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Patients are seen in their primary outpatient clinic prior to procedures. Once chemo has been ordered, verified, and clinic notes are completed, the patient is escorted to the procedure area.
I verified the following information with our Resource Nurse for the Procedure Unit.
“We document a double check or verification on all IT chemotherapy. The IT medication is checked and verified by 2 pharmacists prior to delivery to the procedure unit. (verify dose which is age dependent on several protocols, roadmap, protocol, consents, etc.) After it is delivered to our unit, the RN as well as the practitioner or physician administering the chemo will verify the drug with the protocol, roadmap, consent, etc. Both will document on our electronic documentation with name, arm band verification and drug dosages. The MD/NP administering the chemo will document the time it is given on the MAR.”
—————————— Angela Tidwell, MSN,RN St Jude Childrens Research Hospital Memphis, TN United States ————————————————————————- Original Message: Sent: 05-11-2016 02:53 PM From: Sarah DeJong Subject: chemo double check
We are in the process of getting ready to open our new Children’s Hospital in the early winter. We are going through workflow on chemo double checks with amongst RNs especially with IT chemo. Currently, our hem/onc clinic and our sedated procedures all happen within the same general area. In the new world, they will be seen in an outpatient clinic and then travel to a different unit (multiple floors away) for the sedated LPs. What is the workflow to ensure that chemo is safely delivered with double checks by chemo competent RNs and the chemo gets to the location of the procedure?
Any suggestions would be greatly appreciated!
—————————— Sarah DeJong, BSN,RN, CPHON Iowa City, IA United States ——————————