Hazardous Drug Exposure: Case Report Analysis from a Prospective, Multisite Study of Oncology Nurses’ Exposure in Ambulatory Settings

Details

• Personal Author:
  Fauer A ; Friese CR ; McCullagh MC ; Mendelsohn-Victor K ; Polovich M ; Wong M
• Description:
  Background: Hazardous drug exposure is an occupational health hazard to oncology nurses. Sparse data are available regarding the frequency and characteristics of hazardous drug spills. Objectives: This article aims to describe nurses' hazardous drug exposures and use of personal protective equipment during drug spills. Methods: The Drug Exposure Feedback and Education for Nurses' Safety study launched in March 2015. When drug spills occurred, consented RNs administering chemotherapy in ambulatory infusion settings completed brief questionnaires. Descriptive statistics were used to summarize equipment use and spill events. Findings: Spills were common, despite the use of closed-system transfer devices. Over two years, 51 nurses from 12 participating academic infusion centers reported 61 unique spills. Spills commonly involved highly toxic drugs. Personal protective equipment use during drug spills was suboptimal. These foundational data reveal gaps in clinical practice. [Description provided by NIOSH]
• Subjects:
  Behavior Hazardous Substances Health Personnel Neoplasms Occupational Health Personal Protective Equipment Safety
• Keywords:
  Administration Ambulatory Author Keywords: Oncology Case Reports Chemotherapy Hazardous Drugs Nurses Occupational Health Oncogenic Agents Outpatient Facilities Personal Protective Equipment PPE

  More +
• ISSN:
  1092-1095
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Illinois ; Michigan ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  249-255
• Volume:
  24
• Issue:
  3
• NIOSHTIC Number:
  nn:20059936
• Citation:
  Clin J Oncol Nurs 2020 Jun; 24(3):249-255
• Contact Point Address:
  Christopher R. Friese, University of Michigan, School of Nursing, Ann Arbor, MI, USA
• Email:
  cfriese@umich.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Michigan
• Peer Reviewed:
  True
• Start Date:
  20140701
• Source Full Name:
  Clinical Journal of Oncology Nursing
• End Date:
  20180630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:93f1f1f0189fbce5de7f338b8d013250efd4d82bc64d636f22c1bd2c7dc10930c29b3688f2f0e081935928ab5bbe31744d099935e8a167bc8f10d8f7afb14117
• Download URL:
  https://stacks.cdc.gov/view/cdc/223989/cdc_223989_DS1.pdf
• File Type:
  [PDF - 203.22 KB ]