The Ambulatory Medical Oncology Unit (AMOU) of the Lung Center of the Philippines is an out-patient facility that aims to offer quality medical and nursing cancer care treatment among stable adult patients with cancer. It was established by the Section on Oncology of the Department of Pulmonary Medicine.
The old facility was housed next to the Emergency Department and consisted of only two beds and two ‘lazy boy’ chairs providing care for both the service and pay patients. However, with the increasing number of cancer patients, the waiting period for such a small unit would be an average of one hour. Expansion of that area was limited so it was decided that the creation of two separate and larger units would greatly improve service delivery and patient convenience. The Oncology Service head, Dr. Guia Ladrera, along with top administrative management convened the Medical Oncology consultants to get feedback and suggestions on the proposed establishment of a new unit. It was then that a decision was made to house the units in the wards manned by its own nursing staff. The present AMOU, which formally opened on August 15, 2014, offers a set-up whereby patients can receive out-patient chemotherapy in a restful, relaxed, comfortable, yet controlled environment and where they can be assured of quality oncologic care. Attending physicians, on the other hand, are then confident that their patients would receive chemotherapy from hospital staff who have been properly trained and gained sufficient skills in administering treatment and fully capable of addressing the special needs of cancer patients.
One AMOU is located at room 3103 on W3A (for service patients) and the other one is located at room 2101 on W2A for pay patients. Operating hours are from 7:00 AM to 6:00 PM from Mondays through Saturdays (except holidays and other non-working days).
Adult Ambulatory Oncology Unit (AMOU)
The Adult AMOU transferred to its new home located at the T-block section of the hospital last July 2019. It has an adjoining waiting area for relatives. It now has 13 lazy boys chemotherapy chairs to cater to cancer patients on OPD chemotherapy at a given time.
Compounding of the chemotherapy drugs regarded as hazardous substance is carried out though the newly acquired isolator. The AMOU complex has its own emergency crash cart equipped with defibrillator, emergency medicines. The unit has its own 12L ECG machine. The AMOU also acquired an ultrasound machine for point of care ultrasound and for ultrasound guided IV insertion for difficult IV cannulation.
The AMOU personnel are trained Philippine Oncology Nurses Association (PONA) members with training in basic life support. They are looking forward to further training in ultrasound guided IV cannulation and point of care ultrasound.
The AMOU is in the process of forming a cancer support group for patients and caregivers. It will be composite of trained facilitators that shall include but shall not be limited to the following: Nurses, social workers, pastoral personnel, radiation and medical oncologist, pain management and nutritionist.
Enlisted are the current services offered by the Adult AMOU:
a)Compounding of OPD and in-patient chemotherapy drugs
b)OPD infusion of chemotherapy drugs
c)OPD blood transfusion
d)OPD bone marrow biopsy
e)Flushing of IVAD
f)Subcutaneous/intramuscular injection of anti-hormonal therapy, ancillary
g)Intravesical administration of cytotoxic drugs
h)Intrathecal administration of cytotoxic drugs
i)Lay fora for patients and caregivers