1. Carreon, Nancy MS, RN, OCN
  2. Sugarman, Cathleen MSN, RN, AOCNS
  3. Beener, Elizabeth MSN, RN, CNS, CMSRN
  4. Agan, Donna EdD


Changes in chemotherapy delivery from inpatient to outpatient settings and transition from intravenous to oral administration threaten the competency level of chemotherapy nurses. To standardize care and demonstrate competency across five hospital campuses and four outpatient infusion centers, one health system developed a hands-on competency evaluation for chemotherapy nurses based on a scenario approach. Results included improved confidence, competence, identification of variation, and standardization of equipment, process, and policy.