benefit from the treatment but will then be part of the future treatments for other patients is remarkable. At the time I first started at the Odette there were few treatment options that were being offered in this area. With the number of trials that I have been part of, it has been amazing to see how much more we can give to our patients. To be able to appreciate the time that is gained for our patients by treatments through clinical trials has been so very satisfying. The clinical trials of today will become the standard of care of tomorrow and that is so wonderful to be able to be part of. Oncology nurses touch a part of our patients lives that is so unique and irreplaceable. I have been truly blessed to give back to a profession that was there for our family when we needed them the most.
Lauren Cosolo, RN, BScN, MN
Winner of the 2018 CANO/ACIO Rising Star Award
Sunnybrook Health Sciences Centre
Despite being new to oncology nursing, I always knew this was the area of nursing I wanted to be in. I have been motivated to work in this field since completing an oncology course in my final year of nursing school and a placement on a stem cell transplant unit. I started my career in trauma for a few years and then moved to a short stay surgical unit before ending up in oncology. Having the opportunity to care for patients with cancer and their families during that initial placement experience was an honour and inspired me to be an oncology nurse. I consider being an oncology nurse a privilege. Every day, I work together with patients, their families, and the interprofessional team to address their care needs and provide support throughout their cancer continuum. The strength, resilience, and courage of patients and their families is what inspires me to continue caring for and supporting those with cancer. I am proud to be an oncology nurse and I look forward to continue advancing nursing practice and providing quality, holistic, and compassionate care to patients and their families.
Michelle Rosentreter, RN, BN, CON(C)
Cancer Navigation Services, IERHA,
CancerCare Manitoba, Pinawa Community Cancer Program
This years theme “Celebrating Diversity” made me take a step back into my oncology career and the different paths it allowed me to pursue. When I began my oncology career I remember thinking my passion was palliative care and I thought this first job as a primary nurse would allow me to become a better palliative care nurse down the road. I remember thinking there is so much to learn and when I learn all there is to know I will go into the next chapter of palliation and end of life care. That was 19 years ago and I am still learning. I have been fortunate to work in many different areas in oncology, as a primary nurse in breast and prostate disease sites, chemotherapy both in urban and rural settings, nursing education and my most recent learning curve of patient navigation. I have been blessed to learn from diverse leaders and peers in oncology. They have helped me along this learning trajectory. The patients I have met along the way and what each unique story and lessons they have taught me. Oncology nurses work in a variety of settings and each one is a different experience and involves different skills. This is why I love oncology nursing – it is continuous learning and never stagnant. This field of nursing makes you want to learn and grow. In my 19 years I have been to 12 CANO Conferences, obtained my CON(C) and five years ago went back to university to obtain my BN Degree. It has kept me passionate about my career and dedicated to my patients. So, is palliative care still my career choice? No, but I have been taught along the way that palliative care is an important part of the cancer trajectory and I am able to partner my palliative passion with my oncology patients and make me a better oncology nurse. Each patient, each lesson, each position in oncology is diverse, so let’s celebrate!!
Amanda McKinley, RN, BScN, CON(C)
Cancer Control Alberta
I came to nursing after finishing my science degree, working in a health related field and feeling like I could do more to help people. When a family member suggested that I would love nursing, I jumped right in and completed the after-degree program at the University of Alberta. Several of my family members have experienced a cancer diagnosis and treatment in our province. After witnessing the care and compassion provided by the nurses in oncology, I knew that this was the nursing I wanted to do.
I was so fortunate to get my final placement at the Cross Cancer Institue on the inpatient unit. To be so engrossed in a patient and their family members journey and their sheer strength in the face of the worst situations was so inspiring.
I was fortunate to be hired into the Medical Day Chemo Unit, providing systemic therapy, research protocols and supportive care to patients as a staff nurse and charge nurse. No matter where I have been in oncology, you find nurses doing everything they can to make the experience with cancer a little bit easier for all involved.
Recently, I have made a transition to our provincial cancer control team to streamline documentation requests and assist with the provincialization of patient care. Hopefully when we are done, patients and their families are able to access the same compassionate care with standardized documentation no matter what facility they are treated in. As a result of this work, I was honoured to have shared in the 2018 BD Safety Award for the work we have done already in improving telephone triage nursing care and visibility of that care.
Oncology nursing has given me so much and I hope to keep giving back and improving the patient experience any way I can.
Odette Cancer Centre
I have been so fortunate to have worked as an RN in oncology nursing for over thirty-five years.
Last year, I was reminded of the incredible effect an RN can make on our patients when they are going through treatments. I reconnected by chance on social media after twenty-nine years with a patient who I had treated at Sick Kids Hospital when he was six. The video explains the magic of our reconnecting, and is a good reminder of the importance of the work we do.
Derek and I had a book launch last year of “Dereekio’s Big Adventure” and we both have had so much fun sharing the story of hope and caring. We as oncology nurses, must never minimize the effect we may have on a patient when he/she is going through what may be the most terrifying time in life. In the words of Dr. Seuss “To the world you may be one person; but to one person you may be the world.”
Anne Katz, PhD, RN, FAAN
CANO/ACIO Vice President
In my 35 year nursing career I have hardly worked in any ‘traditional’ nursing roles and my oncology nursing practice is no different! Most of my oncology practice is essentially that of a specialized counselor in two roles: helping men newly diagnosed with prostate cancer make a treatment decision and as the sexuality counselor for the whole institution, I see men and women of all ages with a diverse range of cancers who are experiencing sexual difficulties during or after treatment.
Each and every day I am humbled by the trust that men place in me in allowing me into a traumatic time in their life when they are newly diagnosed and confused about how treatment will impact on their quality of life. This trust is further highlighted when couples allow me to learn about a sensitive part of their life together when sexual and/or relationship functioning is affected by cancer and its treatment.
I have learned so much about the human condition in this work. I have seen individuals and couples overcome significant challenges, both physical and emotional, and have observed their personal growth with much admiration. I have witnessed relationships torn apart but also the beginnings of new love in people of all ages. I have witnessed couples starting to talk to each other in my office about topics that most don’t talk about in the privacy of their bedroom. I have watched as the panicked face of someone newly diagnosed relaxes when he realizes that in time, his life will go back to a different kind of normal after treatment and that his cancer is not likely to end his life. Through my experiences as an oncology nurse I have learned many life lessons: I have learned that humans are endlessly adaptable and can get through and over things that I can barely imagine being able to cope with. And I have come to understand that nothing is certain in life and plans can go awry in the time it takes to hear the words “You have cancer”. I’m not sure I would have recognized this before I became an oncology nurse and I am ever grateful for my own personal growth.
Terri Widawski, RN, BScN, CON(C)
North Simcoe Muskoka Regional Cancer Program
My name is Terri Widawski. I was born in a small northern town named Hornepayne, Ontario in 1977. My family moved to Barrie Ontario in 1986 and where I currently still reside. I have a wonderful family. A mother and father, younger sister and brother and one child. I had a fulfilling childhood and decided quite young that nursing was going to be my career, following in my mother’s footsteps. I graduated in 2007 from York University obtaining my Bachelor of Science in Nursing with Honours. My career started on a Cancer/Palliative unit and I worked on this unit for 5 years. During that time, I decided that I had a real interest in cancer care and treatment and enrolled myself into a Chemotherapy course…. that’s where MY JOURNEY began.
In 2012, I transferred to the Chemotherapy Suite undertaking many hours of continuing education and learning. The following year I obtained my Canadian Oncology Nursing Certificate (CON(c)). To maintain this status, one requires a yearly chemotherapy/biotherapy course and every 5 years one has to maintain over 100 hours of relevant education.
I continue to work in the Chemotherapy Suite at the Royal Victoria Regional Health Center.
One specific day, as I was preparing the many and varied intravenous lines for each patient, I suddenly looked down at my hands and noticed all the plastic connectors and adapters that I was about to throw into the garbage. My mind shifted to “what value would all these plastic parts be, these little obscure items that are so vitally important in the delivery of chemotherapy and other medications? I wanted to create something that is so insignificant by itself but so very important between myself and the people I care for.…and that’s where the JOURNEY began..again.
I started to collect every end of equipment that would be thrown into the garbage or recycling bin. I had to be mindful of the items so there would be no contaminated products by either solutions or people. All these items were clearly meant for the landfill. My coworkers also helped me gather the items, which took approximately 2 months. Once I had a generous amount, I organized the items into similar piles on my dining room table. I decided at that moment that I was going to make an abstract canvas piece. I wanted to glue the pieces onto the canvas but in a very special way. I wanted to convey my love for nursing and my dedication to each patient I care for. I decided to make designs that encompass my passion for nursing.
The main focus, in the middle of the canvas is the Caduceus, which is a broad sign for the health care system. I like this design as it involves the entire journey process from nurses, to doctors to even paramedics who may touch patient’s lives. I then decided on other special designs that are special to me. The nursing hat, the stethoscope (left hand side), the butterfly (top right), the normal rhythm heartbeat (bottom left) and most special is the purple cancer ribbon (middle right). I used the ends of blood vials, solution bags, medication tops, intravenous tubing, blood tubing, chemo extensions and many others items to represent each design. I also used specific blood tubing ends to spell the lettering that I am able to use following my full name (bottom right). Registered Nurse, Bachelor of Science in Nursing, Canadian Oncology Nursing Certified. There are other symbols I have incorporated and I hope you are able to see them when viewing this artwork. Take a minute to relish and converse to others about what you see.
My gift to you
This piece of art, which took approximately 5 months to create, is my gift to all of you. This is YOUR journey and I want to be a part of that. I want your journey to be positive and enjoyable. Your cancer journey may encompass chemotherapy, radiation, immunotherapy or supportive therapy and I want your experience to be memorable. All these little pieces, that are usually just thrown away, are very special to me as they are aspects of your journey that I have touched to support you in your way. I wanted a way to express myself to you and let each one of you to recognize that each you are special in some way to me. I hope my true passion comes through this piece and touches each of you throughout your JOURNEY. Nursing is my passion.. my art….it’s my Journey.
Colleen Campbell, NP, MN, CON(C)
Simcoe Muskoka Regional Cancer Program
Recipient of the 2017 Boehringer Ingelheim Oncology Nurse of the Year Award
I work with an amazing team of healthcare providers. As a team we work with patients and families to navigate the often complex world of cancer treatment and support. Although we all do many functional tasks, it’s the connection we make with patients and families that fuels the passion. I am a nurse practitioner and part of an urgent symptom management clinic as well as provide support to the cancer treatment suite. Yesterday I was asked to see a patient who had dropped in because he had no where else to turn. His family physician wouldn’t see him for another two weeks. The patient had insomnia and wasn’t sleeping. Would I please see him? I sat with the patient and we talked. We talked about his experiences with mental illness and addictions. We talked about his son who he lived with and loved. We talked about challenges and the perceived lack of resources. Then we talked about his intention for self harm. I tried to have a social worker see the patient urgently, but none were available so he talked some more and I listened. In the end he agreed to go the emergency department where he was seen by a crisis worker. People with cancer may also have chronic health conditions, including mental health challenges. When the world turns it’s back and the patient cannot cope, more times than not those patients trust their cancer team who they know will not turn them away. I am extremely proud of the nursing team I work with and the holistic patient and family centered care we provide. Happy Oncology Nurses Day.
Linda Watson, RN, PhD, CON(C)
CANO/ACIO Past President
Tom Baker Cancer Centre, Calgary Alberta
The thing I love most about being an oncology nurse is the simple ways that I make a difference in the lives of my patients. In any given day many opportunities to improve my patient’s experience occur, but here are some of the simple every day examples that jump out at me. First, by being highly proficient at starting IVs, patients were often relieved that the IV start went quickly and smoothly. This sounds simple, but really being clinically competent was a key element in how I positively impacted the patient experience. It is surprising how many people find getting an IV very stressful. Second, having the right information to answer the questions that were troubling my patients was huge. This is what motivated me to become CNA certified, as knowledge about cancer and its treatments is key to empowering patients to understand their experience, manage their own care needs, and understand when to seek help. Third, being a good communicator was a very important everyday way I contributed to an improved patient experience. Being technically competent and knowledgeable are important, but the ability to communicate well is what really makes the patient and their family feel cared for and about. Finally, my ability to make them feel comfortable in the cancer clinic was so important to improving the patient’s experience. Coming to the cancer centre for treatments can be scary and overwhelming, and oncology nurses can really help make the whole process a lot less scary. I once had a patient’s wife come and find me when her husband’s treatment journey was complete and she had bought me a little angel lapel pin. I actually had not looked after her husband many times, but she reminded me that I looked after him on his first treatment day and that I had done a great job at making him feel at home. She recalled that I had told him a corny joke and that he found that so comforting, he had never forgot me, and that is why she wanted to recognize how I had made a difference. That is what I have loved the most about being an oncology nurse, that every day, in many ways I directly influenced how patient’s felt about their care experience at our cancer centre.
Linda Varner, RN, BScN, CON(C)
NB Department of Health NB Cancer Network
Oncology nurses are part of the NB Cancer Network, a division of the New Brunswick’s Department of Health, responsible to plan, fund, implement and monitor results of the Colon, Cervical and Breast Cancer Screening Programs. One of their tasks is to offer and arrange follow-up colonoscopy for participants of the Colon Cancer Screening Program who tested positive for their fecal test. A Program Nurse calls the participant and informs them of the result, the possible causes, and the follow-up colonoscopy that needs to be done to rule out polyps or cancer.
The Program Nurses or – Cancer Screening Access Coordinators– were recruited through job postings. Many oncology nurses applied and were hired for this role. During the interview, many of them were reluctant to work in an environment where there was no face-to-face contact with the participant. They feared they would lose that special bond or helping relationship they usually established with their oncology patients.
This new role required experienced nurses able to assess a participant over the phone and determine whether they could go directly to colonoscopy or be referred to a specialist for a pre-colonoscopy consultation. The Medicare law in NB had to be amended to allow Nurses in this advanced role to refer directly to a specialist without having to request an order from another physician.
Although a very non-traditional environment, oncology nurses find it rewarding to be able to help the healthy population prevent or find cancer early and ultimately decrease the morbidity and mortality associated with late stage cancers. One of the colleagues, Shirley Koch RN BN CON(C) shares her story:
So many memorable moments come to mind as I reminisce about my broad oncology nursing career across Canada and the United States ranging from palliative care, outpatient cancer clinics, nurse navigator, clinical trials and most recently, as provincial coordinator of cancer screening. Each experience carries with it certain unique and memorable moments. Be it sitting and holding the hand of a patient who is afraid to die alone as a young new palliative care nurse; to offering support, information and options for patients and families who feel desperate and hopeless at the sound of the word “cancer” during my navigation, clinical trials and cancer clinic days. I have even found excitement on “the other side” of the pendulum by influencing positive change and progress through developing policies, programs, and communications strategies regarding early prevention & screening for cancer. What an unbelievable joy it was to be able to help a son ensure that his mother’s death from cervical cancer not be in vain by featuring him in our provincial screening awareness video. Through this video, he was not only being able to share his experience of living through a cancer diagnosis with his mom, but hoped that through his mom’s story, it could be different for even one other person if they just went for regular Pap screening.
Although often challenging in the ‘short staffed’ and ‘fiscally restrained’ work environments many of us continue to work in, the rewards and memorable moments are still evident. Ultimately, I am so unbelievably ‘thankful’ and proud that maybe, I’ve made a difference and helped someone because of the experienced, knowledgeable, compassionate and dedicated oncology nurse I have grown to be.
“Never underestimate the difference you can make in the lives of others. Step forward, reach out, and help.” Pablo
Sarah Champ, MN, RN, CON(C)
Why did I become an oncology nurse? I didn’t go into nursing school thinking “I want to work with cancer patients”, life just sort of took me this route, and I wouldn’t have it any other way. When I was looking into applying for my fourth year practicum, my grandmother was diagnosed with pancreatic cancer. This got me wondering about cancer, and wanting to learn more, so I chose a placement at the Cross Cancer Institute (CCI) in Edmonton, and was hooked. I realized there is so much more to nursing with cancer patients. Oncology nurses walk the talk of patient and family centred care. They treat the entire family, and are caring for more than the physical need of cancer patients. I ended up working on a hematology unit, and have many amazing memories of the patients I cared for there. From there I became an educator for hematology, then at the CCI, and ultimately beyond in a provincial role.
While my career path took me away from the bedside into education, I still possess a passion for oncology nursing, and take pride in the fact that I can help more patients as an educator. While I provided excellent care as a staff nurse, I only touched my patients. My hope is that by educating staff nurses, I could enhance the care of all of the patients they see.
I am so proud to see the amazing dedication and compassion of the oncology nurses that I see, and had the opportunity to experience their compassion and excellent care first hand with my grandfather. He was diagnosed with stage 4 lung cancer, and could not stop raving about the care he received at the CCI. They truly made his final days more comfortable not only for him, but for my family. This experience solidified my love of oncology nursing, because we always go above and beyond for our patients.
Heidi Holden, BScN
PEI Cancer Treatment Centre
Oncology has always been a passion of mine and became even more evident to me when my mom was diagnosed with Breast Cancer in 2004, She had total left mastectomy, chemotherapy, Radiation, struggled with losing her hair, fatigue, Nausea and vomiting, along with other side effects our Oncology patients experience. On June 13, 2018 my mom will be in her 14th year of survivorship. Her determination, strength, and her willingness to fight Cancer, motivated me to strive for my dreams to become an oncology nurse.
I have worked in many wonderful areas throughout my 11 years as a Registered nurse and it was in 2015 my dream was fulfilled, I became an Oncology nurse at The PEI Cancer Treatment Center in Charlottetown, PE. I have been very fortunate to work with an exceptional nursing Team. Each one bringing their unique stories and skills which has enriched my nursing career. What I have learned since starting this new career, it can be the most challenging and rewarding job I have worked in, and to enjoy everyday as we never know what tomorrow can bring.
Oncology nursing has given me such great passion to be the best nurse I can. I advocate, educate and support my patients along with many other things. I have great appreciation for the wonderful relationships I have made with my patients and their families, which I feel has helped them through what is probably one of the most difficult moments in their life “hearing they have Cancer.”
I often hear why would you want to be an Oncology Nurse? It must be so sad, so depressing. In fact it is the complete opposite. Don’t get me wrong there are days that I want to cry and do cry, but there are so many stories of patient survival, their hopes, recognizing patients needs and concerns as well the many connections you have with your patients and their families. And at the end of the day my goal is to treat the patient as a whole person and not just their cancer.
Lynn Wareing, RN, MN, CON(C), CHPCN(C)
Canadian Cancer Society
I have been an oncology and palliative care nurse for the majority of my 30-year career and I guess you could say that oncology nursing found me. I was working on a telemetry floor as a new grad fully intending to follow a speciality in cardiac nursing; however our floor also received medical oncology patients and I found I gravitated to these patients finding it very rewarding to walk with them on their journey- and so it all began!
Now, having completed a Masters in Nursing just a couple of years ago, I find myself reflecting on my own professional oncology nursing journey. This profession has afforded me many rich experiences which included positions in public health, community based oncology/palliative care, palliative coordination, hospice and hospital palliative units. In addition, I have held positions at Cancer Centers in systemic therapy, supportive care, and establishing a local satellite systemic therapy clinic. In addition, I have had the opportunity to participate in leadership, education, research, and Advanced Practice roles. Most recently, I am serving as Manager of Information Service at the Canadian Cancer Society. This affords me the opportunity to focus on models of care that enhance the way in which patients and their families access much needed information and services to support them throughout their cancer journey.
Of course in 30 years there have been great strides in prevention and treatment modalities to improve survivorship and enhance quality of life throughout the cancer continuum. In addition, I have seen the delivery of cancer care evolve with a view to become more patient and family focused. Throughout these 30 years, I have distilled a passion for the art and science of oncology nursing. The professionalism and compassion of my colleagues always inspires me and makes me proud to practice among them. The stories, resilience and candor of my patients has humbled me. Above all, the strength and perspective I have gathered from the many lessons learned from patients, families, and colleagues has become part of the tapestry that makes up my own personal philosophy not only in nursing but in life as well!
Katie MacPhee, BScN
PEI Cancer Treatment Centre
When people hear that I am an oncology nurse, their reactions are usually along the lines of “that must be hard!” or “why would you choose that?”.
Oncology nursing definitely has its challenges. The rate of cancer diagnosis is rising which means that our days are filled with seeing many patients in a short period of time. Cancer research is constantly evolving and practices are forever changing, making it a very demanding area. More than that, though, is the emotional burden that comes along with working in the Cancer Treatment Centre. These patients, and their families, are facing a very scary and unknown place and being the person who is there to support and educate them is no light task. Yes, we do give them a lot of us, but the return is unsurmountable.
My patients teach me so much about how to live, what is truly important in life, and I am always so moved by their strength and courage. Seeing them come into the centre on their first day, being overwhelmed with information and uncomfortable feelings is hard, and the least we can do is to be at their side to support them. These patients are on a journey that no one has chosen. There is nothing more rewarding than being present on the day that their scans show response to treatment, their hair begins to grow back, the scars are healing or they are finally able to manage their pain. We celebrate with them for getting through their treatments, and we maintain hope for them when it seems so far away.
So why did I choose to be an oncology nurse? It’s the challenge of constantly pushing myself intellectually and emotionally, building impactful relationships with patients and families and continuing to be humbled by the amazing strength and stories of the people who walk through the doors of the Cancer Treatment Centre every day.
Komal Patel, RN, MN, CON(C), CHPCN(C), CVAA(C)
Recipient of the 2017 Pfizer Award of Excellence in Nursing Education
When I started nursing school, oncology was not on my list of specialty areas for my career. I realized that I wanted to become an oncology nurse during my third year undergraduate clinical placement in Windsor, Ontario. I was drawn to oncology because of the following: 1) competency: the broad range of knowledge and skills required to provide high quality of care; 2) potential: the excitement of new discoveries and new treatments for one of the deadliest diseases in Canada 3) impact: the huge impact that nurses have on the life of patients and families, in the most vulnerable period of their life.
I cannot believe it, but I have been working in oncology for nearly 12 years, and I love it. I would not change anything about it. There are definitely some days that are very difficult for me as a nurse. I would be exhausted physically and emotionally, running from room to room to provide care to very sick patients and attending to the concerns of the family members. However, there are more days that are rewarding – a smile from a patient whose symptom is well controlled, a young person who enters remission and could go home, or a family who weeps for their loved one who lost the battle to cancer. Before leaving, they often hug nurses and thank us for our efforts. Everything reminds me that all my hard working makes a difference.
What makes me proud to work as an oncology nurse is the ability to make positive impact to patient care and safety. At this point in my career, I work in two different roles: staff nurse on an in-patient oncology palliative care unit at Brampton Civic Hospital, and as an educator at the de Souza Institute, an national oncology and palliative care continuing education organization. My roles have enabled me to continue providing care at the bedside while enhancing healthcare provider knowledge needed to provide safe care while ensuring safety of their own.
There are so many memorable moments working as an oncology nurse. Working with patients and their families has been and is an honor and a privilege. The stories and experiences that they have shared with me have shaped my nursing practice. They have also taught me to appreciate even the smallest things in life, and to live our lives to the fullest as we do not know what tomorrow will bring.
Being an oncology nurse is more than administering chemotherapy. It is about providing care, support and guidance throughout their (patient and family) journey, providing education, treatment, symptom management, and being a listening ear and a shoulder to cry on. If I had to pass along a message to anyone thinking about a career in oncology, I would tell them that it is a great choice and it brings out the best in nursing!
Kara Jamieson, RN, MN, MEd, CON(C)
CANO/ACIO Director-at-Large, Communications
Nova Scotia Health Authority
Oncology nursing chose me during a clinical placement my 2nd year of nursing school. I previously had thought that I wanted to be a labour and delivery nurse, but when I walked onto that unit, it just fit. The unit was made up of surgical patients, radiation patients as well as provided palliative care; I was exposed to so many facets of oncology care and I loved every one of them. I was fortunate enough to do my co-op placement and final nursing elective on that same unit and was hired full time not long after graduation. Oncology nursing became my passion and I was continually inspired by the amazing patients as well as the incredible nurses that I had the privilege of working alongside of every shift. The inspiration, support and mentorship I received enabled me to go on to achieve my CNA certification in oncology, become a unit preceptor, take on a clinical instructor role and eventually guided my career to education when I obtained my MN and then MEd.
While the work can be challenging, it is never thankless. Whether providing care at the bedside, designing education programs, preparing policies, or managing an oncology unit; oncology nurses efforts are always directed in providing exceptional oncology care for our patients. That is why the theme of OND this year, “Excellence in Oncology: Our Patients, Our Passion” resonates so strongly. This is what every oncology nurses strives for regardless of their workplace.
I feel so fortunate to call myself an oncology nurse and will be celebrating the work we all do, this OND!
Doris Howell, RN, BScN, MSsN, PhD
Recipient of the 2017 CANO/ACIO Award of Distinction
A Moment as an Oncology Nurse That Stands Out
In my earliest years while completing my training in oncology nurse I was asked to care for an older man who was dying of cancer. He was as Dylan Thomas so aptly stated in a poem, “raging against the dying of the light”. He was angry all of the time and constantly screamed at staff to leave his room and on occasion through his urinal to make his point that he wanted to be left alone. His family had long ago disowned him due to his alcoholism. As the weekend relief nurse, I was often assigned the dying patients as staff in those days before palliative care teams existed were just not comfortable caring for these patients. I remember standing at his door and reflecting on my course teachings in death and dying, “reach behind the disease for the person”. Trembling I entered his room and blurted out my name and boldly stated, I am your nurse for today Joe and I am not too keen to have things thrown at me so lets see if we can figure out how to make this day better for both of us. By the end of that day I had learned about his love of racing cars and his hobby of collecting pictures of the “sleek beauties” he loved the most. I still have those racing car pictures in my filing cabinet as he asked me to hold onto them for him at the end of my shift. In some small way this was his legacy and sharing it with someone his chance to feel his life mattered. As oncology nurses, we have so many stories of patients that have “left footprints on our heart”. These moments influence the path we take as oncology nurses. Pursing the path of research I had always hoped that my research would help to transform care to be more “whole-person” centered and I continue to teach humanistic aspects of oncology nursing care including a focus on how to be truly present with patients and provide care that is therapeutic and helps patients to know that we truly are willing to step into the road with them during their experience of going through cancer or facing the end of life.
Sheryl McDiarmid, RN, AOCN, MBA, MEd, ACNP
Recipient of the 2017 Clinical Lectureship Award
In 1978, with only 2 years of nursing experience I had the opportunity to join the IV team at the Civic Hospital. At that time the team was responsible establishing vascular access and preparing and administering all intravenous medications. Most “cancers” were treated with radiation therapy and chemotherapy was used to treat acute leukemia. We spent a significant amount of time with these patients administering anti-emetics, chemotherapy, and antibiotics. In the early 1980’s surgeons began inserting tunneled cuffed catheters and it was also our responsibility to provide care and maintenance for the device.
In 1980 I remember giving the first MOPP (Nitrogen Mustard, Oncovin, Prednisone and Procarbazine) combination therapy to a young man dying of Hodgkin’s Lymphoma. Then over the next few days I watched him respond and leave the hospital I felt like we had performed a miracle. For the next 4 months I gave him his intravenous therapy and listened to how he was living his life to the fullest.
Although we provided exemplary care to these patients it was not until later that the concept of oncology was created. When I see the number of health care providers involved in patient care today, the complexity of treatments and the number of patients cured I feel proud to have been part of the pioneer community of practitioners. What we lacked in knowledge and resources we compensated for through our commitment to quality care. Over my 40+ nursing career I have seen many advances in the oncology care; more patients are cured but many more live with cancer as a chronic illness or the consequences of therapy, patients are actively encouraged to be engaged in treatment choices that are so much better understood, and the field is much safer for practitioners administering therapies.
Forty years ago I might spend 4 hours one on one with a patient with acute leukemia starting their intravenous or providing their central venous access care, administering the anti-emetic and then their chemotherapy. This was the foundation for a therapeutic relationship which I have tried to maintain over the years as the pace in the work environment increased. Finally the skill that has served me best throughout my career is an expertise in vascular access and infusion therapy that crosses all patient populations and care settings.
As an Oncology Nurse there are numerous days that are remembered, reflected and cherished. Remembering some of those moments which I believe many nurses can relate to.
That day when I was so scared to give my first doxorubicin push
That day when my patient had a drug reaction to chemotherapy a minute before my lunch break
That day when none of my IV’s would go in
That day when I learned that my favourite patient passed away
That day when the doctor was rude over the phone
That day when I almost called in sick
That day when it was so unforgettably busy and each muscle of my body ached
That day when I treated a patient with the same age as me
That day when all I had was Christmas chocolates from patients
That day when my bladder reached its maximum capacity because I could not leave the chemo room
That day when I wondered why in the world were there so many types of lymphomas
That week when I never left work on time
That patient with no subcutaneous tissue to give zoladex
That day when 13:07 and 14:07 all looked the same on the clock when writing medication times
That day when all you wanted to do was hug your favourite nurse
That day when only humour could keep you alive
That moment when the doctor paged back as soon I wore sterile gloves
The day when that air bubble in the IV line with the beeping IV machine drove you crazy
That Friday when I had treated everyone an hour before it was time to go home
That day when I was giving water to my patient realizing that I was more thirsty then them
That day when I cried with my patient and felt so helpless for what they had been through
That day when I marveled at my patient’s positive attitude to life and wondered how they could do all this
That day when I thought how unfair the world was
That time when my hands were so red and dry due to constant handwashing
That moment when I realized that nursing was so much more than a bimonthly paycheck
That day when the patient praised me for taking such good care of them
That time when the patient was surprised because I remembered each of their family members name
That day when all my patients had an implanted port to be accessed
That day when I managed to put a smile for my patients despite having a crappy day
That day when I was so proud to be an oncology nurse!
Mike Harding, RN, BScN
Recipient of the 2017 Pfizer Award of Excellence in Nursing Clinical Practice
I remember struggling with the decision about where I wanted to be placed for my final term of nursing school. I hadn’t found a strong connection with any of my previous placements as a student and I was questioning whether nursing was the right profession for me. I hadn’t really considered oncology until a family member took me on a tour of the Saskatoon Cancer Centre (Thank You, Heather!). I immediately felt a connection to that environment and although I couldn’t know if it would be the “right fit” for me, I knew that I needed to give oncology a try. I was fortunate to have been placed in the Outpatient Department at the Cross Cancer Institute in Edmonton that year and I am so grateful that I was. I’ve been working there since I graduated from the University of Alberta in 2011 and I honestly love it!
I remember attending the CANO conference in 2016 and listening to Jennifer Wiernikowski’s keynote address in which she introduced me to the term Ikigai, a Japanese concept meaning “a reason for being”. While oncology nursing is certainly not my only reason for being, it’s a big part of who I am and it’s something that I look forward to doing every day. Before deciding to become a nurse, I recall feeling that my career at the time didn’t provide me with a sense of purpose – Oncology nursing certainly provides me with one now.
I consider it a privilege to support and advocate with our patients and their families and I’m proud to be a part their journey. I feel fortunate to have such remarkable RNs, NPs, and LPNs to call my peers – I learn from them every day. I’m proud to collaborate with the many caring and skilled disciplines at the Cross Cancer Institute and to be a part of the excellent care that they provide. I’m also grateful that I’ve had the opportunity to attend CANO’s annual conferences. Hearing from other Canadian nurses about what went right, what didn’t, and how they work to improve our patient’s experiences and outcomes is truly inspiring.
During my second year as a nurse, I decided to grow a moustache and join the Movember team at the Cross Cancer Institute to help support folks with prostate cancer, testicular cancer, and mental health challenges. Now, for the last 6 years I’ve had the pleasure to create some fun (and often silly) photos and calendars of me and my dog, Xander, with the aim of spreading awareness and raising funds. With the help of my husband, Don, and many talented and generous friends and supporters, together we’ve raised over $35,000. Thanks to everyone for supporting this ‘hair’brained idea.
Being an oncology nurse means many things to me, but most of all, it means that I can make a meaningful difference in the lives of others. I hope to have a long career in oncology nursing and I look forward to spending it with my nursing family.
Tish Palfrey, LPN
Recipient of the 2017 CANO/ACIO Rising Star Award
Oncology nurses work closely with a multidisciplinary team, providing treatment and supportive care that are essential to this specialty. I first decided to become an oncology nurse because I enjoy relationship building and I knew that this was a large and very important part of this specialty. When I started with BC Cancer, I was one of the few LPN’s within BC Cancer who had the privilege to take on that caring role with patients and their families. I am happy if I can impact the lives of these families while helping them make this time in their lives a little less challenging. While patient education and symptom management make up a large part of my work, providing emotional support is the mainstay of my practice. Oncology nursing is very meaningful and rewarding but I am realizing that it is the patients themselves that truly make me feel blessed. The courage that patients and families face each and every day, constantly reminds me of what is important in life.
Marcia Flynn-Post, RN, BA, CON(C)
Recipient of the 2017 Pfizer Award of Excellence in Nursing Leadership
I began my journey into Oncology Nursing when I was hired as a student nurse on an inpatient Oncology and General Medicine unit at a small downtown Toronto hospital more than 25 years ago so it wasn’t a conscious decision to become and oncology nurse but the profession “found” me. I quickly realized that I loved working with these patients and families because as much as they think I may have helped them, they gave me so much more… more appreciation for life, for the knowledge I had and needed to continue to develop in my practice but mostly for the opportunity to participate in their care. This is what drives my passion to want to be an Oncology Nurse and in truth, I could not think of another area of practice that I want to do because of it. We are truly a special breed of nursing professionals!
When asked about my most memorable moments, I always think back to a young patient who was dying. We had been with him and his family throughout his cancer journey and his sister was going to have a baby but we all knew that he would never be there to see that baby. I managed to convince one of the labour and delivery nurses to come down and do a portable Doppler on the sister so that he could hear the baby’s heartbeat. At the time, he was in and out of consciousness but we could certainly tell that he had heard it. Sometimes, it is the little things that we can do.
So now what does being an oncology nurse mean to me? As a manager, it means that I am passionate about being able to effect practice and quality of care for our patients and families. I try to lead by example, stay relevant in my practice and work on projects and initiatives that will help facilitate excellence in oncology nursing.
Happy OND to all!
My daughter, Shanna (Shan) was diagnosed late with metastatic breast cancer in 2005. Sadly, despite predictions of hope, Shan lost her life to the disease. Shan was only 24!
The oncology nursing staff assigned to Shan were second to none during her hospital stay. The nurses were both caring and thoughtful in their work. They advocated for Shan, provided the best possible care and ensured both her comfort and dignity. Their support also extended to family members and Shan’s friends.
On the occasion of Oncology Nursing Day 2017, I would like to thank all the oncology nurses whose skills and talents touch their patients and their circle of care in a very special and meaningful way. Patients, family members and friends, will always remember you.
In Shan’s memory, Team Shan Breast Cancer Awareness for Young Women (Team Shan) was established to make a difference for young women following in Shan’s footsteps. Team Shan, a national charity, reaches young women across Canada with their breast cancer risk and breast health information. As a nurse and a mother, I am proud that we are realizing our goals for earlier detection and improved outcomes for young women diagnosed with breast cancer.
On April 4th, I will celebrate Oncology Nursing Day 2017 by posting a special thank you to all of you. Team Shan will also be posting AYA cancer infographics to coincide with AYACancer Awareness Week. These are two very special acknowledgements that are both near and dear to me.
Virginia Lee, RN, PhD
Recipient of the 2016 Helene Hudson Lectureship Award
What does being an oncology nurse mean to you?
Although I had worked on other units early in my career, all roads always led me back to oncology nursing. I often refer to the butterfly effect – the idea that small changes have the ability to make large changes, and the ripple effect – the ability for each of us to profoundly affect or influence others at another point in time, often unknowingly, with or without intention. It is these metaphors that come to mind as I reflect back on my early days as an oncology nurse on the 17th floor of the Montreal General Hospital. I can still remember some of my conversations and the faces of particular patients, how we as a team felt genuine joy when a patient shared a personal or family celebration, or deep sorrow and pain when there was a funeral to attend. It was these early experiences that were pivotal in directing my practice and redirecting my transition from the bedside to clinical research.
I’ve since learned that anyone who works in oncology confronts mortality. Once you’ve seen death, it cannot be unseen. But by witnessing death and suffering, we also open ourselves to deeply valuing the transience of the other side to life. There is a quote by Irvin Yalom “The way to value life, the way to feel compassion for others, the way to love anything with greatest depth is to be aware that these experiences are destined to be lost.” I think what I am most grateful for as an oncology nurse is the privilege of caring for people who are caught in the liminal space between living with and dying from cancer. By virtue of this privileged role, I am fully aware that I am granted special permission to assess, intervene, and bear witness to a significant life moment in a complete stranger’s life. And hopefully, by the end of this clinical exchange, the person no longer remains a stranger but an individual with a story – a past, present, and future who is trying to work with us to accommodate the unwelcome presence of cancer.
Professionally, we give to our patients in many ways. We educate patients and family members about the disease and treatment of cancer. We administer anticancer drugs and supportive care treatments. We provide symptom management. We coordinate care. We offer compassion and a caring presence in the face of the unknown. Every shift, we try to go the extra mile to make more good days than bad days for our patients.
And in return, patients teach us about the fragility of life and the importance of routine, everyday moments that can be taken away in an instant. Patients teach us that hope and resilience of the human spirit can rise out of the adversity of cancer. Patients have taught me not to fear suffering and death but to harness its power to illuminate that which is most important in our lives. I continue to marvel at the wisdom that patients have to have to live in the face of uncertainty. I am grateful for the life lessons and the stories that patients continue to share with me. On a personal level, it is by virtue of my experience as an oncology nurse that I have been able to cope when cancer entered my own family.
One of the most rewarding aspects in my current role is the ability to spread the wisdom learned from past patients to future patients, so that the butterfly and rippling effects can live on. Oncology nurses have an ability to connect with patients that goes beyond words. We are connected by an understanding about the fragility of life and the desire to live more meaningfully in the present. The idea that we can leave something of ourselves that one day can help another, however casually or unknowingly, can offer a potent answer to the potential meaninglessness of cancer.
Recipient of the 2016 Lymphoma Canada Award of Excellence in Honour of Estéphanie Jemus-Gonzales
My first experience with cancer was as a young child. My Uncle Lloyd was in the hospital and all of our family went to visit him. I was shocked. I had never seen anyone as thin as he was and I recall thinking to myself that I didn’t know he was sick until that very day. It was Christmas Eve and we took presents to him. He told my grandmother “I don’t know why you brought these. I won’t be able to use them”. As I listened, I wondered how my Uncle knew what his presents were, when he hadn’t even opened them, and I wondered why he and my grandmother were upset with each other. After a short visit my grandmother rushed me out the door and home we went. The phone rang before the sun came up the next day -my Uncle had passed away. I was sad that I didn’t understand his illness or what he went through. But mostly I was sad that I didn’t get to say goodbye to him.
This experience compelled me to go in to nursing. I wanted to talk to people about their illnesses and I wanted to be able to understand their experiences.
Nurses care for people when they are in their most vulnerable state. It is both a privilege and a huge responsibility to care for a patient newly diagnosed with cancer. We listen to their stories, help them understand their cancer, teach them about their treatments and how to care for themselves. Most patients initially struggle to find meaning in their cancer diagnosis, “Why me? “ -and for this, there is no answer. Mostly nurses help patient understand that they are not alone and that if others have gotten though this journey then they can too.
Nurses in oncology care for patients but we also care for their families as well. Every day in the waiting room I see family members offer their strength and compassion to their loved ones and I feel lucky to be able to see this side of people. Caring for these caregivers is intrinsic to caring for our cancer patients.
Cancer patients have taught me life’s most valuable lessons. For instance, our patient Sarah, who was also a mother. She took the bus home from the hospital after her chemotherapy treatments so she could be there when her son returned home from school. She taught me what strength was and that mothers never stop putting their children first.
There was a young man I met on my 40th birthday. Scott was diagnosed with a very aggressive lymphoma and was so sick he could not even raise his head off his pillow. He asked me how old I was and when I told him he said “I hope I get to turn 40 someday” He taught me that every year, every day is a gift to celebrate and one day we celebrated his 40th birthday. That was a great day.
I have seen a lot of bravery. Anyone who comes back to the treatment area for multiple cycles of chemotherapy is amazingly brave. I have seen hope spring from places where I didn’t think there would be any to find. I have witnessed patients cope with the deepest of faith and some who sometimes lose their way. But I have also seen the lost find the strength and resilience they need to conclude their cancer journeys in exactly the way that is most meaningful to them.
I have celebrated many milestones and anniversaries with my patients and have experienced great joy in my career. Conversely I have learned that I cannot always take away a patients suffering and that some illnesses cannot be cured. As I nurse, I can always listen, witness, touch, hold hands, cry, laugh, and learn with my patients throughout their cancer journeys.
4th year BScN Student, PEI Cancer Treatment Centre
OND Story: A Student Perspective
When choosing my final clinical placement in nursing school, many of my classmates questioned my interest in oncology nursing. They asked questions regarding their presumed assumptions of why I would want to work in such a sad and challenging environment. It was not until I was a few weeks into my preceptorship that I was able to answer that question with an honest response.
I always knew that I wanted to be a nurse, and I thoroughly enjoyed all of my clinical rotations. However, it was not until I was a third of the way through my oncology rotation that it all came together. I had finally found an area of nursing that I was truly passionate about. I was able to go home each day with a new sense of knowledge and appreciation. I have been very fortunate to learn and grow from such an inspiring group of nurses.
So, in response to the frequently asked question of why oncology nursing, I have realized that my response would be because of the patients. They are the most appreciative people you can work with, which makes it so rewarding. I have witnessed first hand from experienced oncology nurses the relationship that you can build with these patients. There is great satisfaction in providing dignified care to those who need it the most. Although I have witnessed some emotionally challenging days, the success cases definitely outweigh the bad days. I am grateful to have found an area of nursing that I truly enjoy and I am looking forward to furthering my education in oncology nursing!
Recipient of the 2016 CANO/ACIO – Amgen Award for Innovation in Oncology Patient and Family Education
Oncology nursing reflections
With Oncology Nursing Day coming up on April 4 this year, I was asked to share some thoughts, as a recipient of this year’s Innovation in Oncology Patient and Family Education award. After accepting, I sat staring at a blank page. What does it mean to say “I’m an oncology nurse”? What, if anything, sets us apart? It’s not every day we sit down to reflect on why we love what we do, or why we identify with being an “oncology nurse.” By definition, an oncology nurse is a nursing professional who specializes in caring for people with cancer. Okay, well that’s me. I’m a nursing professional and I care for people with cancer. What I love about this definition is its expansiveness. It encompasses a variety of positions – any nursing role that touches a cancer patient or families’ life as they go through the experience of cancer.
I was introduced to the idea of oncology nursing through a family member working in the area. She loved it. I mean, really loved it. The effect was inspiring. At the time, I was working on a unit I did not love – or even like! To hope that I could feel that love also was motivational. When a position opened, I applied and started a few months later. I too, loved it – the staff, the patients, the families. Working in systemic treatment, giving chemotherapy to patients – I felt it a privilege to be involved in what I consider to be an intimate experience for patients and their loved ones.
People always asked me if it was hard. Some days were, no doubt about it. But I was inspired by the patients themselves – their courage and often their heart. Sometimes just an extra smile, or a conversation that was not about treatment or cancer had the needed effect. Patients would comment on how meaningful that was – to have a focus outside of their diagnosis, for just a moment. Obviously, given the setting in which I worked, many of the conversations were about treatment, or side effects or things like that. But being able to go beyond that, was meaningful for patients and families. Perhaps it was the normalcy of the area we worked in and all of the different people I saw. I would say all of my colleagues in treatment were professional but able to make the environment a warm and welcoming one.
I began my career in patient education by volunteering to update our chemotherapy patient teaching class. Working with patients and families, giving them the information they needed to start their treatment safely and being present to answer questions was reassuring for them, and rewarding for me. While I do not teach this particular class now, I currently work in developing our provincial patient education program. It is not clinical work, although I am still afforded the amazing opportunity to work with patients and families. It is very rewarding, in a different way. Patient and family education provides so many things, from the tangible, practical information a person might need to navigate their way to a building or providing a phone number to call, to helping them manage their side effects, understand better and more fully their treatment, disease or symptom management, to helping them feel more connected and less alone.
As oncology nurses, we are unique in our roles but bonded in the experience of working with patients and families experiencing a cancer diagnosis. I believe it is our passion which sets us apart. We are a part of one big team…whether it is the team within our own cancer centres, hospital units, home care, or palliative/hospice care, or our team of oncology nurses that spans the country. We are united in our work, with a common goal of supporting our friends, colleagues, family members, loved ones and strangers in living with, fighting against and managing this disease. We should all be proud of the work that we do, in whatever capacity or role we do it. Each small thing is a part of something much bigger and even a simple smile can have the most profound effect.
Be proud, colleagues! Happy Oncology Nursing Day everyone!
Recipient of the 2016 Pfizer Award of Excellence in Nursing Education
Read why Barbara Hues became an oncology nurse, what makes her proud to work in this setting, why she is passionate about what she does, her most memorable moment and what it means to her to be an oncology nurse!
Why did you decide to become an oncology nurse?
My first nursing job in 1979, was on an inpatient oncology unit in Toronto. I hadn’t thought seriously about oncology during my university years. Oncology only grabbed my attention once as a student; when I cared for a 5-year old with leukemia. During that first year of working though, I grew to appreciate how difficult life could be for people with cancer. What really impacted me, was realizing that I could help make life less difficult for them!! I fell in love with oncology.
What makes you proud to work as an oncology nurse?
There is a distinct pleasure in feeling like you are in the right place at the right time. I feel this satisfaction and it makes me proud of the work oncology nurses do. Patients may express dissatisfaction with finding a parking spot or with long waiting room stays but rarely do we hear that there is anything but enjoyment in their relationship with their oncology nurses.
Why are you passionate about what you do?
I love learning, and problem-solving. When I can apply these innate appetites to improving the lives of cancer patients, it’s even better. In my role now, the impact on patients is less direct. It feels like an investment in the future of oncology nursing, to promote life-long learning and professional engagement. I could not talk about the passion I have for my career without mentioning the gift I had of working in Hematology/Oncology for many years. Oncology nursing in Hematology clinics brought my career to life; there was something new every day. My knowledge and understanding of “blood” grew and grew. It was so suited to my curious nature.
What is your most memorable moment working as an oncology nurse and why?
I sat through the night once with a dying patient. He was in a 4 bed ward and had no family or personal support. Being with him until everything was over was such a gentle and meaningful time– and dark in our little corner of the ward. I didn’t think the other patients were awake or paying attention. After the patient’s death and all the “hub-bub” that goes along with that, one of the other patients said; “I hope when I die, that you get to be with me too”. That meant a lot!
What does being an oncology nurse mean to you?
The meaning oncology nursing has for me have evolved over time. In the beginning it was the “aha” moment of discovering what I wanted for my career. Next it was gratifying to grow in expertise and the ability to meet patients’ need. Now, nearing the end of my career, I want to engage and encourage the next generation of oncology nurses. I want others to fall in love with oncology, as I did.
2016 Boehringer Ingelheim Oncology Nurse of the Year Award Recipient
I remember the stress of having to pick an area for my 4th year nursing consolidation placement, back in 1990. At that time, the focus for many classmates was picking a unit that provided the opportunity to hone any last minute technical skills that might be needed before graduating and entering the world of nursing without the back up of a clinical advisor, formal preceptor, or a 4’x6’ taped together, carefully crafted nursing care plan. Everyone wanted a medical surgical placement for the “technical skills”, so naturally, I chose a different path. No one signed up for any of the 5 open oncology placement spaces and that immediately made me very curious…so8West, at a local community hospital, it was…
Little did I realize at the time that I was about to embark on a 25 year journey as an oncology nurse. Oh, the technical skills were all there, but more importantly, so were the psychosocial skills, the skills that were not as strongly enforced in school (as they are today), but the skills that have always defined the importance of nursing. As a novice oncology nurse, I was launched into a multitude of intimate conversations with patients and their loved ones about what it meant to have cancer, the perils of coping while on toxic and invasive treatments, and the ultimate realization of having to face the possibility of death. This is where I fell in love and I knew I would never leave.
Before I officially graduated in 1991, I was hired onto the same unit (8West) and I continued to work there for 2 more years before relocating to Toronto, to a much larger academic health sciences centre. It was big leap and in order to get in, I nervously accepted a position on a trauma/neurosurgical unit, but before long, made my way back into oncology and there I have remained ever since fulfilling many different nursing roles.
Oncology nursing is grounding. It reminds you every day about how vulnerable we all are and how important life is. It has been a privilege to care for those with cancer – to have provided them with the education and support they needed to better understand the next steps in their plan of care.
I am proud to be an oncology nurse and I am thankful to still have the opportunity to influence nursing practice and key initiatives focused on enhancing patient care.
Photo by Doug Nicholson
Director of Communications, Greater Toronto Chapter of Oncology Nurses (GTCON)
As the Director of Communications for the Greater Toronto Chapter of Oncology Nurses, part of my role this year for Oncology Nursing Day was to apply to the various Mayors within our catchment area for an OND proclamation. One day when I was working on this task I contacted over 10 mayors. This included the mayor of Bolton, Ontario. A week later I received a lovely letter from the Bolton Mayor thanking me for my application but that unfortunately they were unable to provide proclamation. I suppose I wasn’t paying much attention because I had in fact contacted the mayor of Bolton, England not Ontario. The email, however, continued to wish all the best to CANO and luck in our quest for support because the Mayor herself is a retired RN.