I am at a new job full time and orienting to a ortho/med surge floor YEAH! It is going awesome and I am getting compliments like crazy...I am loving it!
Well...my preceptor today informed me that she is pregnant with her first child! YEAH!!!!!!
But that reminded me of the things nurses shouldn't do or get near while pregnant and we went over some. We do have cancer pts so we knew she should stay away from those, and many of the patients with radioactive dies for tx/x-rays/MRI/CAT...so those I have been keeping an eye on and informing her of...but I once remember a list of MEDICATIONS that pregnant healthcare providers shouldn't touch or even get near.
Sadly, I can't find that list, or even find it on the web...
Does anyone know of a list of meds to stay away from (like not touching nitro or some prostate/hormone pills)? I know I have seen one or two out there...but can't find it when I need it of course! LOL!
Thanks in advance!
Aug 23, '06
Actually most cancer patients are "safe" for pregnant nurses. as most are not actively on chemo or having radiation implants.
Even if a patient is receiving chemo, the ONS has policies in place to insure safety for the pregnant nurse . IF the facility/employee obeys those safety practices, there is no danger in the pregnant nurse caring for chemo patients.
The problem is that some facilities do not actively take those proper precautions, or does not supply the appropriate protective personal equipment. Or they are cheap and provide inadequate supplies (gowns get reused, etc) or unusuable equipment (cheap thick size huge gloves, that fit no one and impair your ability to handle products safely, due to being too cumbersome). Or you have someone that crushes thalidomide on the unit without a biohood, to make the patient happy - defying rules that thalidomide capsules are made in such a way that they are NOT TO BE FREELY CRUSHED.
Thalidomide still worries me, and if a fellow nurse asked me to cover a thalidomide patient for them. I have no problem with it.
While some facilities bar pregnant nurses from hanging chemo, or caring for the patient in the first 48 hours post IV chemo infusion (7 days for PO, 4 days for IV liposomal therapies), others do not. I am currently working in a world renown facility, rated in the top 10 nationwide. There are close to a half dozen pregnant nurses on the unit and all hang chemo. And many of the drugs are still in experimental stages. Strict chemo precautions are adhered to, and I have seen no miscarriages/problems here. I have seen problems in other facilities that are more careless.
Radiation implants are an issue, but those are not that common.
Last edit by caroladybelle on Aug 23, '06