Reply To: Chemo Double Check Processs

  • Ashley Mellinger

    February 17, 2020 at 9:41 pm

    We use Beacon as well for ordering chemotherapy.

    1) provider writes order for chemotherapy (including supportive meds & fluids)
    2) care coordinator (nurse) reviews chemotherapy
    3) chemotherapy and fluids are second signed by another provider
    4) primary nurse verifies drug and dose
    5) second RN verifies drug and dose, as well as patient identification at the bedside

    Ashley Mellinger
    Hem/Onc Staff Educator
    St Louis Children’s Hospital

    Ashley Mellinger, RN

    Wentzville, MO
    United States

    Original Message:
    Sent: 02-06-2020
    From: Erin Friedman
    Subject: Chemo Double Check Processs

    We are evaluating our chemotherapy administration double check process from the time that orders are written to the point of administration.  What process does your institution follow?  Currently we follow the below outlined process:

    • Fellow and attending write, double check, and sign
    • Inpatient charge RN and 2nd RN or Fellow double checks and releases to pharmacy
    • 2 pharmacists double check and make chemo then deliver to the unit
    • 2 RNs double check at the point of delivery

    Looking to benchmark with other sites.

    Erin Friedman, BSN, RN, CPHON
    618-531-7402 (cell)
    612-365-4980 (office)