Reply To: USP 800 – Infusion setting

  • Lindsey Ward

    Member
    June 3, 2019 at 11:27 am

    – USP 800 section 14 requires that PPE be removed and disposed of at the site of drug administration.  In an infusion center, are you disposing of PPE and chemo bag/tubing at each individual patient chair?  Or is the medication room in the infusion center acceptable as the “Site of administration” as long as chemo bag/tubing and PPE is in a Ziploc bag when transported from patient area to med room?
    We use chemo puncture proof ziploc bags to put our PPE and chemo tubing/waste in at the bedside (both inpatient and outpatient). We then put those bags into the large chemo waste bins that are kept in our chemo med rooms. 

    -Do your nurses get a new chemo gown for each patient?  Or is the gown assigned to each nurse and they use for a certain amount of time per manufacturer guidelines before changing it out? yes, new gowns for each patient

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    Lindsey Ward, RN, BSN, CPHON
    Arkansas Children’s Hospital
    Clinical Educator
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    Original Message:
    Sent: 05-27-2019 07:49 AM
    From: Caroline Anderson
    Subject: USP 800 – Infusion setting

    ​Hi everyone!

    I would love your thoughts on meeting USP 800 guidelines in an infusion setting.  Specifically our organization is working through these points:

    – USP 800 section 14 requires that PPE be removed and disposed of at the site of drug administration.  In an infusion center, are you disposing of PPE and chemo bag/tubing at each individual patient chair?  Or is the medication room in the infusion center acceptable as the “Site of administration” as long as chemo bag/tubing and PPE is in a Ziploc bag when transported from patient area to med room?

    -Do your nurses get a new chemo gown for each patient?  Or is the gown assigned to each nurse and they use for a certain amount of time per manufacturer guidelines before changing it out?

    Any advice or insight you have for an open infusion setting would be greatly appreciated!! 🙂

    Thank you!
    Caroline

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    Caroline Anderson, CPHON,MSN,RN
    Staff Education
    Cook Children’s Medical Center
    Fort Worth, TX
    United States
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