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Chemotherapy Spills: Are We Protecting Ourselves?
The Problem:
The incidence of chemotherapy being administered in care areas outside of
hematology/oncology has risen substantially over the years. A
chemotherapy spill is considered to be a high risk, low frequency event and
can happen anytime starting with the mixing of the medication up through
the 48 hours post chemotherapy administration. It is known that “Nurses
can minimize exposure to hazardous drugs with the use of personal
protective equipment and careful technique.” (Oncology Nursing Society).
After experiencing a chemotherapy spill in Interventional Radiology, we
learned that more extensive education was needed regarding
Chemotherapy Spill management.
Aim/Goal
Our goal was to make a visual learning tool that is easily accessible and can
be used across all care areas administering chemotherapy.
The Team
Jillian Dooley, RN, BSN
Meggie Galligan, RN, BSN, OCN
Holly Dowling, RN, BSN, OCN
Toni Abren, RN, BSN
Zaven Norigian, Pharm D., BCOP, Clinical Pharmacy Coordinator Oncology
Gary Schweon, RN, MS, CHEM, Director EHS
Alana Dale, BA, CHEM, Safety Officer EHS
The Interventions
Organized a multidisciplinary meeting with all departments where
chemotherapy is administered including: Hematology/Oncology,
Interventional Radiology, PACU, and Labor and Delivery.
Reached out to colleagues at the Oncology Nurses Society about
their standards in regards to cleaning a chemotherapy spill.
Created a script for a Chemotherapy Spill Video
Updated Chemotherapy Spill and Safe Handling Policies
Partnered with Media Services to create Chemotherapy Spill
Video
The Results/Progress to Date
A Chemotherapy Spill Video was created in the summer of 2013 and is now
an annual requirement on the Hematology/Oncology and Bone Marrow
Transplant inpatient units. Positive feedback has been received from clinical
staff on both units.
Lessons Learned
Throughout the process of making the video, we identified other
considerations for improving practice in regards to chemotherapy
precautions and safe handling of hazardous medications.
Next Steps/What Should Happen Next
The Chemotherapy Spill Video is now available in myPATH for all
cares areas administering chemotherapy to access and use as an
educational tool.
Continue annual competencies on the Oncology units.
Continue ongoing work on education for Safe Handling of
Hazardous Medications and Chemotherapy Precautions.
For more information, contact:
Jillian Dooley, RN jdooley1@bidmc.harvard.edu
and Tatiana Vicente, RN tvicente@bidmc.harvard.edu
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Jillian Dooley (<a href="mailto:jdooley1@bidmc.harvard.edu">jdooley1@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Nursing
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Jillian Dooley <br />Holly Dowling<br />Toni Abren<br />Zaven Norigian<br />Gary Schweon
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Chemotherapy Spills- Are We Protecting Ourselves?
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Format
The file format, physical medium, or dimensions of the resource
pdf
Safety