Assessment In the in-patient pediatric bone marrow transplant (BMT) unit, many patients are on clinical trials that include the use of chemotherapy. “The administration of chemotherapy to children with cancer is a high-risk process that must be performed in a safe and consistent manner with high reliability” (Looper, Winchester, Robinson, Price, Langley, Martin, Jones, Holloway, Rosenberg, & Flake, 2016, p.165). There are many components of the chemotherapy process, including prescribing, distribution, and administration, for example. Each process requires two independent checks before patients receive the medication. As nurses are the ones who administer the medication, it is their job to follow protocol and document accurately. “Inconsistencies in the administration and documentation of chemotherapy [are] identified as opportunities for errors to occur” (Looper et al., 2016, p.165) One inconsistency many nurses come across is…show more content… The first objective is necessary because sometimes all that is needed is a label so that the pharmacist can indirectly communicate with the nurse that the full volume, including overfill is necessary to receive the therapeutic dose. The nurse manager would be able to fulfill the role of communicating with the pharmacist about the necessity of the label. The second objective is necessary because chemotherapy is a high-risk drug that needs special care, if everyone administers it the same way, there is less risk for errors and a better therapeutic outcome. The third objective is because research has shown that there is not much information on chemotherapy errors not because there are none, but because the lack of reporting. This will help to find trends on areas the need improving. The fourth objective is about getting nurses to think about their own administration process and things they know need to change or ways to benefit the standardized
