NHBC
TRAINING INSTITUTE

MODULE 1

Introduction to Cancer Chemotherapy

Foundational principles of cancer treatment, mechanisms of action of chemotherapy, and the role of pharmacy professionals in oncology care.

MODULE 2

Antineoplastic Drugs Classification

Classification of cytotoxic and targeted agents, pharmacological properties, toxicity profiles, and handling considerations.

MODULE 3 & 4

Chemotherapy Dosing and Dose Scheduling I & II

Principles of chemotherapy dosing, body surface area calculations, dose adjustments, scheduling cycles, and clinical implications of dosing errors.

MODULE 5

Pharmacy Chemotherapy Workcards

Use of pharmacy workcards for chemotherapy preparation, verification processes, documentation, and traceability.

MODULE 6

Management of Chemotherapy Side Effects

Pharmacological and supportive management of chemotherapy-induced adverse effects, with emphasis on patient safety and continuity of care.

MODULE 7

Proper labelling techniques,

IV priming in the chemo room &

 Using closed systems for chemo mixing

Labelling standards for cytotoxic preparations, legal requirements, error prevention, and patient safety considerations. Learn principles and techniques of IV priming, risk reduction strategies, and contamination prevention in chemotherapy environments.

MODULE 8

Biological Safety Cabinets (BSCs) & Safe Operation of Chemo Hoods

Types of BSCs, certification requirements, airflow principles, correct operational practices, and common safety failures.

MODULE 9

Workflow Within the Chemotherapy Room

Design and organization of chemotherapy rooms, personnel flow, material flow, and contamination control strategies.

MODULE 10

Determining Chemotherapy Regimens for Specific Cancers

Overview of standard chemotherapy regimens, interpretation of protocols, and the pharmacist’s role in regimen selection support.

MODULE 11

Combination vs Single-Agent Chemotherapy Regimens

Rationale, benefits, risks, and clinical considerations when selecting combination or monotherapy regimens.

MODULE 12

Waste Management and Destruction of Expired Products

Safe segregation, handling, and disposal of cytotoxic waste and expired products in compliance with safety and environmental standards.

MODULE 13

Developing and Updating Standard Operating Procedures (SOPs)

Design, review, implementation, and updating of SOPs for chemotherapy preparation and oncology pharmacy operations.

MODULE 14

Chemotherapy Safety, Accidental Exposure Management & Surveillance

Occupational exposure risks, spill management, exposure reporting systems, and health surveillance programs.

MODULE 15

Palliative Care – Pharmacology & Pharmacokinetics

Pharmacological principles in palliative oncology care, symptom control, and ethical considerations.

MODULE 16 (SUBDIVIDED)

Chemotherapy Reconstitution, Mixing & Compounding

(Four Sub-Modules)

• Principles of aseptic compounding

• Step-by-step chemotherapy reconstitution

• Error prevention during mixing

• Quality checks prior to release

(This is the technical core of the program.)

MODULE 17

Clinical Research & Pharmacy Roles

Pharmacy involvement in oncology clinical research, protocol compliance, documentation, and best practices.