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Implementation of the American Society of Clinical Oncology and Oncology Nursing Society Chemotherapy Safety Standards

Anna N. Vioral
Heather K. Kennihan
CJON 2012, 16(6), E226-E230 DOI: 10.1188/12.CJON.E226-E230

Chemotherapy involves an intricate, high-risk, multidisciplinary process of prescribing, dispensing, and administering complex multimedication regimens with narrow therapeutic indices. Chemotherapeutic agents also require safe-handling precautions for patients and healthcare providers. In addition, a number of chemotherapy and targeted therapies have expanded to nononcology populations. This complexity demands standardization of chemotherapy practice for all healthcare providers to ensure safe outcomes. This article describes one organization's multidisciplinary effort to standardize chemotherapy practice according to the American Society of Clinical Oncology and Oncology Nursing Society's 31 safety standards for chemotherapy administration. The article also describes how the organization integrated and developed standards of practice using interdisciplinary approaches. The educational processes used during implementation and the lessons learned are discussed to assist healthcare providers involved in standardizing chemotherapy administration. The article equips healthcare professionals with a multidisciplinary process for high-quality clinical standards of practice that may reduce errors and ensure safety.

References 

Batty, N., White, S., & Miller, C. (2011). Developing an e-learning package to provide chemotherapy updates. <i>Cancer Nursing Practice, 10</i>(1), 18-22.

Carrington, C., Stone, L., Koczwara, B., & Searle, C. (2010). Development of guidelines for the safe prescribing, dispensing, and administration of cancer chemotherapy. <i>Asia Pacific Journal of Clinical Oncology, 6</i>, 213-219. doi:10.1111/j.1743-7563.2010.01313.x

Institute for Safe Medication Practices. (2003). Survey on high-alert medications: Differences between nursing and pharmacy perspectives revealed. <i>ISMP Medication Safety Alert, 8</i>(21), 1-3.

Jacobson, J. O., Polovich, M., Gilmore, T. R., Schulmeister, L., Esper, P., LeFebvre, K. B., & Neuss, M. N. (2011). Revisions to the 2009 American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards: Expanding the scope to include inpatient settings. <i>Oncology Nursing Forum, 39</i>, 31-38. doi:10.1188/11.CJON.31-38

Jacobson, J. O., Polovich, M., McNiff, K., LeFebvre, K. B., Cummings, C., Galioto, M., … McCorkle, M. R. (2009). American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. <i>Journal of Clinical Oncology, 27</i>, 5469-5475.

Polovich, M., & Gieseker, K. E. (2011). Occupational hazardous drug exposure among nononcology nurses. <i>Medsurg Nursing, 20</i>, 79-97.

Sheridan-Leos, N. (2007). A model for chemotherapy education for novice oncology nurses that support a culture of safety. <i>Clinical Journal of Oncology Nursing, 11</i>, 545-551. doi:10.1188/07.CJON.545-551