100% CORRECT!!
, 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.
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.