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recommendations Gowns

  • 1.  recommendations Gowns

    Posted 05-10-2019 08:37
    I work in a busy 24 chair outpatient oncology infusion unit . Some RN's will wear the same gown for the day as long as it remains uncontaminated. ? Any comments or recommendations re: this practice or how to store them between uses.


  • 2.  RE: recommendations Gowns

    Posted 05-10-2019 15:28
    I work in a 16 chair unit. We can reuse the gown as long as it isn't contaminated but ​we don't. We don't have areas to store the gowns between patients so we just use it once with each chemo hanging.

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    Emma Bushon RN
    Adult Oncology Infusion
    Michigan Medicine
    Ann Arbor, MI
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  • 3.  RE: recommendations Gowns

    Posted 05-10-2019 17:10
    Hi
    ONS guidelines clearly state that gowns are "single-use", which means once they are removed they are discarded. There have been several "heated" discussion about this topic over the past several months, which would provide additional insight. But the bottom line from a hazardous drug safety perspective is that gowns cannot be reused, and they cannot be worn outside of the area where administration is occuring.

    Worth noting, I work in an exceptionally busy ambulatory infusion department (200 patient per day, 51 infusion bays) and we change gowns each time. So yes, it can be done. Yes, it costs money, but it's also a national guideline that makes sense.

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    Seth Eisenberg RN ASN OCN BMTCN
    PROFESSIONAL PRACTICE COORDINATOR, INFUSION SERVIC
    Seattle Cancer Care Alliance
    Federal Way WA
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  • 4.  RE: recommendations Gowns

    Posted 05-13-2019 22:51
    Hello all:
    Please, chemo gowns are NEVER to be re-used!!!! This is both an OSHA issue as well as an infection prevention issue. Once a gown has been worn to care for a patient, it is considered contaminated there and there! Just because you cannot see 'dirt' with the naked eyes does not mean the gown is clean. There could also be drops and splashes that even aerosols that the nurse will not be aware of. Chemo gowns, just like the other isolation gowns are to be considered one-time use only!
    You will not be saving any costs by re-using gowns, rather, this will be the reverse, because you are simply transmitting germs from patient to patient which can cause more significant harm to the already immunocompromised chemo patient.
    Please we should NEVER promote this practice! We should all play critical roles in speaking against this dangerous practice.

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    Florence Okafor MPH, MSN, RN-BC, CPHON
    Professional Development Specialist:
    Adult Oncology; Ambulatory Infusion Center;
    Adolescent & Young Adult Oncology; &
    GYN-Oncology.
    Baylor All Saints Medical Center
    Fort Worth TX
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