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     Practice Guidelines           
Singapore
Guidelines for Safe Handling of Cytotoxic Drugs
NEW! Essentials of Aseptic Dispensing
Refer to Resources for ISOPP guidelines
 
     Appendix
 
Procedure for donning protective clothing for preparation of chemotherapy drugs
Procedure for removing protective clothing after preparation of chemotherapy drugs
Procedure for managing cytotoxic spill 
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Appendix
Validation of Staff on Cytotoxic Preparation Techniques
 

Aseptic Skill Validation Checklist

Name of Staff: ___________________________________ Date: ________
Name of Examiner: _____________________________________________

 
KNOWLEDGE AND SKILLS

YES

NO

1.




Demonstrates proper infection control (removes jewelry; ties long hair back; washes to elbow with bacteriocidal soap; re-washes or uses alcohol if contaminated)

   
2.


Demonstrates proper growing procedure (hair cover, mask, lab coat, gloves, shoe covers)

   
3.


Demonstrates understanding that the most important part of preparation cabinet is the HEPA filter.

   
4.




Demonstrates understanding that cabinet should be serviced and certified by a qualified technician every 6 months and when they are moved, repaired, or if the HEPA filter is contaminated by a spill.

   

5.



Demonstrates understanding that cabinet must run for a specified period, depending on the type of cabinet, before it can be used.

   
6.



Demonstrates understanding that cabinet must be cleaned after a spill with water and detergent, followed by a thorough rinsing.

   
7.



Demonstrates proper cabinet cleaning (uses 70% isopropyl alcohol, cleans back to front; documents cleaning; cleans spills quickly).

   
8.




Demonstrates understanding that cytotoxic and other hazardous medications must not be prepared in a cabinet utilised for preparation of other sterile products.

   
9.


Correctly performs all calculations prior to admixture preparation.

   
10.



Correct medications, solutions, and supplies placed in hood appropriately to prevent blocking air flow. Keep non-essential items outside hood.

   
11.


Check labels both prior to and after compounding to ensure medications and solutions used agree.

   
12.



Demonstrates understanding of air-flow in cabinet, maintains flow of clean air over objects in hood, does not interrupt air flow, works well within hood.

   
13.


Places hands within the most effective work zone during preparation.

   
14.


Performs all work on plastic-backed paper mat placed on the work surface.

   
15.




Demonstrates proper technique in swabbing, entering, and withdrawing fluid from vials, ampoules, and bags. Does not touch or contaminate components that must remain sterile.

   
16.



Minimises positive pressure in vials during reconstitution or withdrawal of medication. Does not aspirate at any time.

   
17.



Demonstrates correct use of appropriate transfer devices (filter needles, vented needles, dispensing pins, and etc).

   
18.


Demonstrates proper closure technique for syringes and infusion bag.

   
19.



Uses correct amounts of solutions and additives in compounding. Verifies type and amount of each additive prior to injecting into container.

   
20.


Inspects final admixture for incompatibilities and particulate matter.

   
21.


Demonstrates proper labeling, initialing, etc. of bags /syringes /bottles.

   
22.



Demonstrates proper knowledge of expiration dates and storage requirements, (or can show where to obtain data).

   
23.


Affixes appropriate labels to medication container including auxiliary and chemotherapy hazard labels.

   
24.


Seals preparation in zip-lock bag before leaving the pharmacy.

   
25.


Disposes of all used equipment and waste in appropriate hazardous waste disposal containers.

   
26.


Washes hand after completion of operations in clean room.

   
 
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  FAQ  
  Is regular full blood profile useful for staff exposure monitoring?  
Is the use of isolator better than class II cytotoxic drug cabinet for the preparation of cytotoxic drugs?
   
  

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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