Across Houston Methodist, the oncology service line has been deeply engaged in work that reflects the spirit of One Houston Methodist, One Nurse — aligning practice, improving safety and creating consistency across campuses. Over the past year, oncology nursing leaders, educators, pharmacy partners, and frontline clinicians have collaborated on system-level initiatives designed to strengthen both patient care and the nursing experience.

A major milestone has been the development of a System Antineoplastic and Chemotherapy Administration Policy, which establishes a unified framework for the safe handling, preparation, administration and monitoring of antineoplastic therapies. By replacing variations in practice with a standardized, evidence-informed approach, this policy supports regulatory readiness, reinforces patient safety and promotes shared expectations for oncology nurses across practice locations.

In parallel, the adoption of short-set hazardous drug preparation strategies represents another important advancement. This approach was implemented to reduce medication waste, improve cost stewardship and enhance operational efficiency without compromising safety. This work reflects a growing emphasis on resource management within oncology care — ensuring we deliver high-value care while remaining mindful of the financial impact of treatment.

Education and professional development have also been central to systematization efforts. Work is underway to standardize the chemotherapy administration course, creating consistent learning objectives, competency expectations and clinical alignment throughout the system. Standardized education not only strengthens nurses' confidence and knowledge but also reduces practice variability, directly supporting patient safety.

Looking forward, one of the most transformative initiatives in progress is the design of a system oncology residency and learning program within Workday. This structured program will provide new oncology nurses with a guided pathway that integrates required classes, skill validations and specialty-specific competencies. By clearly mapping the educational and clinical expectations of oncology practice, this program will enhance onboarding and support long-term professional growth.

Together, these initiatives represent more than policy updates or educational redesign — they embody a system mindset. Through collaboration, standardization and shared governance, Houston Methodist oncology nurses are building a more cohesive practice environment where excellence is defined at the system level.

This work demonstrates what is possible when we operate not as individual units or campuses, but as One Houston Methodist, One Nurse — united in advancing oncology care for the patients and communities we serve.