Reply To: Second RN check

  • Vanessa Bertini

    February 12, 2021 at 9:20 am

    Mesna, Leucovorin, yes. Dexamethasone, Prednisone has a “Chemo” designation when it is on a COG protocol and that is visible in the MAR, so non chemo nurses are aware that they should not be administering it, and that it requires a 2 Chemo RN double check.  


    Vanessa Bertini MSN RN CPN CPON

    Clinical Practice and Education Specialist

    Hematology/Oncology and Technology Dependent ICU

    Children’s Hospital of the King’s Daughters

    Norfolk, VA


    Original Message:
    Sent: 2/12/2021 8:34:00 AM
    From: Carie Murphy
    Subject: RE: Second RN check

    Mesna and leucovorin, yes. The others, no.


    Carie Murphy, MSN, RN, CPON

    Assitant Nurse Manager, Weaver 4

    Peds Hem/Onc/BMT

    Wolfson Children’s Hospital

    800 Prudential Drive, Weaver Tower 4

    Jacksonville, FL  32207

    ( (904)202-0520



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    Original Message:
    Sent: 2/12/2021 6:52:00 AM
    From: Rachel Drexler
    Subject: Second RN check

    I have a question in regard to the Second RN check at hospital facilities.  Does your hospital have in place a BCMA capture for a second RN for all drugs a patient receives on a COG protocol (this would include non-chemo drugs that are part of the protocol; such as Mesna, Leucovorin, Dexamethasone, prednisone etc.)?  Our practice currently requires only the second RN check for chemotherapeutic drugs listed on the protocol.  

    Thank you for your time,

    Rachel Drexler, BSN, RN, CPN
    Marshfield, WI
    United States