Reply To: Hazardous Drug Surveillance Labs, Surface Monitoring and PPE Compliance in the Outpatient Setting

  • Marcia Bettenhausen

    Member
    April 15, 2021 at 2:33 pm

    1. Does your facility offer voluntary or require mandatory hazardous drug surveillance labs? How often are they collected? Does your manager receive the results of the labs? Have these results lead to any process changes?   We do not do surveillance labs anymore – we do have a symptom assessment that is a part of our annual computer based training module.  Results/concerns are directly communicated to our occupational/employee health services for follow up and triage. 

    2.Does your facility perform any surface monitoring for hazardous drug material on counter tops, nurses stations, door handles, check out desks, etc? Who collects and performs this testing and how frequently is it done? Have the results of this surface monitoring lead to any process change?   We do within our pharmacy, and have in the past done wipe testing of our nurses stations.  At that time, we did alter practice of where our meds were delivered to in our adult infusion center, as they found contamination near where nurses had charting spots and water bottles.  We have not  done any further follow up in a few years, though there is interest.  

    3. Does your facility have any issues with PPE compliance? If staff are not compliant with PPE use, how is it handled? i.e. verbal counseling, written warning, termination  Not following policy for PPE would lead to coaching, followed by verbal and written warnings – hopefully all that would be needed would be education.  

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    Marcia Bettenhausen, BSN,CPHON,RN
    Fargo, ND
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    Original Message:
    Sent: 01-15-2021 07:37 AM
    From: Nicole Rafalko
    Subject: Hazardous Drug Surveillance Labs, Surface Monitoring and PPE Compliance in the Outpatient Setting

    Hello all,

    Reaching out to my outpatient heme/onc colleagues to inquire about processes and practice regarding Hazardous Drug use.

    1. Does your facility offer voluntary or require mandatory hazardous drug surveillance labs? How often are they collected? Does your manager receive the results of the labs? Have these results lead to any process changes?

    2.Does your facility perform any surface monitoring for hazardous drug material on counter tops, nurses stations, door handles, check out desks, etc? Who collects and performs this testing and how frequently is it done? Have the results of this surface monitoring lead to any process change?

    3. Does your facility have any issues with PPE compliance? If staff are not compliant with PPE use, how is it handled? i.e. verbal counseling, written warning, termination

    Many thanks,
    Nicole Rafalko

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    Nicole Rafalko, RN
    Greensburg, PA
    United States
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