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The COVID-19 pandemic has spurred The Ottawa Hospital to provide world-class care in new and innovative ways. For Inuit patients who have to come from Nunavut to The Ottawa Hospital for cancer care, this innovation is especially important. Take breast cancer patients from Nunavut as one example. Before COVID-19 struck, women who were undergoing breast cancer treatment with the drug Herceptin had to travel from their home communities in Nunavut to Ottawa every three weeks for up to nine months to receive it. That travel schedule is grueling enough at the best of times. But now, with COVID-19 travel and isolation restrictions in place, patients would have to isolate in a hotel for two weeks in Ottawa and have no medical appointments for the next 21 days before being allowed to board a plane back to Nunavut. In other words, for these patients, going back home between treatments would be impossible. Gwen Barton, manager of the Indigenous Cancer Program and the team at The Ottawa Hospital quickly devised a solution so that these patients could receive their cancer treatment at Qikiqtani General Hospital (QGH) in Nunavut. “We ramped up the process to have this drug delivered in Nunavut,” she said, which included training, writing a new policy and order set and ensuring the drug was available in the territory. Jennifer Newton, a nurse educator at The Ottawa Hospital provided training to doctors and nurses at QGH via virtual technology on how to administer the medicine and what to do if a patient had a reaction. Christine Weatherston, Drug Information and Nunavut Pharmacy lead at The Ottawa Hospital also worked closely with QGH’s pharmacy to ensure everything was in place. “We really worked fast on this,” said Barton. “Within a couple of weeks, it was ready to go. The amount of collaboration between our cancer care team and the health-care providers in Iqaluit was quite impressive.” The first dose of Herceptin was given to a patient in Nunavut with breast cancer on September 11. summerize
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