Reply To: Chemotherapy Administration for Non-Oncologic Diagnosis

  • Mary Lynn Rae

    April 9, 2020 at 10:19 am

    We decided that chemo certified nurses will still start up cyclophosphamide for rheum patients but the bedside RN is instructed on how to flush and take down; ritux for non-onc can be given by any RN; PO meds by any RN; subQ MTX for non-onc any RN



    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    NPD Practitioner/Clinical Educator Hem/Onc/SCT

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | |

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991



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    ——Original Message——

    ​I was curious how other institutions address administration of chemotherapy for non-oncologic/malignant diagnoses.  An example would be IV cyclophosphamide for a rheumatologic diagnosis.  Do you require the nurse administering the drug to be a chemotherapy verified nurse?  We are seeing more of these cases recently and want to develop a standard at our institution.  I appreciate hearing from you as to what practices/policies you have in place.

    Jennifer Penn BSN, RN, NPD-BC, CPON
    Learning Specialist
    Pediatric Hematology/Oncology
    Arnold Palmer Hospital for Children
    Orlando, FL