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Médecine du travail du personnel hospitalier

Oral antineoplastic handling at health care institutions in the United States: survey of nurses and pharmacists

Auteur     David J Reeves
Auteur     Teresa C Kam
Auteur     Susan H Storey
Volume     48
Numéro     4
Pages     308-313
Publication     Hospital pharmacy
Date     Apr 2013
Résumé     PURPOSE: To characterize and identify trends in current practices for ordering, handling, dispensing, administering, and disposing of oral antineoplastics. METHODS: An electronic survey was designed and sent to pharmacists and nurses via professional society listservs. RESULTS: One hundred and twenty-three practitioners responded to the survey. Of those responding, 76% described having an official policy regarding the handling of oral antineoplastics. Prescribing was limited to attending physicians or oncologists the majority of the time (42% and 98%, respectively), with 11% accepting telephone orders for oral antineoplastics. Personal protective equipment was required by many of the respondents; 70% required gloves be worn. Patient contact precautions were utilized by 79% of practitioners, of which 81% followed similar precautions for targeted therapies. Compounding was required to be performed in a biological safety cabinet by 88% of respondents, and 83% required decontamination of supplies and equipment after exposure to oral antineoplastics. CONCLUSION: Although practices varied slightly, the majority of respondents follow available guidance when handling oral antineoplastics.

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