Reply To: USP800

  • Mary Lynn Rae

    Member
    January 31, 2019 at 10:21 am

    Hello:

     

    This is per Seth Eisenberg…chemotherapy safety/USP800 expert

     

    There are several ways to approach this. Probably the simplest is the place a yellow HD container in the room. But this also depends on how yellow containers are handled/picked up in their facility.

    We isolate for a lot of things here and this issue doesn’t come up because there are yellow bins in every infusion bay.

    HD PPE should not be worn outside of the immediate administration area. So I would not recommend wearing the HD PPE while carrying items down the hall. One option is to maintain the first chemotherapy glove which could be used on ONE hand to transport the waste. The ungloved hand would then be allowed to open the door to the soiled utility or wherever the yellow container is kept.

    I am assuming here that the RN is wearing HD PPE in lieu of isolation PPE.

    BTW, USP does not require full PPE to transport drugs; however, transporting after disconnection from a patient falls under the heading of administration, and therefore PPE is indeed required.

    Seth

     

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    NPD Practitioner/Clinical Educator Hem/Onc/SCT

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

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    ——Original Message——

    ​​Hello,

    We are working through our institution’s plan to operationalize USP800 guidelines. One of our questions is concerning how we address disposal of hazardous medical waste (IV tubing etc.) for patients who are on TBP. Our previous process was to transport the waste in a biohazard bag while wearing chemo gloves. Specifically- the new recommendations appear to suggest that nurses wear full chemo PPE when transporting the equipment to the yellow hazardous bin. We are struggling to operationalize this when patients are on isolation. Are other groups changing PPE prior to leaving the room to transport the equipment? I thought there were epidemiology regs that restricted PPE from being worn in public areas such as hallways.We would love to hear how other groups are interpreting this portion of the guidelines.

    Thanks,

    ——————————
    Mindy Bibart, MSN RN CPHON NE-BC
    Director of Nursing
    Hematology/Oncology/BMT/Apheresis
    Nationwide Children’s Hospital
    ——————————