A nurse is preparing to hang an intravenous infusion of cyclophosphamide when the bag accidentally drops, spilling the liquid antineoplastic medication onto the floor. Arrange the following nursing actions in the correct sequence to safely manage this incident.
- 1Establish a safety perimeter by asking anyone nearby to move away from the contaminated zone.
- 2Fetch the specialized chemotherapy spill kit from the unit supply area.
- 3Put on the required personal protective equipment, including double gloves, a gown, and face protection.
- 4Apply absorbent spill mats directly on top of the spilled fluid to prevent further spreading.
- 5Wash the affected surface using the approved detergent and follow with a water rinse.
- 6Deposit the used cleaning supplies and protective gear into a designated bulk hazardous waste bin.
Answer
The correct sequence for managing a hazardous drug spill is: 1) Secure the perimeter to protect others, 2) Retrieve the specialized spill kit, 3) Don appropriate PPE, 4) Contain the spill with absorbent materials, 5) Decontaminate the floor surface, and 6) Dispose of all cleanup materials and PPE in a bulk hazardous waste bin.
The correct sequence prioritizes immediate bystander safety, followed by preparation (getting the kit), self-protection (donning PPE), execution of cleanup (containment and decontamination), and finally, safe disposal according to OSHA and ONS guidelines.
Step-by-Step Solution
Key Concept
Management of hazardous antineoplastic medication spills requires a strict sequence of securing the area, protecting the healthcare worker with specific PPE, containing the chemical, decontaminating the environment, and properly disposing of hazardous waste.