Emergency Medicine Pediatric A Pediatric B Hemato-Oncology Surgery Neonatal Intensive Care Intensive Care Inpatient Wards at Meyer Children’s Hospital Unique Treatment in the Department of Pediatric Hemato-Oncology Christine Ashkar B.A., R.N., Ruti Ofir M.A., R.N., Myriam Ben-Arush M.D., and staff of the Department of Pediatric Hemato-Oncology Meyer - Children's Hospital, Rambam Health Care Campus, Haifa, Israel Rambam Health Care Campus Haifa, Israel Pediatric Hemato-Oncology team Professional doctors 8 Interning doctors 2 School Counselor & Teachers 4 Social workers staff 4 Administrative staff 4 Registered nurses 33 & Unskilled assistants 2 Psychologist Art therapist Music Therapist 3 Physiotherapists Dieticians 2 National service volunteers 6 3 Clowns Pediatric Hemato-Oncology Facilities Day care unit Hospitalization department (14 beds) (80 new children a year) Bone marrow transplantation unit (4 beds) Outpatient clinic (3200 visits a year) (Hematology- leukemia, solid tumors) Follow up long term survivors clinic (1200 patients) Psycho-Social Unit Hostel for families Nursing Practical Fields At Pediatric Oncology Ward Training field A coordinator nurse Palliative range Class activity Accompany patients Nursing Staff Profile 33 registered nurses Oncology course B.A. & M.A. Holistic course The principles of the nursing staff 1. Giving appropriate nursing treatment according to nursing principles, ensuring high quality treatment 2. Treatment takes into consideration the uniqueness of the child and the adult 3. The perception of the child and his family as a unit 4. The child's right to know about his illness according to his level of understanding and his level of perceiving his illness 5. Providing general and continuing treatment by a multidisciplinary team, taking into consideration the biopsychosocial aspects of the child and his family during diagnosis, treatment and follow up 6. Enabling constant communication of the responsible bodies between the framework of the hospital and the community 7. On-going professional development 8. Receiving nurses on the ward and on-going training of the staff 9. The ward serves as a clinical field for nursing students, oncology courses, and emergency unit courses, and for research and professional upgrading Pediatric hemato-oncology forum The forum has been established since 2006 The forum’s member are 7 nurses: The Head Nurse of the Children's Hospital. The Head Nurse of the Hematological ward The Head Staff of the forum. One representative from each of four wards. The forum’s Goals 1. To build one protocol to deal with each one of specific activities, such as central catheters. This includes the development of methods and implications on unskilled nurses in different wards, and training them in specific activities. 2. An oncological classer was created in each ward as source of specific protocols and educational material for the oncological child's needs. It is intended to continue to identify all new nurses's needs and act accordingly. 3. We propose to assemble a protocol for the new child diagnosed with a large malignant mass, to prevent Acute Tumor Lysis Syndrome (ATLS). 4. To prepare an internal transfer form for all children in the Meyer Children’s wards. Conclusion We expect that this project will unify all the teams and serve to benefit all the children in our care