Exposure to Chemo

Specialties Oncology

Published

How do you guys feel about the long term exposure to chemo? Even with proper PPE and handling it isn't known the long term effects of constant chemo exposure.

There was this article in ONS three years ago about miscarriages Risk of Miscarriage Is Increased for Nurses Handling Chemotherapy | ons connect

I worry about it everyday (I'm not even pregnant) but I worry about my health. Do you guys worry about it too?

So long as you're wearing the correct PPE and following protocol, how are you being exposed to anything? Unless you're working in a laminar flow hood actually compounding these medications (and even then you wear PPE), your exposure should be virtually nill.

The way I understand it from OSHA is even if you have PPE's they don't know the long term effects of spending that much time with antineoplastic drugs.

Specializes in Pedi.

No, because I do not intend on having children.

What precautions and protocols do you guys follow? What PPEs do you wear? Masks and goggles? Do you double flush toilets? Where masks? Double glove? Are there signs on doors for when patients' have received chemo within 48 hours?

I'm curious, too. I'm 26 and plan on having children in a few years.

Specializes in Oncology.

My workplace follows the ONS guidelines. I wouldn't worry about miscarriages since my unit had about 15 pregnancies last year. We double glove, and wear chemo gowns when hanging; place chemo precautions for until 48 hours post chemo, and chux on over the toilet when flushing. Our employee health is pretty good at following up when its time for our yearly screenings.

Specializes in Oncology; medical specialty website.

We followed ONS guideline where I worked in OP oncology. My understanding is that the risk for pharmacists who work under the ventilation hood is greater than nurses administering meds.

We followed ONS guideline where I worked in OP oncology. My understanding is that the risk for pharmacists who work under the ventilation hood is greater than nurses administering meds.

If the Pharmacist is compounding the chemotherapy drug appropriately, they should be using a vertical laminar flow hood with appropriate PPE (gown, double gloves, and mask) which would virtually minimize the risk of exposure with proper technique.

What are the ONS guidelines? Or where can I find them? Do they apply to pediatric oncology nurses too or does APHON have their own standards?

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.
What precautions and protocols do you guys follow? What PPEs do you wear? Masks and goggles? Do you double flush toilets? Where masks? Double glove? Are there signs on doors for when patients' have received chemo within 48 hours?
We have special chemotherapy gowns and gloves. We also have a chemo. pad to place under the IV hookup in case of a drip. Personally, I have no worries. And our policy states that pregnant nurses do not go in rooms where chemo is being given. We also have signs on the door
Specializes in Oncology.
What are the ONS guidelines? Or where can I find them? Do they apply to pediatric oncology nurses too or does APHON have their own standards?

ONS guidelines are on the ONS website. Pediatric oncology nurses follow APHON guidelines.

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