Question

Difficulty: MediumHandling Hazardous and Infectious Materials

A nurse is preparing to discontinue an intravenous (IV) infusion of paclitaxel, an antineoplastic medication, for a client. The infusion has finished and the IV bag is empty. Which action by the nurse demonstrates the correct protocol for handling these hazardous materials?

  1. A
    Disconnecting the IV tubing from the empty bag to discard them in separate biohazard containers.
  2. B
    Placing the empty IV bag and tubing into a standard red infectious waste biohazard bag.
  3. C
    Delegating the disconnection and disposal of the empty chemotherapy IV infusion setup to the unlicensed assistive personnel (UAP).
  4. Disposing of the intact IV bag and attached tubing directly into a designated trace chemotherapy waste receptacle.Answer

Answer

The correct protocol is disposing of the intact IV bag and attached tubing directly into a designated trace chemotherapy waste receptacle.
The correct action is to dispose of the intact IV bag and attached tubing in a designated trace chemotherapy waste receptacle (often yellow). Tubing should never be disconnected from the IV bag, as this can aerosolize residual antineoplastic medication and increase the risk of hazardous exposure to the nurse and the environment.

Step-by-Step Solution

1
Identify the type of material being handled.
The material is an empty IV bag and tubing used for paclitaxel, a hazardous antineoplastic (chemotherapy) medication.
Different materials (infectious vs. hazardous chemical) require distinct disposal protocols to ensure environmental and personnel safety.
2
Determine the correct disposal container for trace chemotherapy waste.
Trace chemotherapy waste, such as empty bags and tubing, must go into a designated trace chemotherapy waste receptacle, typically a yellow rigid container.
Standard red biohazard bags are for infectious waste, not hazardous chemicals.
3
Determine the correct method for discarding the infusion setup.
The IV bag and tubing must be disposed of intact without disconnecting them.
Disconnecting the setup can aerosolize residual medication droplets, exposing the healthcare worker to hazardous chemicals.

Key Concept

Safe handling and disposal of hazardous antineoplastic (chemotherapy) materials
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