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 substances
What is hydrogen peroxide wipes (green top wipes)?
Name two things to provide patients receiving continuous hazardous drug infusion before discharge.
* Home spill kit
* Extra batteries
* Gloves
* Plastic clamps
* Chux pads
* Team , DH, and 3SEN (after hours)contact info
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?
- trash bin
* 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 LV ejection fraction before giving Adriamycin (Doxorubicn HCl)
What is > 50 % LVEF
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?
The first step to take for sharps or skin exposure from hazardous drugs.
What is cleansing the affected area with copious amounts of warm, soapy water?
What precautions are taken for patients receiving the chemotherapy Irinotecan?
Diarrhea and electrolyte management.
A type of chemotherapy drug used at the DH that contains platinum and is responsible for chemotherapy-induced peripheral neuropathy (CIPD).
What is Oxaliplatin?
Name 2 information that should be reported if there is a large spill.
What is:
* 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 or AKA Burn Box?
1) What three vital information does the nurse tell the patient to be aware of 7-10 days after receiving R-CHOP?
2) What is the medical term used in describing this clinical manifestation?
What is?
1) Avoid crowds, practice frequent hand washing, wear a mask, avoid eating from salad bars, and present to the ER in case of a fever.
2) What is NADIR?
For Ommaya Providers:
What are the two most common chemo drugs given via the Ommaya reservoir for patients with CNS lymphoma?