Show:
documentation N such
verification
guidelines
abnormal situations
100

 how do you document psychosocial concerns

  • Should be showing in EPIC – observe
100
  • Walk me through the RN verfication and release process
  • Be sure they do the parameter review, navigator, and calculate BSA using calculator for BSA and dosing verification
100
  • What is your BSA formula you use?
  • Mostellar
100
  • What is your 24/7 triage process? How are patients triaged during hours and after hours?
  • Patients call office during office hours 8-4 and off hours, they will get the answering service who will contact the on-call physician.
200
  • How often are toxicities assessed? How do you document?

CTCAE assessment every infusion. Demonstrate in EPIC

200
  • What are your annual competencies? (ask more seasoned staff)
  • Administration, extravasation, spills, hypersensitivity, ports, SOPs
200
  • Do you have height and weight guidelines? 

10% and dual verified

200
  • How do you handle hazardous spills?
  • Describe process: securing area, donning PPE/papper, spill kits and loctions
300
  • How are consents obtained? What is the process?
  • Provider has initial conversation at appointment. Patient is then scheduled for pre-teach appointment. Consent is validated and patient given copy at that appointment.
300
  • Describe your onboarding process and training to administer ACT (ask newer RN)
  • Fundamentals oncology and ACT courses, simulation, SOPs, precepted
300
  • Do you have rounding guidelines?
  • 5% dose rounding
300
  • How do you identify and respond to an extravastion?
  • Show algorithm and describe process for obtaining order for antidote
400
  • What resources do you have for patients (psychosocial, financial, support services)?
  • Describe financial counselors, navigators, dieticians regionalized now, support groups, how we access psychosocial concerns, greater than 4 on NCCN distress then address and consult, community resources
400
  • Who tracks cumulative dosing ?
  • verification and oncology clinical pharmacist (show where tracked in EPIC)
400
  • How is your vincristine administered?
  • 50 ml minibags infusion
400
  • How do you identify and treat a hypersensitivity reaction?
  • Show algorithm with grading and treatment guidelines. Explain process for calling reaction and obtaining cart. Describe cart contents.
500
  • How are treatment plans entered? And by whom? What is the process?

Plans entered by provider or oncology clinical pharmacist (if by clinical pharmacists that is routed for provider for review and signature (show the EPIC checkmark and clipboards for validation of signatures)

500
  • What are your treatment parameters? How is it communicated when they are not within limits?
  • 1500 ANC and 100,000 platelet  additional parameters built into the treatment plans – proceed to treat orders
500
  • How are your drugs sequenced?
  • The EMAR plans are sequenced when developed by the clinical specialist team  (make sure there are labels on bags)
500
  • How do you handle life threatening emergencies?

Show algorithm the first 15, describe ED away team, show phone cards