1. Professional Practice
1.1 Philosophy of Care
1.2 Documentation of Care
1.3 Patient Triage: Walk-ins and
Telephone Management
1.4 Competency Assurance
1.5 Demonstration of Clinical
Competence to Administer
Chemotherapy
2. Clinical Procedures
2.1 Informed Consent for Office
Procedures
2.1.a Request and Informed Consent
for Procedure or Diagnostic
Test
2.2 Assisting with Bone Marrow
Aspiration and Biopsy
2.3 Assisting with Lumbar Puncture
2.4 Assisting with Paracentesis
2.5 Assisting with Thoracentesis
2.6 Conscious Sedation
2.7 Therapeutic Phlebotomy
2.8 Transfusion of Blood and Blood
Products
2.8.a Informed Consent for Blood
Transfusions
2.9 Urethral Catheterization – Female
2.10 Urethral Catheterization – Male
3. Medication Administration
and Handling
3.1 Medication Error Prevention with
Antineoplastic Agents
3.2 Medication Administration
3.2.a Intradermal Injection
3.2.b Intramuscular Injection
3.2.c Subcutaneous Injection
3.2.d Assessing and Administering
Drugs via an Implantable
Pump
3.3 Establishing Peripheral Venous
Access (IV Start)
3.4 Venous Access Devices
3.4.a Accessing a Central Venous
Catheter (Hickman/Broviac/
PICC/Groshong)
3.4.b Accessing an Implanted
Venous Access Device
(PORT-A-CATH®)
3.4.c Deaccessing an Implanted
Venous Access Device
(PORT-A-CATH®)
3.5 Authorization and Documentation
of Prescription Refills
3.6 Sample Medications
4. Chemotherapy Administration
and Handling
4.1 Chemotherapy Preparation and
Handling
4.2 Chemotherapy Administration
4.2.a Intra-arterial Chemotherapy
Administration
4.2.b Intraperitoneal Chemotherapy
Administration via Implanted
Port
4.2.c Intrathecal (IT) Chemotherapy
Administration via Omaya
Reservoir
4.2.d Intrathecal (IT) Chemotherapy
via Lumbar Puncture (LP)
4.3 Transporting Chemotherapy
Preparations
4.4 Prescription Temperature Control
During Delivery
4.5 Cytotoxic Drug Spills
5. Patient Education
5.1 Patient Education: Chemotherapy
5.1.a Patient Consent Form for
Chemotherapy
5.2 Patient Education: Self-
administration of Subcutaneous
and Intramuscular Injections
5.3 Patient Education: Symptom
Management
6. Emergency Management
6.1 Management of Patient
Emergencies
6.2 Emergency Management of
Anaphylaxis and Hypersensitivity
Reactions in the Oncology
Patient
6.3 Management of Chemotherapy
Extravasation
7. Infection Control/Safety
7.1 Universal Precautions
7.2 Handwashing
7.3 Infectious Disease Management
7.4 Exposure to Contaminated
Needle/Sharps
8. Legal & Regulatory
8.1 Advance Directives
8.2 Patient Bill of Rights
8.3 Transportation of Patients from
the Office
8.4 Occurrence Reporting
© 2004 National Oncology Alliance, Inc.
All Rights Reserved.