[Satisfaction survey within the context of remote iconographic follow-up of wounds in an oncology centre].

Over 40 patients benefited from remote iconographic follow-up of wounds in an oncology centre. This system is piloted by three expert nurses. They carry out an initial analysis of the photographs received, seek medical expertise if necessary and liaise with the city's professionals.

[Securing patients pathways treated by oral antitumoral: Guidelines for better organization of departments and management of incoming calls].

The emergence of oral cancer treatment in oncology has shifted patient follow-up from the hospital to the home. This trend has resulted in an increase in phone and e-mail interactions initiated by patients, but also by pharmacists, by liberal nurses, by general practitioners, and an increase in calls to the emergency response services (SAMU) both for real or perceived emergencies. This increased volume of patient and pharmacist communication has caused significant disruption in the daily activity of affected oncology departments and in particular of the secretariats.

[Observational study of outpatient unit duration of stay depending on the route of administration (intravenous vs subcutaneous) for a targeted therapy].

New routes of administration available for some targeted therapies, especially subcutaneous injections, have an impact not only on the patients' daycare experience, but also on the unit's organization. This observational study conducted on 48 voluntary patients at the Institut universitaire du cancer Toulouse-Oncopole shows that the mean duration of the outpatient unit stay is diminished by one hour when a subcutaneous injection is used instead of an intravenous route. This duration decrease is mainly caused by an 82% average reduction in treatment duration.

[The role of the bed manager nurse in medical oncology].

The organisation of unscheduled hospitalisations is a constant concern for hospitals, in particular in the absence of an emergency department. The bed manager's role is essential in this context. The medical oncology ward of a cancer unit has put in place such a system in order to optimise bed management and improve the quality of care.

[Nurse telephone support at home during chemotherapy].

An innovative scheme has been operational since 2013 at the Institut Claudius Regaud in Toulouse, aimed at patients undergoing chemotherapy. After an initial consultation, patients receive regular telephone support at home from expert nurses between treatments. The scheme helps to improve patient management and reinforce the community-hospital link.

[The patient pathway, an essential element of the care project].

Constructing an innovative care project in oncology, common to two healthcare institutions with different statuses, was a challenge for the directors of nursing of the Claudius-Regaud Institute and Toulouse university hospital. The patient care pathway was a major organisational element of the project, keyto ensuring high quality patient care, from the diagnosis through to the personalised post-cancer plan.

[Competency-based nursing training].

The application of the new nursing training reference framework requires the active participation of professionals in the field, notably with assessing students' skills during a work placement. The skills approach represents a paradigm shift for caregivers, one which requires reflection with regard to their activities, and the creation of tools suitable for constructive assessment. A task force within the Toulouse cancer unit has been created to reflect on and support the changes brought about by the reform.