POGO

icon-facebook

POGO Satellite Manual

6.5 Infrastructure and Formal Requirements

6.5.1 Specialized Childhood Cancer Program Partners’ Role in the POGO Satellite Program

Download Word version
Download PDF version

Responsibilities of the specialized childhood cancer program to its POGO Satellite Clinic partner include:

  1. Timely, ongoing education by team members and clinical consultation.
  2. The timely transfer of necessary patient/family information, as specified in the POGO Satellite Manual, including a copy of the treatment schema at the time of referral and ongoing components of the roadmap or treatment plan as appropriate.
  3. The documented review of, and feedback on, the POGO Satellite Clinic’s annual activities – to the clinic and to POGO.

Where more than one specialized childhood cancer program works in partnership with a specified POGO Satellite Clinic, the specialized childhood cancer program-level educational responsibilities for that clinic may be divided according to mutual preference.

Agreements

The POGO Provincial Pediatric Oncology Satellite Program requires the following formal agreements:

  1. An affiliation agreement signed by each tertiary hospital and each formal community hospital partner site with POGO, declaring commitment to participate fully in the pediatric oncology care of eligible patients in accordance with the roles and responsibilities developed collaboratively and set down in the POGO Satellite Manual.

By virtue of entering into the POGO Provincial Pediatric Oncology Satellite Program partnership with POGO and with identified community hospital partners, it will be understood that:

  1. Involved specialized childhood cancer program staff will be made fully aware of all program requirements, including the appropriate accrual and management of patients, care, consultation, communication and documentation that will result.
  2. Designated physicians, nurses and allied health will participate in the review and update of standards and guidance documents on a regular basis, so that POGO Satellite Program care for children with cancer may continue to have a provincial standard.
  3. Educational, consultation and other responsibilities of the specialized childhood cancer program staff, as outlined throughout the POGO Satellite Manual, will be honoured.
  4. Infrastructure and formal requirements for the provision of a well-integrated program will be met, including: Facilitation of any special hospital policies needed; development of any agreements with organizations/services/care providers external to the hospital; and provision of adequate secretarial, administrative and technical arrangements to ensure the timely flow of clinical information between the specialized childhood cancer program and POGO Satellite Clinic partner sites.
  5. The tertiary hospitals that house specialized childhood cancer programs participating in the POGO Satellite Program will support those programs in their collaboration with POGO Satellite Clinic partners.
  6. Participation in program evaluation will occur (see Participation in the Evaluation of the Model of Service Delivery section below).
  7. Timely accounting will be made of services provided and the funding allocation flowed by the Ministry of Health (MOH) via POGO.

Specialized Childhood Cancer Program Staffing Participants

Specialized childhood cancer program staffing participants include:

  1. Outreach Program Coordinators in each specialized childhood cancer program responsible for the coordination of the pediatric oncology outreach program as well as the identification of individuals (typically nurses) responsible for case coordination and for consultation and teaching of POGO Satellite Clinic partners.
  2. Physician Oversight: Each specialized childhood cancer program shall designate a responsible physician to act as the primary liaison and champion of POGO Satellite Program care.
  3. Allied Health Team: Ensure continued availability of the Child Life Specialist, Social Worker, Nurse, Psychologist, Pharmacist, Dietitian, Hospital Teacher and other healthcare professionals to assess patient/family needs and develop allied health treatment plans for all patients.

Tertiary Hospital and Specialized Childhood Cancer Program Commitment

The tertiary hospital and specialized childhood cancer program commitment is as follows:

  1. To ensure ongoing participation in education, consultation and mentoring to support POGO Satellite Clinic staff, including: The designation of a nurse (case) coordinator for every case to be managed with POGO Satellite Clinic collaboration, and ready availability by telephone of that nurse/a designate on the inpatient unit for consultation; and ready telephone access of POGO Satellite Clinic staff to the treating (tertiary-based) oncologist/designate for consultation as needed.
  2. To ensure that all relevant clinical information is transferred, as part of the referral to POGO Satellite Clinic care, at least 24 hours prior to the first clinic visit.
  3. To provide timely updates of patient progress, including any alterations in treatment plan and management.
  4. To participate in the review and update of standards and guidelines in collaboration with other partners in the POGO Satellite Program.

Clinical Communication, Data Transfer and Technological Support

  1. To convey to POGO Satellite Clinics all information relevant to the child’s medical/nursing care via the Initial Data Transfer Sheet, physician referral note and other appropriate documentation via secure channels (fax, etc.).
  2. Communication of key aspects of the allied health treatment plan to POGO Satellite Clinic partners, both initially and when these treatment plans are periodically updated. Release of this data will be subject to appropriate consent signed by a parent/guardian, where applicable.
  3. To ensure the completeness of the child’s electronic record for the purposes of tertiary hospital healthcare charts, clinical trials, POGONIS and other data exchange agreements.

Participation in the Evaluation of the Model of Service Delivery

The scope and specific requirements of any formal evaluation of the POGO Provincial Pediatric Oncology Satellite Program will be communicated to all partners upon completion of the research design. Full participation in any formal program evaluation will be essential.

Disclaimer: Source Accuracy

You are welcome to download and save a local copy of this document in the Word and/or PDF formats provided. As the POGO Satellite Manual is subject to ongoing revisions and updates by POGO, we recommend you regularly check the online version posted at https://www.pogo.ca/satellite-manual/ to ensure you have the most up-to-date content. In the event of any inconsistency between the content of a local copy and the online version of the POGO Satellite Manual, the content of the online version shall be considered correct. Please see also the POGO Satellite Manual Disclaimer.

Record of Updates
Version NumberDate of EffectSummary of Revisions
17/27/2021Original version posted.
6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program
Back to Top

In this Section

  • 1.1 History and Overview
  • 1.2 Acknowledgements
  • 1.3 Committees and Working Groups
  • 1.4 POGO Satellite Manual Disclaimer
  • 2.1 Principles of POGO Satellite Clinic Care
  • 2.2 Eligible Patients
    • 2.2.1 Children Eligible for Chemotherapy Administration in a POGO Satellite Clinic
    • 2.2.2 Children Eligible for the Management of Complications in a POGO Satellite Clinic
    • 2.2.3 Children Eligible for Supportive Care in a POGO Satellite Clinic
  • 2.3 Scope of POGO Satellite Clinic Practice
  • 2.4 Expanded POGO Satellite Clinic Practice
  • 3.1 Safe Handling, Administration and Disposal of Chemotherapy Agents
    • 3.1.1 Personal Protective Equipment
    • 3.1.2 Preparation, Transport and Storage
    • 3.1.3 Administration of IV Hazardous Drugs
    • 3.1.4 Administration of Oral Hazardous Drugs
    • 3.1.5 Disposal of Equipment/Personal Protective Equipment used to Administer Hazardous Drugs
    • 3.1.6 Safe Handling for Pharmacy
    • 3.1.7 References
  • 3.2 Accidental Exposure/Spills
  • 3.3 Extravasation Management
    • 3.3.1 Prevention and Management of Extravasations
    • 3.3.2 Antidotes and Treatments for Extravasation
    • 3.3.3 Sample Extravasation Documenting Tool
    • 3.3.4 References
  • 3.4 Injecting SC Medication Via an Insuflon
  • 3.5 Chemotherapy Administration Reference List
  • 3.6 Central Venous Catheter Care
  • 3.7 Chemotherapy Quick Reference
    • 3.7.1 Rapid Hydration
    • 3.7.2 Provider Guide: Prevention and Management of Irinotecan-Induced Diarrhea
    • 3.7.3 Capizzi Methotrexate
    • 3.7.4 Erwinia Asparaginase
  • 4.1 Management of Fever and Neutropenia
    • 4.1.1 Routine Order Sample Sheet
    • 4.1.2 Sample Fever Cards
    • 4.1.3 Criteria for low-risk designation. Risk categorization refers to risk of bacteremia and serious complications, including mortality.
  • 4.2 Pentamidine Administration
    • 4.2.1 Inhaled Pentamidine
    • 4.2.2 Intravenous Pentamidine
  • 4.3 Antiemetics
  • 4.4 Treatment of Varicella-Zoster Infections
  • 4.5 Immunization of Children with Cancer
  • 4.6 Transfusion
  • 4.7 Clinical Circumstances that Warrant Consultation with the Specialized Childhood Cancer Program
  • 5.1 Palliative Care Overview
  • 5.2 Communication
  • 5.3 Settings of Care
  • 5.4 Symptom Management
  • 5.5 End of Life
  • 5.6 When a Child Dies at the POGO Satellite Clinic
  • 5.7 Appendix: Sample Bereavement Materials
    • 5.7.1 Reconciling Your Grief
    • 5.7.2 Funeral Arrangement Checklist
    • 5.7.3 Helping Children Who Grieve
    • 5.7.4 Coping with the Holidays
    • 5.7.5 The Grief Experience
  • 5.8 References
  • 6.1 Goals and Objectives
  • 6.2 Participant Site Selection
    • 6.2.1 Tertiary Hospital Site Selection
    • 6.2.2 Community Hospital Site Selection
  • 6.3 POGO’s Roles
    • 6.3.1 PHIPA, Privacy and Research
  • 6.4 Funding
    • 6.4.1 Funding Support for Tertiary Hospital Activity
    • 6.4.2 Funding Support for Community Hospital Activity
  • 6.5 Infrastructure and Formal Requirements
    • 6.5.1 Specialized Childhood Cancer Program Partners’ Role in the POGO Satellite Program
    • 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program
  • 7.1 Preamble
  • 7.2 Investigator Responsibilities
  • 7.3 Training Requirements
    • 7.3.1 General Training for Conduct of Research
    • 7.3.2 Protocol-Specific Training
  • 7.4 Research Activities That May Be Completed in POGO Satellite Clinics Under Supervision of DSI
  • 7.5 Research Activities to be Completed in Specialized Childhood Cancer Programs Only
  • 7.6 Recognition and Reporting of Adverse Events (AEs)
  • 7.7 Data Transfer
  • 7.8 Pharmacy Drug Accountability
  • 7.9 Site Inspections and Quality Assurance
  • 8.1 Pediatric Oncology Shared Care Initial Data Transfer Sheet
  • 9.1 POGO Satellite Clinic Preparedness Checklist
  • 9.2 POGO Satellite Clinic Quality Assurance Checklist
Back to table of contents
Search our Manual
Have a question?
Contact us at: satellite@pogo.ca
  • About Us
    • Our Mission and Vision
    • Childhood Cancer Care Plan
    • POGO Land Acknowledgement
    • Diversity, Equity, Inclusion
    • Our Board
    • Our Partners
    • Our Donors
    • Privacy
    • Accessibility
    • Reports
    • Newsroom
    • Job Opportunities
    • Staff List
  • Programs & Support
    • Patient Care Programs
    • Financial Assistance
    • Survivor Care
    • Cancer Resources
    • Inspiring Stories
    • Clinical and Program Advisory Committees
  • Education
    • POGO Satellite Education Day
    • POGO Virtual Education
    • Indigenous Resource Guide
    • All Education Events & Conferences
  • Healthcare Practice
    • Pediatric Oncology Nursing
    • Clinical Practice Guidelines
    • POGO Satellite Manual
  • Research & Data
    • 2020 POGO Surveillance Report
    • POGO Research Unit
    • POGONIS – Childhood Cancer Database
    • Data Reports
    • Data Requests
  • Get Involved
    • Pajamas and Pancakes
    • Birthday Parties for POGO
    • Events
    • Volunteer
  • Ways to Give
    • Donate
    • Monthly Donations
    • Gifts of Stock and Securities
    • Become a Corporate Partner
    • Gifts in Honour/Memory
    • Legacy Gifts
    • Shop Online/Earn Cash Back

©2022 Pediatric Oncology Group of Ontario

480 University Avenue, Suite 1014 | Toronto, Ontario, M5G 1V2, Canada | Charitable Registration Number: 871067245RR0001 |
1-855-FOR POGO (367-7646) | Contact Us | Website Privacy Policy | Website Disclaimer | Satellite Manual Disclaimer |