Pre-Administration Verification
Before administering chemotherapy, this specific cell count must be greater than 1500 (1.5 cells/m3)
What is the Absolute Neutrophil Count (ANC)
When a second RN is unavailable, this other healthcare professional besides an RN can perform a medication double check.
Who is a practitioner or pharmacist?
This study is used to validate patency of implanted venous access devices in the instance of no blood return.
What is a port dye study or Fluoroscopic Port X-ray?
During IV push administration, a positive blood return must be confirmed every this many mLs.
What is every 3-5 mL?
In addition to securing all connections firmly, patients should be verbally informed to monitor for this potential issue with clamps or tubing.
What is ensuring they do not get clamped back or tubing kinked?
For female patients of childbearing potential, this specific test must be negative or refusal documented according to policy
What is a pregnancy test?
In addition to patient identification and medication details, this specific information about the drug's delivery must be verified by two RNs.
What is the infusion volume, rate, and route?
When programming the infusion pump, both RNs must verify this specific setting with chairside verification before the RN starts the infusion.
What is the rate on the infusion pump?
Patients receiving continuous chemotherapy must have this available in their home.
What is a home spill kit?
This document, signed by the patient, provider, and a witness, confirms understanding and agreement for the chemotherapy/immunotherapy treatment.
What is the written chemotherapy/immunotherapy consent?
During the final check, the oncology RN must verify these elements while the patient is present. (Name at least 5 of the 9 elements)
What are patient identification, medication name, dose, route, duration, rate, compatible medications/fluids, proper administration set and filters, and pump settings?
Empty antineoplastic agent bag, gauze, gown and gloves used for chemo administration must be discarded in this.
What are yellow chemotherapy waste containers?
After doning PPE, this is the first step before attaching chemotherapy/immunotherapy tubing for IV administration.
What is establishing a maintenance line of compatible IV fluids?
What are mask, face shield and protective shoe coverings?
For vesicant administration, an IV catheter must have been placed within this timeframe.
What is less than 24 hours old?
After administering pre-medications, this time is required before initiating chemotherapy/immunotherapy.
What is 30 minutes?
These PPE components are required for each instance of contact w/ chemotherapy.
What are chemotherapy approved gowns and 2 pairs of chemotherapy approved gloves.
For Velcade injections, this specific action involving air is required to minimize localized site reactions.
What is drawing up 0.5 mL of air to inject behind the medication?
This patient metric must be validated by two individuals, one of whom must be licensed, and should be compared to those used in the original chemotherapy order BSA calculation.
What is height and weight?
The process of gently aspirating an IV line using a syringe at the y-site closest to the patient while clamping off fluids from the bag must be performed prior to chemo administration.
What is assessing for blood return?
After the antineoplastic agent is complete, the line should be flushed with this amount of compatible solution.
What is 50 mL?
Prior to administering chemotherapy subcutaneously, the site should be assessed for these symptoms.
What is damaged, burned, bruised, hard, inflamed, or swollen.