Nursing

Inside scoop from our experts: Chemotherapy orders

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, June 11, 2010

This week’s question on staff education comes from a discussion on JourneyTalk. Elaine Doyle, RN, MSN, CRRN, nurse educator with the Cancer Treatment Centers of America, in Zion, IL, provides some insight.

Q: Can you share your practice regarding chemotherapy orders? Do you require two physicians to check the order before sending to pharmacy? We currently have two pharmacists check the order before dispensing and two nurses before administration.

A: We are a cancer hospital, so we have built all chemotherapy orders, including pre meds, as order sets. Our pharmacists are very familiar with standards and order sets. They contact doctors for any deviations in dosing before dispensing or preparing medications.

Nurses do the double-checking before giving medication, and they do this using bar coding for administration.

Editor's note: On JourneyTalk you can network with your peers, discuss the new manual, share your helpful tips, and get advice on how to meet the program's expectations. Become a member of JourneyTalk when you subscribe to HCPro's Resource Center for the ANCC Magnet Recognition Program®.

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