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19 Cards in this Set
- Front
- Back
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def: Chemotherapy
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agent used to kill cancer
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Antineoplastic
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agent used to treat cancer
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Cytotoxic
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toxic to cells
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What chemotherapy sterile procedures are different than standard sterile procedures?
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- double-gloving
- clean both sides of hood glass - plastic backed chemo mat - no luer lock syringes*** - never recap a needle or remove it from a syringe - never reuse anything - wipe off anything that leaves the hood - all disposal labeled chemo & wrapped in mat - maintain negative pressure |
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A human person in a cleanroom is:
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A human person in a cleanroom is considered a broad
spectrum particle generator enclosed by inefficient mechanical filters which may also be sources of particulates and microorganisms |
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What is Phaseal?
What two methods does it use? |
an alternative to gowning, Phaseal encapsulates the hazardous drugs instead
- a completely closed and needle-safe system for preparation, adminstration and waste handling - uses a dry connections system and pressure equalization technique to eliminate leakage |
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What is a Chemo Dispensing Pin
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a device to prevent leaks
- is a vented spike needle. the filter should remain at the top during process |
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What additional items are necessary on a Chemo label?
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- indicate that it is a chemotherapeutic agent
- actual start date and also days that will follow - refrigerate |
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What are some sources of pharmaceutical waste in a health care facility?
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- IV preparation
- general compounding - spills, breakage - partially used vials - partially used syringes/IV's (can be biohazard) - discontinued, unused preparations - unused repacks - patients personal medications - outdated pharmaceuticals |
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What locations generate phamaceutical waste?
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- pharmacy/satellites
- patient care units - ER/OR - ICU/CCCU/NICU - Oncology/hematology - long term care facilities - home health care |
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What makes a waste hazardous?
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- ignitability
- corrosivity - reactivity - toxicity |
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P-listed chemicals
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commercial chemical products that are caregorized as acutely hazardous
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U-listed chemicals
- what determines if a drug is considered hazardous? |
toxic chemical products
- contain an active ingredient on the list of 21 U chemicals and it has not been used for its intended purpose |
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How can you be sure not to miss a hazardous chemical?
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Use the Chemical Abstracts Service registry numbers from the Merck index
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Examples of P-listed waste
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- Arsenic
- Epinephrine - Nicotine - nitroglycerin - Phentermine - Physostigmine - Physostigmine Salicylate - Warfarin |
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How are empty containers of P-listed wastes dealt with?
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triple rinsed
the rinsate is managed as hazardous waste |
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What excess/residue is the sole exception to the phrase "not used for its intended purpose"?
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excess and residue epinephrine in a syringe after the proper dose has been administered to a patient
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Examples of U-listed Pharmaceutical Waste
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- Chloral hydrate
- Chlorambucil - Cyclophosphamide - Daunomycin - Diethylstilbestrol - Melphalan - Mitomycin C - Streptozotocin - Lindane - Saccharin - Selenium Sulfide - Uracil Mustard - Warfarin |
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How many chemo agents are U-listed?
How many are P-listed |
U-listed: 8
P-listed: 1 |
