I am new to the PICU world, (although not to nursing-10 yrs) and new to PICU in my current hospital. We have just been given a lecture on how this PICU handles chemotherapy administration. Please note that none of the nurses are chemo-certified in the PICU. It goes like this: PICU RN (non-chemo certified) notices that orders are in place for chemotherapy. PICU RN calls Peds HemOnc Charge RN to let them know an order has been placed for patient X. Peds HemOnc Charge RN is supposed to review order- doses, etc against a roadmap only available to the HemOnc floor (I can't even look up the drug doses if I wanted to- which I do). Peds HemOnc Charge RN calls PICU RN when completed and signs off that s/he reviewed the order and is correct. When chemotherapy is due to be hung. PICU RN finds another non-chemo certified PICU RN to "double check" chemo-medication and both sign off drug.
I am uncomfortable with this. As the non-chemo certified PICU RN I am totally relying on another nurse that is located on a completely different floor and that I have never met to do part of my five rights before drug administration. And that nurse never sets eyes on the patient. I seem to be the only one with an issue here, as it is current practice and no one else in my class spoke up. I brought up my concerns to the instructor who said since the review nurse checked it everything should be fine and i don't need to know if the dose is correct, length of time of infusion is ordered correctly, etc.
Just curious what other PICUs do for those patients that need the ICU but also chemotherapy and if anyone else has concerns with this. If you don't have concerns please share why to help ease my mind! Thank you.