Oral chemotherapeutic drugs: Handle with care
Catherine C. Simmons MSN, RN, CNS, OCN

July 2010 
Volume 40  Number 7
Pages 44 - 47
  PDF Version Available!

AS MORE CHEMOTHERAPY drugs become available in oral form, many nurses outside oncology units are administering them to patients. Yet nurses on general nursing units may have had little education on how to handle and administer antineoplastic medications safely.If continually exposed to these hazardous drugs without taking proper precautions, nurses may experience toxic effects ranging from contact dermatitis to liver damage, spontaneous abortion, or respiratory tissue damage.1 This article reviews how nurses can protect patients and themselves by learning and following safety standards for oral chemotherapeutic drugs.By one estimate, as many as 25% of all new chemotherapy drugs being developed will be provided in oral form.2 These drugs may be given on general nursing units for two reasons. In one instance, a patient who has a chronic cancer condition comes into the hospital for an unrelated problem and continues to receive oral chemotherapy for cancer. In the second, a patient is receiving an antineoplastic drug for a condition other than cancer, such as rheumatoid arthritis or sickle cell disease.No matter what the patient's clinical status or the drug administration route, antineoplastic drugs must be given in accordance with facility policies and procedures, which are based on professional standards and guidelines outlined by oncologists, pharmacists, and cancer nursing experts. These should be consistent with federal and state standards and guidelines established by organizations such as the National Institute for Occupational Safety and Health and the Oncology Nursing Society (ONS).3,4Facility policy should specify that only nurses who know indications and contraindications for various antineoplastic drugs and who have the education and training to handle them safely and assess and manage adverse reactions should administer these drugs.5 And only oncologists or (as some facility's policies may allow) healthcare providers within their own specialties

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events