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2. RISK POTENTIAL Any person handling cytotoxic medications and related waste
might be involved in dealing with a spill, which may occur:
The period during which When preparing, storing and transporting packaged drugs.
body substances may be
contaminated with cytotoxic During administration or transport of patients with
medications WILL DIFFER chemotherapy in-situ.
for individual drugs and Handling patient body substances contaminated with
patients. See appendix 1 cytotoxic medications.
for excretion times of
cytotoxic medications. Any time any cytotoxic waste is handled.
3. HEALTH SERVICE Health services should develop a spill policy and procedure for
in-patient and home visits, that is understood, implemented
POLICY and maintained by all personnel who handle cytotoxic
medications and waste, and those who may be involved in
managing spills.
4. STAFF EDUCATION Employers should ensure that all employees who handle
cytotoxic medications and waste have received appropriate
training, and have obtained the required level of proficiency for
spill management. Those personnel deemed safe to provide
appropriate spill containment include: all hospital staff that may
deal with the potential risk listed in point 2 Risk Potential.
5. PATIENT EDUCATION Patients and carers should be provided with written health and
safety information such as the GRICS Chemotherapy Safety at
- SPILL MANAGEMENT Home patient information brochure available on
AT HOME www.gha.net.au/GRICS
REFERENCES
1. American Society of Health-System Pharmacists. (2002). ASHP guidelines on preventing medication
errors with antineoplastic medications. Am J Health-Syst Pharm. 59:1648-68.
2. Austin Health. (2004). Procedure for cytotoxic chemotherapy spill management. Austin Health.
3. British Columbia Cancer Agency. (2006). Policy: Chemotherapy process. British Columbia Cancer
Agency.
4. Cancer Nurses Society of Australia ( 2006) Position statement on the minimum education and safety
requirements for nurses involved in the administration of cytotoxic drugs
5. Bayside Health. (2005). Guidelines for safe handling of cytotoxic drugs. Bayside Health.
6. Cancer Institute NSW. (2005). Cytotoxic spill management. http://www.cancerinstitute.org.au/
7. Cancer Institute NSW. (2005). Excretion Times of Cytotoxic Medications.
http://www.cancerinstitute.org.au/
8. Cancer Nurses Society of Australia. (2003). Chemotherapy Position Statement on the minimum
education and safety requirements for nurses involved in the administration of cytotoxic drugs. CNSA.
9. Latrobe Regional Hospital. (2006). Cytotoxic substances-safe handling policy. Latrobe Regional
Hospital.
10. Peter MacCallum Cancer Centre. (2004). Management of cytotoxic spill. Peter MacCallum Cancer
Centre.
11. SHPA Committee of Specialty Practice in Oncology. (2005). SHPA Standards of practice for the safe
handling of cytotoxic drugs in pharmacy departments. Journal of Pharmacy Practice and Research.
Vol 35 (1): 44-52.
12. WorkSafe Victoria. (2003). Handling cytotoxic drugs in the workplace. WorkSafe Victoria. Website:
http://www.worksafe.vic.gov.au