Reply To: Chemo gown disposal

  • Sheila Tobin

    Member
    June 23, 2020 at 2:20 pm

    ​Three weeks ago our department adopted the same practice: 1 chemo gown per patient, per shift.  The gown is considered contaminated with chemotherapy if there was a splash or spill of chemotherapy, then we place the chemo gown in chemo waste bin and use a new gown. We adopted this practice due to some supply delays and decreased inventory. The gown is hung inside the patient’s room and worn when administering chemotherapy to that patient only.  We are doing this temporarily until our supply issue is resolved.

    In our chemotherapy policy, if a chemotherapy gown is not contaminated by a splash or spill, it is considered safe to dispose of in the regular trash.  This has been in place for at least 2 years.

    Thank you,
    Sheila

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    Sheila Tobin BSN RN CPON
    Clinical Nurse Educator
    Rady Children’s Hospital
    San Diego CA
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    Original Message:
    Sent: 06-23-2020 02:10 PM
    From: Tonya Evangelista
    Subject: Chemo gown disposal

    We use a new gown each time.  Thanks Tonya

     

    Tonya Evangelista, MSN, RN, CPN, CPHON

    9B Unit Director

    Hematology/Oncology/Bone Marrow Transplant

    UPMC Children’s Hospital of Pittsburgh

    4401 Penn Ave

    Pittsburgh, PA 15224

    412-692-5848

     

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    Original Message:
    Sent: 6/23/2020 1:48:00 PM
    From: Kendal Timperman
    Subject: Chemo gown disposal

    Hi all,
    I am an RN on the pediatric hematology/oncology unit at The Children’s Hospital at TriStar Centennial. I was just having a discussion with my manager regarding the length of time for disposal of chemo gowns, as she’s thinking we may need to revise our current practice.
    At present, we usually use chemo gowns for one shift per nurse per patient. For example, if we have a patient receiving multiple chemos in one shift, and the same nurse is hanging the chemo, that nurse rewears the same gown the whole shift. Between chemos when the gown is not being used, we usually hang it on our sharps bin. 

    We were discussing concerns over the safety of this practice for the nurse and the patient, when it comes to possible chemo exposure.

    Do other facilities allow nurses to rewear the same chemo gown the entire day? If not, are they disposed of immediately or is there a length of time you consider the gown “good” for?
    If you do use the same gown the whole shift, where do you store it? Do you have a designated area for the gown so patients cannot come into contact with it?

    Thank you in advance for the information!

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    Kendal Timperman, BSN, RN, CPN
    Pediatric Hematology/Oncology
    The Children’s Hospital at TriStar Centennial
    2221 Murphy Ave, Nashville TN, 37221
    kendal.timperman@hcahealthcare.com
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