Quote from gvrn13
Thanks for you input… I was really wondering what other outpatient facilities do. I'm not sure if you still do outpatient, but you do make a good point about by my employer not requiring the chemo provider course, they are putting both me and my patients at risk. I wouldn't say that my training was inadequate though, maybe just not as detailed as it possibly could've been?? I shadowed an OCN for WEEKS, and when I did start mixing and hanging, she was shadowing me. Regardless, I will work on doing the chemo provider course. Being so new, in an office setting, it's kind of easy to be persuaded, and talked into what the standard is for that particular place. I feel like in a hospital, the training and standards are just such higher.. I do have an interview for the emergency department in a local hospital, and I am just hoping with everything I have that I get this job!!
I was on the oncology ward for 6 months before I took the provider course. During that time, I was not allowed to handle chemotherapy, much less mix and give it. I shadowed an RN on the ward for 1 month prior to the chemo course, took the 2-day chemo course (back then, it was taught in person), did a week of strictly clinic work with a preceptor, and then completed 3 observed chemotherapy administrations before I was allowed to give it alone back on the ward.
Suffice to say our definitions of "adequate" vary greatly.
While I have no doubt that you learned a lot while you were shadowing, there is a reason that in nursing school, you're taught theory before you're put into practice. There is a way things need to be done--a standard--and that's something everyone should know. A book (like the one we received at the chemo course) not only serves as a reference should you have questions once you're in practice, but as the foundation across the board for all nurses in a specialty. It sets the minimum expected standards across the board, not based on one person's arbitrary practice, but on researched, proven methods that will protect you and your patient. I'm not trying to discredit your preceptor, but understand that you need to take responsibility for your practice, and without a pulse on the basic standards of practice for your specialty, you're gambling your license and your patients on the word of another nurse. That is never, never, never a good idea. Trust no one but yourself and solid research.
I understand the pressure that's probably on you to perform to a certain standard, but you have a license now and the awareness of your own safety and that of your patients needs to come over what an employer/preceptor wants you to do, no matter if it's the crustiest old bat in the place telling you you'll be fine or your manager. There are worse things than being unemployed.