What things do you need to check when creating the chemo sheet: - ANSWER 1. 3
heights and 3 weights are done and documented.
2. Make sure the protocol consent is signed.
3. The study design found IN THE ACTUAL PROTOCOL.
4. The Chemo note in CRIS.
5. The drug and dose ordered in the MAR.
True or false: Chemotherapy drug and dose ordered MUST exactly match the protocol study
design outlined in the protocol unless it is documented in the chemo note that the dose is
modified. - ANSWER TRUE.
TThere is an order for cytoxan but no chemo note documented in CRIS. The MD says to go
ahead and give it while they are contacting the PI to write the chemo note. What do you do?
- ANSWER Tell the MD you can not give it until the chemo note is documented and
double checked by you and another chemo/bio nurse.
True or false: Biotherapies (ie. rituxamab) do not need chemo notes. - ANSWER FALSE.
Every chemotherapy/ biotherapy requires a chemo note BEFORE administration.
A nurse can give a biotherapy (ie. rituxamab) without taking APHON. - ANSWER FALSE.
ALL biotherpies are required to be given by nurses holding the chemo bio competency.
When giving a PO chemotherapy/ biotherapy i do not need a bedside check. - ANSWER
FALSE. PO chemotherapy requires the SAME bedside check as IV, regardless of if it is
hazardous or not.
1
, What are the 3 independent double checks required before administering a
chemo/biotherapy: - ANSWER 1. Treatment plan (the chemo sheet must be double
checked and calculated by two CHEMO BIO nurses)
2. The drug must be independently double checked by two chemo bio nurses (right drug)
3. The bedside check. (right patient)
Describe how to perform a bedside independently double check before administering an IV
chemotherapy. - ANSWER One chemo/ bio comptent nurses reads the patients bracelet;
MRN number, name date of birth and the other chemo/ bio competent nurse matches it
against the drug label. The bedside chemo/ bio nurse programs the pump and the 2nd
chemo/ bio nurse independently checks the pump.
When the chemo sheet is already created by one nurse the second nurse does not have to
perform an independent double check. - ANSWER False. A second chemo/bio certified
nurse must independently double check the chemo sheet and re-calculate the dose against
the chemo note and the protocol.
What do you have to check before giving cytoxan? - ANSWER Urine specific gravity. Send
a U/A the morning of as per most protocols, the urine specific gravity must be less than or
equal to 1.010 to start.
What is the rescue medication given after methotrexate? - ANSWER Leucovorin
Why is Mesna given within cytoxan? - ANSWER To protect the bladder and prevent
hemorrhagic cystitis.
The chemotherapy/bio therapy dose ordered must be within___ % in pediatrics. -
ANSWER 5%
Hemorrhagic cystitis is a side effect of this chemotherapy: - ANSWER Cytoxan
2
heights and 3 weights are done and documented.
2. Make sure the protocol consent is signed.
3. The study design found IN THE ACTUAL PROTOCOL.
4. The Chemo note in CRIS.
5. The drug and dose ordered in the MAR.
True or false: Chemotherapy drug and dose ordered MUST exactly match the protocol study
design outlined in the protocol unless it is documented in the chemo note that the dose is
modified. - ANSWER TRUE.
TThere is an order for cytoxan but no chemo note documented in CRIS. The MD says to go
ahead and give it while they are contacting the PI to write the chemo note. What do you do?
- ANSWER Tell the MD you can not give it until the chemo note is documented and
double checked by you and another chemo/bio nurse.
True or false: Biotherapies (ie. rituxamab) do not need chemo notes. - ANSWER FALSE.
Every chemotherapy/ biotherapy requires a chemo note BEFORE administration.
A nurse can give a biotherapy (ie. rituxamab) without taking APHON. - ANSWER FALSE.
ALL biotherpies are required to be given by nurses holding the chemo bio competency.
When giving a PO chemotherapy/ biotherapy i do not need a bedside check. - ANSWER
FALSE. PO chemotherapy requires the SAME bedside check as IV, regardless of if it is
hazardous or not.
1
, What are the 3 independent double checks required before administering a
chemo/biotherapy: - ANSWER 1. Treatment plan (the chemo sheet must be double
checked and calculated by two CHEMO BIO nurses)
2. The drug must be independently double checked by two chemo bio nurses (right drug)
3. The bedside check. (right patient)
Describe how to perform a bedside independently double check before administering an IV
chemotherapy. - ANSWER One chemo/ bio comptent nurses reads the patients bracelet;
MRN number, name date of birth and the other chemo/ bio competent nurse matches it
against the drug label. The bedside chemo/ bio nurse programs the pump and the 2nd
chemo/ bio nurse independently checks the pump.
When the chemo sheet is already created by one nurse the second nurse does not have to
perform an independent double check. - ANSWER False. A second chemo/bio certified
nurse must independently double check the chemo sheet and re-calculate the dose against
the chemo note and the protocol.
What do you have to check before giving cytoxan? - ANSWER Urine specific gravity. Send
a U/A the morning of as per most protocols, the urine specific gravity must be less than or
equal to 1.010 to start.
What is the rescue medication given after methotrexate? - ANSWER Leucovorin
Why is Mesna given within cytoxan? - ANSWER To protect the bladder and prevent
hemorrhagic cystitis.
The chemotherapy/bio therapy dose ordered must be within___ % in pediatrics. -
ANSWER 5%
Hemorrhagic cystitis is a side effect of this chemotherapy: - ANSWER Cytoxan
2
