Safe Handling of HDs
This must be worn when splashes to the face are likely to occur, such as when flushing wastes or suctioning.
What is a Face Shield?
Does the patient’s IV need to have blood return prior to administration of chemotherapy agent?
True
Hazardous spills <__ are managed by nursing staff
What is 5 ml?
This chemotherapy agent is most strongly associated with cardiac toxicity.
What is Doxorubicin (Adriamycin)?
The greatest risk for allergic reactions exists when administering these classifications of biotherapy agents.
What are monoclonal antibodies?
(Ex. Rituximab)
These are provided to every patient with take-home HD drugs.
What is gloves, medicine cups & information of safe handling of HD drugs at home?
These rescue interventions are needed before and during drug administration.
What is nasal cannula and oxygen wall set-up and suction canister and yankauer set up?
If >5 ml, these people are contacted and their contact information is __________.
What is NIH fire department, 301-496-2372 or 911?
Nursing considerations for Irinotecan
The dosing of biotherapy agents is determined based on the ________________.
What is the optimal biologic dose?
Poly-coated gown, 2 pairs of powder-free nitrile gloves, mask with eye shield, waste bag & a chemo bio-wipe bag.
What is a chemo-spill kit?
The nurse needs to be aware of these before bedside medication administration.
What is :Pt's full name, DOB, 5 rights, infusion rate/drip, and secondary bedside check?
One way a nurse can alert other individuals of an HD spill
What is a hazardous spill sign?
Ms. C is midway through her 9th cycle of Carboplatin infusion for Ovarian ca. She begins to c/o perioral and palmar itching and mild SOB. Based on her s/s, the RN would suspect
What is an allergic reaction to Carboplatin?
This is a common dose limiting side effect of immunotherapy and biotherapy.
What is fatigue?
HDs: 3% is discarded in this & greater than 3% in this.
What is the Yellow Chemo bucket & black bucket?
Essential information to take into consideration when performing medroom checks
What is Pt's name, DOB, MRN, drug name/dosage, drug diluent, drug expiration, and check for bag leak?
Information on the HD drug after a spill is found here.
What is Safety data sheets located on the CC Pharmacy Department website.
Risk factor for cytotoxic exposure for nurses administering anti-neoplastic agents
What is the inhalation of aerosols?
Oral agents with shorter half-lives and have a greater potential for drug-drug interactions that require monitoring.
What are Kinase inhibitors?
(Ex: Erlotinib for Renal ca)
Treat all surfaces as though contaminated with trace HDs, use alcohol-containing wipes to clean connections for the Alaris IV pump & handling all HDs as though the container itself has trace HD contamination.
What are interventions to decrease environmental (surface) contamination?
A nurse must find the five most essential things when checking the patient’s chart before receiving their chemotherapy treatment.
What is protocol consent, treatment note, med orders, patients' information, and lab values?
This information should be reported in the event of a large spill.
What is location/name/volume of the HD spill and interventions taken?
Leucovorin, Dexrazoxane, and Mesna
What is chemo protective agents?
Normal left ventricular ejection fraction (LVEF) measurements before any cardiotoxic agents.
What is normal EF between 50% and 75%?