RN scope of practice for mixing Chemo

Nurses General Nursing

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Specializes in Medical Oncology, Med-Surg, L & D.

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.

RNview

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.

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.

Specializes in Medical Oncology, Med-Surg, L & D.

Thank you dream'n í ½í¸€

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.

Chemotherapy drugs almost all MUST be mixed under a hood.

Specializes in Medical Oncology, ER.

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.

Specializes in Infusion Nursing, Home Health Infusion.
Specializes in Infusion Nursing, Home Health Infusion.

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!

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