Who can administer chemotherapy? - ANSWER--Registered Nurses with specialized education, prep and training. See specific state laws and statutes Annual continuing ed How often is chemo competency reassessed> - ANSWER--and competency assessment is recommended confirm plan with patient What is the dose verification process? - ANSWER----two practitioners verify: drug name, dose, volume, rate, route, expiration date, appearance -document verification in chart Gloves: two pairs, HD What PPE is required for IV Chemotherapy? - ANSWER---tested -Gown: disposable, back closed, long sleeved -Respirator: NIOSH approved -Eye & Face: face shield/mask --Chemo BEFORE primary Neoadjuvant therapy (tumor burden) - ANSWERtreatment (common in breast and colon)Chemo AFTER primary treatment (common in solid Adjuvant therapy - ANSWER--tumor) soft, sponge-like tissue in center of most bones, Bone Marrow - ANSWER--produce WBC, RBC, and platelets. bone marrow activity is decreased, causing less Myelosuppression - ANSWER--RBC, WBC and Platelets. severe myelosuppressionMyeloablation - ANSWER-- initial phase, typically in hospital, intended Induction phase - ANSWER--myelosuppression after Consolidation phase (intensification/postremission therapy) - ANSWER--successful induction, kills cancer cells left in body (ex radiation, stem cell transplant) when one chemo drug helps another work better at the same Synergy - ANSWER--time no identifiable cancer present for at least one Complete response - ANSWER--month