Chemotherapy and Biotherapy

1.  double gloving

Posted 06-14-2017 14:18

Does anyone have a good resource (Video) of when it is appropriate to double glove when hanging chemo to be administered through a central line. With our CLABSI protocol this has become confusing for staff. Thank you.


Carol M. Brueggen, MS, APRN, CNS, AOCNS


2.  RE: double gloving

Posted 06-15-2017 11:57
I would refer you to 2 EBP guidelines. NIOSH and USP 800. You can easily find both resources online. Hope that helps.

Joyce Beaini

3.  RE: double gloving

Posted 06-16-2017 10:44

Yes, I'm very familiar with both NIOSH and USP 800. These documents basically say "to double glove during administration" which we totally support. My issue is more staff struggling with at what steps during administration should they be double gloved.   They find it very confusing. Just wondered if anyone had any visuals that might help. Thanks.  Carol



Carol M. Brueggen, MS, APRN, CNS, AOCNS


4.  RE: double gloving

Posted 06-21-2017 12:02
​Sorry how do I obtain these resources? Our infusion center does not double glove as a whole. I personally do!
Thank you

Hanna Crosby RN, BSN
Bozeman MT

5.  RE: double gloving

Posted 06-21-2017 12:58
Perhaps the best way to approach this issue is to think sequentially about where the potential points of contact with chemotherapy can occur. For example, setting up primary tubing with the neutral solution flush does not pose a risk. However, once the drug has been delivered to the patient, any contact with the outside of the bag, or manipulation that invovles tubing AFTER touching the bag, requires PPE.

Imagine we're administering a bag of  Ebola instead of a drug. At what point does it make sense to have our PPE on? At the point in which I can become contaminated.

Not sure if this helps.


Seth Eisenberg RN ASN OCN® BMTCN™
Seattle Cancer Care Alliance
Seattle WA