even then, there are so many new drugs that the chemo courses do not offer it.
competency relies on the nurse, not on a certification.
Rules of administering safe chemo,
chemo ordering rights if the doctor is allowed to,
knowing drug interactions and withholding parameters,
how to administer it, tubing etc.
chemo regimens, bsa dosing. Was it done properly? standing height/scale etc.
There are plenty of things nowadays with computers at our stations. looking up globalrph to see manufacturer recommendations.
The online class is a joke and I done it at 6 months of EXP.
I think it is dependent upon the nurse. Its like BLS or ACLS. just because you have the cert, does that mean you will function when the time comes? I know plenty of nurses that do and plenty that dont.
I would say OCN would show that you aqre more than competent imo.
ex of new drugs that are not on chemo/biotherapy.
Darzalex, they do not mention Campath for sure., trabectin, REPOCH is not on there either. Ninlaro, elotuzumab.
I think alot of it is up to the individual nurse. basic competencies of knowing contraindications of the big drugs are important for sure. Dox/etoposide/vin/cytoxan/ifex/arac/dauno etc.
but I am still a fresh nurse at near 3 years. I still havent seen anyone get near to lifetime dose of an anthracycline. Maybe its cause there are so many combo options nowawadays.