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PT 102
chemo, med errors, ppe
| Question | Answer |
|---|---|
| When do medication errors occur? | medication errors can occur at any point in the medication process |
| what are standardize order form problems | if the prescription is illegible you can ask another tech to help you or the pharmacist before contacting the prescribers office |
| multiple check systems include what 5 things | ~pharmacist reviewing the order ~tech preparing the meds for the pharmacist to check ~nurses/administers checking the dose ~patients asking questions and checking meds ~reviewing the label and product 3x |
| decimal point and zeros errors | leading zeros should always be used with a decimal point for numbers less than one but never use a trailing zero after a whole number |
| calculation errors | are made by prescribers, pharmacist verifying the prescription, techs and nurses |
| compliance errors | occur when the PATIENT fails to adhere to a prescribed drug regimen |
| wrong drug preparation errors | includes reconstitution, dilution, or special preparation prior to dispensing or administering |
| omission errors | failure to administer to the patient from an order |
| how should hazardous waste be disposed | it should be dispensed of in a separate container from regular trash |
| where should IV tubing be primed | IV tubing should be primed within a vertical airflow hood |
| how should PPE be disposed of | all PPE should be disposed of in RED bags marked hazardous waste |
| how should complete orders be delivered | in marked leak-proof bags |
| Chemo tech's should have a complete understanding of what | IV prep areas use of airflow hoods (including how a BSC operates) |
| what objects should be used in the hood | only objects for use are put in the hood no pens, paper, labels or trays |
| how far from the sides and front edge should you stand when using a LAH | 6 inches |
| before using a LAH what should you do | turn it on and allow it to run 30 minutes before use |
| LAH house what type of air when not in use | non filtered air |
| what is the Aseptic Technique | it is a way to manipulate sterile products without compromising sterility |
| how many types of BSC's are there | several but we're focusing on Types A & B |
| how often should BSC's be operated and inspected | they should be operated continuously 24 hours a day and inspected every 6 months |
| Biological Safety Cabinets | these are types of vertical laminar airflow hood used to make chemo drugs |
| what is the "zone of turbulence" | the airflow where the materials are placed and disturb the airflow from the HEPA filter |
| what is the "critical area" | the area between the HEPA filter and the sterile area |
| where are antineoplastics prepared | in a vertical flow hood or in a special LAH called a BSC |
| Vertical Airflow Hood | ~have a vertical flow of filtered air ~HEPA filtered air comes from the top and passes downward through the work area |
| what does a high efficiency particulate air filter do | ~they remove 99.97% of particles that are 0.3 microns or larger |
| Horizontal Airflow Hoods | ~move air from back to front ~draws contaminated room air in through a pre-filter to remove gross contaminants ~pressurize this air ~push it through a final HEPA filter |
| what are the two types of LAH's | vertical and horizontal hoods |
| what is the purpose of LAH's | twice filtered laminar layers of aseptic air continuously sweeps the work area inside the hood and prevent contaminated air from entering the room |
| who is MSDS information intended for | employees/employers, emergency responders and any others who may come in contact with the product, NOT for consumers |
| what type of gloving method is used for chemo and compounding prep | double gloving |
| what two items must be discarded into sealed bags and discarded as hazardous waste | hair and shoe coverings |
| when should protective gowns be changed | if coated, gowns should be changed after 3 hours |
| what does PPE stand for | Personal Protective Equipment |
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