Safety
This engineering control is used with PPE to reduce exposure when preparing or handling hazardous drugs.
What is a closed-system drug transfer device (CSTD) (Phaseal)
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?
Two important pretreatment assessments to be done on the first day of any treatment cycle
What is height and weight?
They should be contacted for larger (>5%) spills.
Who is the NIH fire department
Emergent symptom that patient should immediately report after receiving chemotherapy
What is neutropenic fever?
Use to clean surfaces to avoid contamination from trace hazardous drugs.
What are hydrogen peroxide wipes?
PPE to wear when administering intravesical hazardous drugs
A: What is double gloves, gown, face-shield, mask/N95?
A type of chemotherapy drug that contains platinum and is responsible for chemotherapy-induced peripheral neuropathy (CIPD).
What is Oxaliplatin?
Amount of hazardous drug spill that nursing staff can manage.
What is 5mL or less?
Things to provide patients receiving continuous hazardous drug infusion before discharging them
What are home spill kit, extra batteries, pump guide handout?
Hazardous drugs: [1] <3% discarded in this. [2] >3% discarded in this.
What is [1] yellow chemo bucket and [2] what is black chemo bucket?
* Gown, gloves, N95 mask, goggles
* Absorbent towels and pillows
* Hazardous waste bags
* Chemo hazard labels
What is a hazardous spill kit?
Two most common Irinotecan (Camptosar) side effects
Severe diarrhea and Immunosuppression
These are utilized after cleaning spills with bleach containing wipes.
What is soap and water?
After receiving chemotherapy, patients are advised to take these two steps in the bathroom.
What are closing the toilet lid and double-flushing?
First step to take for sharps or skin exposures from hazardous drugs
What is cleansing affected area with copious amounts of warm soapy water?
The type of cleaning agents required for decontaminating surfaces exposed to hazardous drugs must be compatible with the drug and effective at neutralizing it. This process is called what?
What is deactivation/decontamination?
Why is hydration given with Cyclophosphamide
What is to prevent hemorrhagic cystitis
Resource for hazardous drug spill management
What is the Safety Data Sheets (SDS)?
Patients taking this oral chemotherapy agent should avoid crushing or splitting the pills and always wash hands before and after handling.
What is any hazardous oral chemotherapy drug?
First three steps to perform in the event of extravasation
* Stop infusion
* Disconnect tubing from patient
* Do not flush line. Aspirate residual fluid
How does one double-glove when administering hazardous substances?
What is wearing one pair of gloves under the chemo gown and another pair over it?
This anti-CD20 monoclonal antibody is used in B-cell lymphomas and requires screening for hepatitis B reactivation.
What is Rituximab?
Information that should be reported to the fire department if there is a large spill.
*Location of the spill
* Name of HD spill
* Approximate volume of the spill
* Interventions taken
Patients should maintain these to help manage nausea and maintain strength (non-pharmacologic)
What are proper hydration and nutrition?