- PPE
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PPE
Yes we do a lot of chemo too, and it is about 50 (or more) gowns a day. On and then off and straight into the yellow bucket. We have asked if we could change anything to reduce cost and waste. Our oncology NP always replies, " we'll even if you don't think you get anything on your regular gloves you always change them and throw them away right? It's the same concept for chemo precautions..." We comply, but I do often times think it is somewhat overkill.
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PPE
Chemo gown (thicker than regular gowns), chemo gloves ( also thicker, longer). Throw away both after EACH administration, even on the same patient... Some places re-wear the gown which is a no-no according to ONS. We also use Pha-seal, which is a lure lock closed system for chemo administration. I work in ambulatory infusion center located inside hospital.
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Need of the Ordering physician to be in the building?
Ultimately it is your state board of nursing you should check with. Then hospital or facility policies, and so forth. With that said, I work in an outpatient infusion center which is located inside of the hospital. All of our oncologists are located about 3 miles away in a different building. We do chemo everyday based on their orders. We also do IV infusions for RA (like the medications you listed), blood, antibiotics, etc. None of those MDs are physically in the building either. Hope this helps!
- Employment Outlook
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Cleaning fetal monitor equipment
Fetal monitor cleaning has always been confusing to me... in the sense that I have also found many dirty ones in "clean" rooms. Nasty! I mean, even used telemetry boxes go into a biohazard bag and are put into a dirty bin to be cleaned. I think you are on the right track with implementing a new process. It would probably work best when cleaning the room and removing other used items, the monitor also gets removed. Then, each clean room is stocked with a clean monitor.. verses having to run back out of the room and grab a clean monitor. Just depends on the size of your unit and number of monitors you have. Think of a process where you don't end up with a pile of dirty monitors, and then peolple are running over and jiffy cleaning it before going back to the patient :)