Published Sep 30, 2015
RNview
83 Posts
Hello-
I've heard some clinics have RNs mixing Chemo. Is this within the Nursing Scope? Is there a website I could go to to support this idea that it's legal for nursing to mix chemo in stand alone clinic in California?
Thank you in advance.
dream'n, BSN, RN
1,162 Posts
In both areas I've worked in; outpatient and inpatient Oncology, the pharmacist mixes the chemotherapy. They have special precautions that they follow, including mixing under a hood. Pharmacy even primes our chemo lines, so that it isn't done on the floor. I have never heard of nurses mixing chemotherapy and even if it is legal, I wouldn't want that added responsibility.
You could look at the ONS website or call your state BON or Board of Pharmacists.
Thank you dream'n í ½í¸€
Anna Flaxis, BSN, RN
1 Article; 2,816 Posts
I would suggest checking with your State BON as well. I've mixed lots of drugs, as we don't have 24/7 pharmacy available. But I don't know about chemo. When I've administered chemo, it has been mixed in the pharmacy.
muirite
196 Posts
Chemotherapy drugs almost all MUST be mixed under a hood.
nursephillyphil, BSN, RN
325 Posts
in my hospital, way back probably before i was even in college, the nurses would prep the chemo in our med room. fast forward x amount of years our pharmacy preps/mixes and primes the tubing for our chemo.
iluvivt, BSN, RN
2,774 Posts
This May help some
Safe Handling of Hazardous Drugs
This is a must read too! You must completely understand and follow USP 797
http://www.freece.com/Files/Classroom/ProgramSlides/4d60c13b-e2ec-47ea-a075-d0c8e7a3eb48/SterileCompounding_HK.pdf
I suspect that you can but I also suspect that this allows them to save some bucks and not hire a pharmacist which you will see the importance of after you read the two links..the risk is great and worse than originally expected!