2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology

Michael N. Neuss, Terry R. Gilmore, Kristin M. Belderson, Amy L. Billett, Tara Conti-Kalchik, Brittany E. Harvey, Carolyn Hendricks, Kristine B. LeFebvre, Pamela B. Mangu, Kristen McNiff, Mi Kaela Olsen, Lisa Schulmeister, Ann Von Gehr, Martha Polovich

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To update the American Society of Clinical Oncology (ASCO)/Oncology Nursing Society (ONS) Chemotherapy Administration Safety Standards and to highlight standards for pediatric oncology. Methods: The ASCO/ONS Chemotherapy Administration Safety Standards were first published in 2009 and updated in 2011 to include inpatient settings. A subsequent 2013 revision expanded the standards to include the safe administration and management of oral chemotherapy. A joint ASCO/ONS workshop with stakeholder participation, including that of the Association of Pediatric Hematology Oncology Nurses and American Society of Pediatric Hematology/Oncology, was held on May 12, 2015, to review the 2013 standards. An extensive literature search was subsequently conducted, and public comments on the revised draft standards were solicited. Results: The updated 2016 standards presented here include clarification and expansion of existing standards to include pediatric oncology and to introduce new standards: most notably, two-person verification of chemotherapy preparation processes, administration of vinca alkaloids via minibags in facilities in which intrathecal medications are administered, and labeling of medications dispensed from the health care setting to be taken by the patient at home. The standards were reordered and renumbered to align with the sequential processes of chemotherapy prescription, preparation, and administration. Several standards were separated into their respective components for clarity and to facilitate measurement of adherence to a standard. Conclusion: As oncology practice has changed, so have chemotherapy administration safety standards. Advances in technology, cancer treatment, and education and training have prompted the need for periodic review and revision of the standards. Additional information is available at http://www.asco.org/chemo-standards.

Original languageEnglish (US)
Pages (from-to)31-43
Number of pages13
JournalOncology nursing forum
Volume44
Issue number1
DOIs
StatePublished - Jan 2017
Externally publishedYes

Keywords

  • Chemotherapy administration
  • Guidelines
  • Oncology
  • Pediatric
  • Safety
  • Standards

ASJC Scopus subject areas

  • Oncology(nursing)

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