PATIENT ALERT: Masks are now optional in our VOA offices. If you are immunocompromised or feeling ill, masking is strongly encouraged. CLICK HERE for more details​​​​​​.
CLICK HERE regarding the Change Healthcare update.

C.A.R.E Clinic

Urgent C.A.R.E. (Comprehensive Assessment Rapid Evaluation) Clinic for Patients of Virginia Oncology Associates

the C.A.R.E. Clinic at virgina oncology logoThe C.A.R.E. Clinic, a specialized urgent care facility for established patients of Virginia Oncology Associates (VOA), provides timely and focused medical care for acute issues associated with disease process and/or treatments. The clinic’s primary goal is to offer patients the ability to address urgent symptoms without having to visit a general urgent care center or emergency department. It offers services designed specifically for oncology patients, ensuring that their unique medical needs are met in a safe and efficient manner.

Focused Care for Oncology Patients

Cancer patients often face unique and acute medical concerns related to their disease or its treatment, such as chemotherapy or radiation therapy. These issues can range from relatively mild symptoms like nausea or diarrhea to more serious complications like febrile neutropenia or deep vein thrombosis (DVT). The C.A.R.E. Clinic is designed to address these issues quickly, preventing delays in care that could exacerbate a patient’s condition or lead to hospitalization. By offering same-day or next-day appointments, the clinic ensures that patients receive timely attention for their acute concerns. This flexibility allows patients to avoid unnecessary stress, reduce visits to general urgent care centers, and lessen the risk of infection or complications that might arise from being in a high-traffic medical environment like an emergency department.

Conditions Treated at the C.A.R.E. Clinic

The clinic is equipped to assess and treat a wide variety of acute complaints that may arise because of cancer or its treatment. Some of the most common conditions treated include:

  • Weakness and lightheadedness: These symptoms may be caused by anemia, dehydration, or other treatment-related side effects, and the clinic can promptly evaluate and address them.
  • Rashes: Many cancer treatments can lead to skin reactions, and the clinic can provide appropriate interventions for skin issues.
  • Dehydration: A common side effect of chemotherapy or radiation, dehydration can be treated with IV fluids at the clinic, avoiding the need for emergency department visits.
  • Cough: Can be assessed and treated, ensuring relief for patients without the need for general urgent care.
  • Nausea and vomiting: Chemotherapy-induced nausea and vomiting are some of the most common side effects experienced by cancer patients, and the clinic can provide antiemetics and other supportive treatments.
  • Diarrhea and constipation: The clinic can treat these gastrointestinal side effects of cancer treatment, helping patients manage discomfort, and avoid complications like, dehydration or electrolyte imbalances. 
  • Suspected deep vein thrombosis (DVT): DVT, also known as a blot clot, is a serious condition that can develop in cancer patients, particularly those who are immobile or undergoing certain treatments. The clinic is equipped to assess and treat DVT or quickly refer patients for further imaging if needed.
  • Febrile neutropenia: One of the most dangerous side effects of chemotherapy is neutropenia, where the immune system is weakened, and a fever can signal infection. The clinic can swiftly assess and manage febrile neutropenia, ensuring patients receive appropriate care.
  • Electrolyte abnormalities: Imbalances in electrolytes like potassium, magnesium, or sodium are common among cancer patients and can be life-threatening if not addressed. The clinic offers electrolyte replacement treatments on-site.
  • Urinary tract infections (UTIs): Cancer patients, especially those undergoing treatment, may be more prone to infections, and the clinic can diagnose and treat UTIs with the necessary antibiotics.

With COVID and flu on the rise, VOA patients experiencing cough or URI symptoms WITH a fever are discouraged from utilizing the C.A.R.E clinic to limit exposure of other immunocompromised patients from exposure to potentially communicable pathogens.

Services Offered

In addition to evaluating and treating various symptoms, the C.A.R.E. Clinic offers a range of supportive care services that can help prevent hospitalization and improve patient comfort. These include:

In-house Ultrasound

Available on certain days, the ultrasound service allows for real-time imaging to assess issues such as suspected DVT or abdominal complaints. This is particularly beneficial for patients who need immediate imaging without the wait times associated with external radiology departments.

Outpatient Imaging Setup

If further imaging is required, such as a CT scan or MRI, the clinic can arrange outpatient imaging appointments, streamlining the process for the patient and ensuring continuity of care.

IV Fluids

Many cancer patients become dehydrated due to the side effects of treatment. The clinic can administer IV fluids to rehydrate patients and prevent more serious complications from dehydration, such as kidney injury or electrolyte imbalances.

Medications and Antibiotics

The clinic can provide medications to treat acute complaints, including anti-nausea medications, pain relief, and antibiotics for infections. This immediate access to treatment can prevent the need for hospitalization and help patients recover more quickly.

Electrolyte Replacement

Chemotherapy and other treatments can lead to dangerous electrolyte imbalances. The clinic is equipped to administer IV electrolyte replacement therapy, helping to restore balance and prevent complications like heart arrhythmias.

Staff Expertise

One of the clinic’s key strengths is its staffing model. The C.A.R.E. Clinic is staffed by advanced practice providers (APPs) who have acute care backgrounds and specialized oncology training. These providers are uniquely qualified to assess and treat cancer patients with urgent complaints, understanding both the complexities of cancer as a disease and the side effects of various cancer treatments. Their expertise ensures that patients receive the highest quality of care in a safe and supportive environment.

The APPs at the clinic are trained to recognize the specific needs of oncology patients, including the increased risk of infections, the delicate balance of managing side effects, and the need for timely intervention in certain situations, such as neutropenia or dehydration. Their experience in acute care also equips them to handle urgent situations with confidence and efficiency.

Convenient Locations and Hours

The VOA C.A.R.E. Clinic operates out of two convenient locations: the Brock Cancer Center in Norfolk, VA and the Port Warwick office in Newport News, VA. This allows patients across different regions to access care without having to travel long distances, which can be especially challenging for those dealing with fatigue or other side effects of treatment.

The clinic is open Monday through Friday, making it easily accessible for patients who need care during the workweek. The flexibility of offering same-day or next-day appointments ensures patients receive timely care, reducing anxiety and the potential for their symptoms to worsen.

Reducing the Need for Emergency Room Visits

One of the clinic’s primary objectives is to reduce the need for cancer patients to visit emergency rooms or general urgent care centers for complaints that can be managed in a more specialized setting. By providing dedicated care for oncology patients, the clinic helps patients avoid exposure to potential infections in the ER or traditional urgent care setting and ensures that they receive treatment from providers who are familiar with their medical history and treatment plans.

This not only improves patient outcomes but also enhances their overall experience. Many cancer patients already deal with frequent medical appointments, treatments, and the stress of managing their illness, so the ability to receive urgent care in a familiar and supportive environment is a significant benefit.

Urgent C.A.R.E. Clinic: A Vital Resource for VOA Patients

The C.A.R.E. Clinic serves as a vital resource for Virginia Oncology Associates patients, offering specialized urgent care for acute symptoms related to cancer or its treatment. By providing same-day or next-day appointments, in-house ultrasound, IV fluids, medications, and electrolyte replacements, the clinic helps patients avoid unnecessary ER visits and receive timely, high-quality care. With a team of advanced practice providers who have acute care backgrounds and oncology training, patients can feel confident that they are receiving expert care tailored to their specific needs.

To schedule an appointment call:

(757) 466-8683
Select Option #5

C.A.R.E Clinic Locations: 

Brock Cancer Center
6251 E Virginia Beach Blvd.
Norfolk, VA 23502
2nd Floor

Port Warwick
1051 Loftis Blvd. Ste. 100
Newport News, VA 23606 

For help after hours, during the weekend, and over holidays, please page our on-call healthcare provider.

Listen to our podcast episode about cancer symptom management.

On this episode of Cancer Care Connections, Kara DeMott, Urgent Care Physician Assistant, and Advanced Practice Provider supervisor with VOA, breaks down common symptoms seen at VOA's care clinic for patients undergoing cancer treatment. She discusses how to navigate the often-turbulent waters of managing side effects at home and when to seek medical attention. Tune in for a heartfelt exploration of the strides being made in urgent care for oncology at VOA, and the compassionate, comprehensive approach needed to support those affected by cancer.