Reply To: Chemotherapy Administration for Non-Oncologic Diagnosis

  • Louis Ruggiero

    April 9, 2020 at 1:39 pm

    At our institution we have a separate annual/biannual 8 hour Non-cancer chemo/bio class that we offer. We get a lot of nurses in cardiology, GI, organ transplant, outpatient clinics, etc. that give a lot of the same drugs, particularly the biologics and immunosuppressive drugs. We try and have RNs who are giving non-cancer chemotherapy (i.e. Cytoxan) get certified, but our non-cancer class really takes a dive into the many biologics and immunosuppressives that are given across the hospital that really isn’t covered in the APHON class. The class does not offer any “certification”, just educates on all the therapies that are given for the non-hem/onc patient.

    We are continuously expounding on this class and adding/taking away info to make it better. The class was started by one of our Rheumatology RN care managers a while back and incorporates nurses on different units to teach who have hem/onc background, as well as others who have non-hem/onc background. I am heavily involved because I work in the Infusion Center where I see both hem/onc and all other service line patients who receive such therapies (i.e. Rheum, GI, Genetics, Cardiology).


    Louis Ruggiero, BSN, RN, CPHON
    Clinical Educator – Infusion Center
    Children’s Hospital Los Angeles
    Original Message:
    Sent: 04-09-2020 08:28 AM
    From: Jennifer Penn
    Subject: Chemotherapy Administration for Non-Oncologic Diagnosis

    ​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