I work in a large medical center and we are trying to figure out what is best practice for the administration of IM/SQ Methotrexate for ectopic pregnancies etc. and also for the administration of gangcyclovir. Currently the MTX is given by RN's who are not chemo certified. The gangcyclovir which is an antiviral but is to be treated like a cytotoxic agent is also currently being given by nonchemo certified nurses. We are trying to figure out how to decide whether it does indeed need to be a chemo certified nurse who administers these medications or not. As far as pharmacy is concerned a chemotherapy is a chemotherapy and therefore should all have the same requirements. Can anyone lend me their expertise on what their facilities are doing?