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Off Floor Chemo and Spill Management

  • 1.  Off Floor Chemo and Spill Management

    Posted 09-09-2019 13:29
    Edited by Melissa Arangoa 09-09-2019 13:29
    Does anyone ​have a policy or procedure in place for patients that leave the floor receiving chemotherapy?  Do you send a spill kit with the patient?  Is there something the patient has with them stating they are receiving a hazardous drug?  Thank you.

    Melissa Arangoa
    University of Chicago Medical Center

  • 2.  RE: Off Floor Chemo and Spill Management

    Posted 09-10-2019 07:55
    We want to do all we can to protect staff and patients, so It is always a good idea to have a chemotherapy spill kit travel with a patient during active treatment, and to make sure the proper precautions are included in any hand-off communications.​  In our facility we have universal signage that also indicates HD precautions are in place for 48 hours after chemotherapy infusion, for body fluids and excreta. If the patient has an ongoing chemotherapy infusion, other procedures that require them leaving the room are greatly discouraged, unless urgently needed.  Again, reducing risk and increasing safety are the main goals of our policies.

    Tracy Torgerson RN MSN CRNI FNP-C
    Clinical Manager
    Piedmont Oncology Infusion
    Atlanta , GA

  • 3.  RE: Off Floor Chemo and Spill Management

    Posted 09-12-2019 22:46
    We have it built into policy to try to schedule all off unit testing around chemotherapy.  If a patient must leave the department while it is infusing we send a spill kit.  We also have a hang tag on the IV pole alerting that chemotherapy is infusing-the card has the unit to call with any issues with the pump
    The nurse also fills out a passport for transport and indicates it is infusing.

    Linda DeGothseir MSN RN
    Clinical Educator DCMH
    Springfield PA