SPILLS
They should be contacted for larger (>5ml) spills.
Who is NIH Fire Department?
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?
We connect this to the end of the tubing with hazardous drugs.
What is Spiros?
What is a life-threatening symptom that requires an emergent action after receiving chemotherapy?
What is a neutropenic fever?
Substances that require special handling and PPE
What is hazardous drugs?
Milliliters of hazardous drug spills that nursing staff can manage.
What is 5mL?
PPE to wear when administering intravesical hazardous drugs
What are double gloves, gown, face shield, mask/N95?
Use to clean surfaces to avoid contamination from trace hazardous drugs.
What is hydrogen peroxide wipes (green top wipes)?
Name two things to provide patients receiving continuous hazardous drug infusion before discharging them
* Home spill kit
* Extra batteries
Which drug in the EPOCH-R regimen causes the highest risk of emesis?
What is Cyclophosphamide?
True or False:
An unsoiled chemo gown should be placed in the yellow bucket.
What is False?
* Gown
* 2 pairs of Powder-free Nitrile gloves
* Mask with Eye Shield
* Gallon Waste bag * Chemo Bio-Wipe Bag
What is in the hazardous spill kit?
Hazardous drugs: [1] <3% discarded in this. [2] >3% discarded in this.
What is [1] a yellow chemo bucket, and [2] what is a black chemo bucket?
These things are provided to every patient with take-home oral hazardous drugs.
What are gloves, medicine cups & “Safe Handling of Hazardous Drugs at Home” patient education sheet?
The required ejection fraction is ______ before administering _____
> 40%, Doxorubicin
Resource material for hazardous drug spill management.
What is Safety Data Sheets (SDS)?
1. How often do you change chemo gloves? 2. Rationale?
What is Q 30 mins? Reduces the risk of exposure from permeation of HD drug?
First step to take for sharps or skin exposures from hazardous drugs
What is cleansing the affected area with copious amounts of warm, soapy water?
What precautions are taken for patients receiving irinotecan?
Diarrhea management
Electrolyte replacement
A type of chemotherapy drug that contains platinum and is responsible for chemotherapy-induced peripheral neuropathy (CIPD).
What is Oxaliplatin?
Name information that should be reported if there is a large spill.
* Location of the spill
* Name of HD spill
* Approximate volume of the spill
* Interventions taken
1) Gowns are for ____ use, and ____ sets of gloves should be used to protect the nurse from spillage exposure or accidental tear.
What is single-use and two sets?
Box to dispose of linens that are entirely saturated with hazardous drugs
What is a Medical Pathological Waste (MPW) box?
List two precautions for patients to take after receiving hazardous drugs.
* Closing toilet lid after use
* Use separate utensils
* Separating laundry
* Avoid sexual activities
* Avoid crowds
The first three steps to perform in the event of extravasation.
* Stop infusion
* Disconnect the tubing from the patient
* Do not flush the line. Aspirate residual vesicant/irritant.
* Notify pharmacy
* Obtain PIV access
* Administer antidote ASAP PRN (Dexrazoxane and apply cooling pack within 6 hours)
* Notify LIP, charge RN, management
* Enter incident report