Reply To: Number of chemo order checks

  • Susanne Conley

    Member
    March 5, 2015 at 11:40 am

    The double check of the order is perfomed by two chemotherapy competent providers.  That can be one nurse and one pharmacist or two nurses.  Te double check at the bedside relates to the product not the order and is an independent check by two chemotherapy competent nurses assuring that the correct product is hung on the correct patient. 

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    Susanne Conley, CNS,CPON
    Clinical Nurse Specialist
    Dana Farber Cancer Institute
    Plymouth, MA
    United States
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    Original Message:
    Sent: 03-05-2015 10:19 AM
    From: Tiffany Randle
    Subject: Number of chemo order checks

    This message has been cross posted to the following Discussions: Outpatient Staff Clinic Issues and APHON Open Forum .
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    We are looking to change our process regarding the number of times chemotherapy orders are checked from the time the provider writes the chemo until the time the chemo is administered.  Currently, our chemo orders are checked (against roadmap for day, dose, math correct, co-signature) seven times before administration.  They are checked by the provider writing the order, the provider co-signing it, the team leader and two pharmacists on the day prior to admin, and by two bedside nurses on the day of admin.  How many times does this get checked at other institutions?  

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    Tiffany Randle, CPHON, RN
    Riley Hospital for Children
    Indianapolis, IN
    United States
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