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Safety Additions

- Ensure PPE is donned and removed correctly to prevent contamination: Follow proper procedures for putting on and taking off PPE to avoid self-contamination.

-Dispose of PPE properly according to institutional protocols: Used PPE should be disposed of in designated containers for hazardous waste.

Video

When to Wear Cytotoxic PPE

Ensuring Protection

The correct use of cytotoxic PPE guarantees protection against hazardous substances. It is indispensable for maintaining a safe healthcare setting.

When handling chemotherapy medications: Any direct contact with cytotoxic drugs, including preparation, administration, and disposal.

During preparation and administration of IV and oral chemotherapy: PPE should be worn during all stages to prevent exposure.

During cleanup and disposal of contaminated materials: Proper PPE should be worn during cleanup to avoid exposure to residual drug contamination.

Anytime there's a risk of exposure to cytotoxic agents or contaminated surfaces: It is crucial to be cautious and wear PPE whenever there's a potential risk of exposure.

RNAO BPG (Assessment and Management of Pain)

"PRACTICE RECOMMENDATIONS

4.0 Evaluation

Recommendation 4.1

Reassess the person’s response to the pain management interventions consistently using the same re-evaluation tool. The frequency of reassessments will be determined by:

  • Presence of pain;
  • Pain intensity;
  • Stability of the person’s medical condition;
  • Type of pain e.g. acute versus persistent; and
  • Practice setting.

Recommendation 4.2

Communicate and document the person’s responses to the pain

management plan" (RNAO, 2013).

Chemotherapy Administration Risks

Knowledge Retention

You encounter a patient with leukemia who requires daily oral chemotherapy. Describe the Personal Protective Equipment (PPE) you would wear during the administration process. Explain your choice of PPE and how it helps protect both you and the patient from potential risks associated with these medications.

  • Exposure to cytotoxic agents: Chemotherapy drugs are potent chemicals designed to kill cancer cells, but they can also harm healthy cells if proper precautions aren't taken.
  • Contamination of surfaces and equipment: Spills or leaks during preparation or administration can contaminate surfaces and equipment, leading to unintended exposure.
  • Cross-contamination among healthcare providers: Improper handling of cytotoxic drugs can result in cross-contamination among healthcare workers, increasing the risk of exposure.
  • Adverse health effects for healthcare workers: Long-term exposure to cytotoxic agents can cause health issues such as skin irritation, respiratory problems, and even increased risk of cancer. "Antineoplastic drugs may reduce fertility and increase poor neonatal outcomes among occupationally exposed oncology nurses"(Fransman et al., 2007).

References

Fransman, W., Roeleveld, N., Peelen, S., de Kort, W., Kromhout, H., & Heederik, D. (2007). Nurses with dermal exposure to antineoplastic drugs: reproductive outcomes. Epidemiology (Cambridge, Mass.), 18(1), 112–119. https://doi.org/10.1097/01.ede.0000246827.44093.c1

Hon, C.-Y., Teschke, K., Chua, P., Venners, S., & Nakashima, L. (2011, September). Occupational exposure to antineoplastic drugs: Identification of job categories potentially exposed throughout the hospital medication system. Safety and health at work. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3430902/

RNAO. (2013, December). Assessment and management of pain. RNAO.ca.

https://rnao.ca/bpg/guidelines/assessment-and-management-pain

Which is why we wear Cytotoxic PPE

This includes:

Gloves: Chemotherapy-rated gloves made of impermeable material to prevent skin contact with cytotoxic drugs. (Nitrile Gloves)

Gowns: Disposable gowns that provide full-body coverage to protect against splashes or spills.

Masks and goggles: Respiratory and eye protection to prevent inhalation or contact with aerosolized particles.

Closed footwear/Shoe covers: Shoes that cover the entire foot to prevent exposure through spills or splashes.

Cytotoxic PPE

Introduction

Understanding the risks associated with the administration of chemotherapy medications is important. Cytotoxic PPE plays a crucial role in minimizing exposure and keeping us safe.

Understanding the Risks of Chemotherapy Administration

Compliance with cytotoxic PPE protocols is non-negotiable. It It is indispensable for maintaining a safe healthcare setting.

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