Chemotherapy & Immunotherapy RN Skills Assessment
Complete this 8–10 minute onboarding assessment to share your oncology training and hands-on experience—without replacing employer clinical validation.
Candidate Information
Full Name
*
First Name
Middle Name
Last Name
City / State of Residence
*
Best Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Active RN License States
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Select all states where you hold an active RN license.
Years of RN Experience
*
Please Select
<2
2–4
5–9
10–14
15+
Years of Oncology Nursing Experience
*
Please Select
<1
1–2
3–5
6–10
10+
Chemotherapy/Immunotherapy Training & Certification
Status of formal chemo/immunotherapy administration training
*
Please Select
Current
Previously completed, renewal needed
Currently completing
No
Training program(s) completed
Please Select
ONS/ONCC Chemotherapy Immunotherapy Certificate
Employer-based competency program
Other recognized program
Date most recently completed or renewed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expiration or renewal due date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vascular Access Competency
Peripheral IV insertion
*
Please Select
Independent
Supervised
Assisted
Not Trained
Peripheral IV assessment/management
*
Please Select
Independent
Supervised
Assisted
Not Trained
PICC access/management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Implanted port access
*
Please Select
Independent
Supervised
Assisted
Not Trained
Implanted port de-access
*
Please Select
Independent
Supervised
Assisted
Not Trained
Central venous catheter management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Blood return verification
*
Please Select
Independent
Supervised
Assisted
Not Trained
Central-line dressing change
*
Please Select
Independent
Supervised
Assisted
Not Trained
Troubleshooting vascular access complications
*
Please Select
Independent
Supervised
Assisted
Not Trained
Which skills were performed independently within the past 2 years?
*
Please Select
Peripheral IV insertion
Peripheral IV assessment/management
PICC access/management
Implanted port access
Implanted port de-access
Central venous catheter management
Blood return verification
Central-line dressing change
Troubleshooting vascular access complications
Chemotherapy Administration Competency
Verify chemotherapy orders against treatment plan
*
Please Select
Independent
Supervised
Assisted
Not Trained
Medication and dose verification
*
Please Select
Independent
Supervised
Assisted
Not Trained
Review required labs
*
Please Select
Independent
Supervised
Assisted
Not Trained
Verify treatment parameters
*
Please Select
Independent
Supervised
Assisted
Not Trained
Administer chemotherapy via peripheral IV
*
Please Select
Independent
Supervised
Assisted
Not Trained
Administer chemotherapy via central venous access
*
Please Select
Independent
Supervised
Assisted
Not Trained
Administer chemotherapy via implanted port
*
Please Select
Independent
Supervised
Assisted
Not Trained
IV push chemotherapy
*
Please Select
Independent
Supervised
Assisted
Not Trained
Vesicant chemotherapy
*
Please Select
Independent
Supervised
Assisted
Not Trained
Irritant chemotherapy
*
Please Select
Independent
Supervised
Assisted
Not Trained
Continuous or intermittent chemotherapy infusions
*
Please Select
Independent
Supervised
Assisted
Not Trained
Ambulatory infusion pumps
*
Please Select
Independent
Supervised
Assisted
Not Trained
Monitor during administration
*
Please Select
Independent
Supervised
Assisted
Not Trained
Safely discontinue therapy
*
Please Select
Independent
Supervised
Assisted
Not Trained
Skills independently performed within the past 2 years
*
Please Select
Verify chemotherapy orders against treatment plan
Medication and dose verification
Review required labs
Verify treatment parameters
Administer chemotherapy via peripheral IV
Administer chemotherapy via central venous access
Administer chemotherapy via implanted port
IV push chemotherapy
Vesicant chemotherapy
Irritant chemotherapy
Continuous or intermittent chemotherapy infusions
Ambulatory infusion pumps
Monitor during administration
Safely discontinue therapy
Immunotherapy & Biologic Therapy
Therapies independently administered
*
Please Select
Monoclonal antibodies
Immune checkpoint inhibitors
Cytokine-based therapies
Other biologic/targeted therapies
Antineoplastic immunotherapy
Supportive oncology biologics
None
Verify orders and treatment parameters
*
Please Select
Independent
Supervised
Assisted
Not Trained
Administer immunotherapy and biologic therapies
*
Please Select
Independent
Supervised
Assisted
Not Trained
Premedications
*
Please Select
Independent
Supervised
Assisted
Not Trained
Monitoring during therapy
*
Please Select
Independent
Supervised
Assisted
Not Trained
Recognize acute infusion reactions
*
Please Select
Independent
Supervised
Assisted
Not Trained
Recognize immune-related adverse events
*
Please Select
Independent
Supervised
Assisted
Not Trained
Initiate nursing interventions and escalate appropriately
*
Please Select
Independent
Supervised
Assisted
Not Trained
Adverse Reactions & Emergency Management
Hypersensitivity reaction management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Anaphylaxis management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Infusion-related reaction management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Extravasation management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Vesicant infiltration management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Cytokine-release-type reaction management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Acute respiratory symptoms management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Hemodynamic instability management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Delayed treatment adverse effects management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Immune-related adverse events management
*
Please Select
Independent
Supervised
Assisted
Not Trained
Have you personally managed an acute chemo/immunotherapy reaction requiring treatment interruption or intervention?
*
Please Select
Multiple times
Once
Observed/Assisted
No
Hazardous Drug Safety
PPE use
*
1
2
3
4
5
Hazardous-drug handling
*
1
2
3
4
5
Closed-system transfer devices
*
1
2
3
4
5
Disposal of hazardous materials
*
1
2
3
4
5
Contaminated waste handling
*
1
2
3
4
5
Spill-kit use
*
1
2
3
4
5
Spill response
*
1
2
3
4
5
Patient/caregiver education on hazardous bodily fluids and home precautions
*
1
2
3
4
5
Patient Assessment & Treatment Readiness
Pretreatment assessment: Independent
*
1
2
3
4
Pretreatment assessment: Supervised
*
1
2
3
4
Pretreatment assessment: Assisted
*
1
2
3
4
Pretreatment assessment: Not Trained
*
1
2
3
4
Laboratory review: CBC/CMP and treatment-specific labs
*
Please Select
Reviewed CBC
Reviewed CMP
Reviewed treatment-specific labs
Identified missing labs
Abnormal labs requiring escalation
*
Functional status
*
Please Select
Independent
Mildly limited
Requires assistance
Poor functional status
Other
Allergies and prior reactions reviewed
*
Please Select
No known allergies
Medication allergies
Food allergies
Prior infusion reaction
Pre-treatment readiness review
*
Please Select
Medication reconciliation completed
Hydration assessed
Nutrition assessed
Treatment toxicities reviewed
Provider notified before treatment when needed
Response and tolerance documented after treatment
Documentation of patient response and treatment tolerance
*
Clinical Experience Snapshot
Average chemo/immunotherapy treatments per month
*
Please Select
0
1–5
6–10
11–25
26–50
50+
Most recent independent administration
*
Please Select
Currently
Within 3 months
3–6 months
6–12 months
1–2 years
>2 years
Comfort independently managing a complete oncology treatment visit
*
Please Select
Yes
Yes with orientation to agency-specific policies/procedures
Require clinical supervision/refresher
No
Relevant Certifications
Relevant certifications held
*
BLS
ACLS
ONS/ONCC Chemotherapy Immunotherapy Certificate
OCN
BMTCN
CPHON
CRNI
None
Other oncology/infusion certification
Upload certification documents
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Final Attestation
Agreement
*
I attest that the information provided in this assessment accurately reflects my current training, clinical experience, and level of competency. I understand that completion of this assessment does not independently establish clinical competency and that additional documentation, skills validation, orientation, or competency assessment may be required prior to assignment.
I agree
Candidate Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Assessment
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