The provision of experience Research Nurses to conduct study visits in the patient’s home, school or place of work is hugely attractive in many indications. This includes orphan diseases, studies in children, the elderly and terminal cancer to name a few.
What sets Illingworth apart from other home care providers is that we employ trained, research nurses and not just general nurses who do not perform clinical trial work on a daily basis.
We have utilised adult and paediatric trained research nurses as well as midwives, depending on the specific requirement of the study.
Bringing the clinic to the home is an excellent way to enhance patient recruitment and retention, maintain compliance and build an optimum relationship with study subjects. It also alleviates stress and improves the overall patient experience in studies where enrollment is not typically an issue, for example in rare disease studies.
There are many procedures which can be performed within the patients’ homes and each of our nurses is supplied with portable kit which they take to all home visits as shown below.
Our Research Nurses attend a subject visit at the hospital site prior to the home visits taking place. This is to introduce themselves to the patient and family as well as the team at site.
Procedures which can be performed in the home (or work or school) setting include administration of study drug which may be intramuscular, via an intravenous infusion or oral etc.
IMP can be either collected by the homecare team from site pharmacies and transported to the subject, or if a temperature controlled environment is necessary a courier can be used. Any blood samples taken may be processed and spun in the home and we can ship samples on dry ice as necessary.
Research nurses also complete CRF or e-CRFs, ECGs, completion of questionnaires, monitoring such as cough monitoring and spirometry to name but a few. This is an ideal method to minimise trips to the hospital and/or clinic for the subjects, whilst maintaining the high level of involvement usually required as part of a clinic trial. A home care manual is prepared to explain all the procedures to be performed at each specific visit timepoint. Full training is given to the nurse on this manual.
Our research nurses are flexible, within the protocol to perform visits either early in the morning, later in the evening after school or work or we can even conduct the visits at the patient’s work or school, in the case of children.
In order to support our team working in this way, we have an infrastructure in place to provide assistance as required, including remote technical support. A nurse Project Manager oversees each of our home research nursing projects. They liaise with the Sponsors, provide support to the nurses, help schedule patient visits, maintain the document trail and so on. Our nurse Project Managers are experienced nurses with clinical research experience and years of experience working in the Biopharmaceutical Industry.