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    Spill Management Procedure

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    Vishnu Vinod
    This document outlines the spill management procedure for cytotoxic spills at Canterbury DHB. It provides instructions on how to isolate the spill area, obtain protective equipment, clean up the spill safely, dispose of contaminated waste properly, and document the incident. The procedure aims to ensure safe management of cytotoxic spills and protection of those involved in the cleanup.

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    Download as PDF, TXT or read online from Scribd

    Spill Management Procedure

    Uploaded by

    Vishnu Vinod
    100 views3 pages
    This document outlines the spill management procedure for cytotoxic spills at Canterbury DHB. It provides instructions on how to isolate the spill area, obtain protective equipment, clean up the spill safely, dispose of contaminated waste properly, and document the incident. The procedure aims to ensure safe management of cytotoxic spills and protection of those involved in the cleanup.

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    Spill management

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    This document outlines the spill management procedure for cytotoxic spills at Canterbury DHB. It provides instructions on how to isolate the spill area, obtain protective equipment, clean up the spill safely, dispose of contaminated waste properly, and document the incident. The procedure aims to ensure safe management of cytotoxic spills and protection of those involved in the cleanup.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    100 views3 pages

    Spill Management Procedure

    Uploaded by

    Vishnu Vinod
    This document outlines the spill management procedure for cytotoxic spills at Canterbury DHB. It provides instructions on how to isolate the spill area, obtain protective equipment, clean up the spill safely, dispose of contaminated waste properly, and document the incident. The procedure aims to ensure safe management of cytotoxic spills and protection of those involved in the cleanup.

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    © All Rights Reserved
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    You are on page 1of 3

    Canterbury DHB Name of Manual

    Division Spill Management Procedure

    Spill Management Procedure

    Purpose
    To ensure the safe management of a cytotoxic spill

    Audience/Scope
    Registered and enrolled nurses who have completed the Generic
    Cytotoxic SLP

    Associated Documents
    • CDHB Manual, Volume 12 – Fluid and Medication Management

    • Incident Form

    • OSH Form

    • Cytotoxic and Biotherapies Website (add link)

    Equipment
    Cytotoxic Spill Kit

    Procedure
    1. Isolate the area
    • Contain the spill by covering it with an impermeable plastic backed
    pad.
    • Cordon off the area. If possible, close off the area by closing
    windows and doors. Turn off any fans which may spread the
    spill/aerosols.
    • Move patients away from the area of the spill.

    2. Obtain cytotoxic spill kit and don protective clothing


    • Open the spill kit and put out the caution sign.
    • Don PPE in the following order.
    ƒ Shoe covers
    ƒ Disposable impermeable long-sleeved gown
    ƒ Mask, goggles

    Authorised by Issue Date:


    Ref: Page 1 of 3
    Canterbury DHB Name of Manual
    Division Spill Management Procedure

    ƒ Gloves (two pairs). Put the cytotoxic gloves on first, followed


    by the thicker domestic gloves. Ensure sleeve cuffs are tucked
    into the gloves

    3. Clean up the spill


    • Take out the clear and cytotoxic plastic bags from the spill kit. Roll
    down the edges of the cytotoxic bag and place the clear bag into it.
    • Gather up contaminated material enclosed in the disposable towels
    and place in the clear bag. The floor should be dry at this stage
    • Place more disposable towels onto area of spill
    • Ask another nurse to bring some water in a disposable container.
    Pour water over spill area (same amount of water as the spill)
    • Repeat as necessary
    • Dry with disposable towels (from the outside of the spill to the
    middle of the spill). Dispose of the disposable towels in the clear
    bag

    4. Dispose of waste
    • Remove protective clothing in the following order and place in the
    clear bag
    ƒ Shoe covers
    ƒ Gown – ask another nurse to untie the gown at the back so as
    not to contaminate your hair and neck.
    ƒ Mask
    ƒ Goggles - If the goggles have been contaminated, discard into
    the bag, otherwise, wash wearing non-sterile gloves in warm
    soapy water. Dry with paper towels; discard paper towels into
    plastic cytotoxic bag. Place goggles back in the spill kit.
    ƒ Outer gloves
    • Unroll the edges of the clear bag and tie off.
    • Unroll the edges of the purple bag, remove the second set of gloves
    and place into the purple bag, seal the bag with a plastic tag.
    • Remove purple bag to waste removal area.
    • Wash hands with copious amounts of soapy water.

    5. Documentation of Spill and skill kit replacement


    • Complete an Incident Form and the OSH form and leave for the
    Charge Nurse Manager.
    • Return the used spill kit to the hospital pharmacy. They will issue
    a new spill kit.

    Policy Owner
    Date of Authorisation

    Authorised by Issue Date:


    Ref: Page 2 of 3
    Canterbury DHB Name of Manual
    Division Spill Management Procedure

    Authorised by Issue Date:


    Ref: Page 3 of 3

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