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Updated: Apr 18, 2026

Modeling Chemotherapy Resistant Leukemia In Vitro
Published on: February 9, 2016
Creating and standardizing annual chemotherapy competencies throughout a healthcare system
Nancy Carreon1, Cathleen Sugarman, Elizabeth Beener
1Nancy Carreon, MS, RN, OCN, is Oncology Advanced Practice Nurse, Scripps Mercy Hospital, San Diego, California. Cathleen Sugarman, MSN, RN, AOCNS, is the Oncology Advanced Practice Nurse for the Oncology Care Line, Scripps Health, San Diego, California. Elizabeth Beener, MSN, RN,CNS, CMSRN, is Learning Leader, Scripps Health, San Diego, California. Donna Agan, EdD, is Director, Operations Integration, Scripps Mercy Hospital, San Diego, California.
Abstract:
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.
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