High Alert Drug: Chemotherapeutic Agents - Parenteral
• Stored separately in pharmacy. • Pharmacist reviews literature in order to to verify calculations and dose prescribed. • Two pharmacists independently verify preparation. • No telephone orders. Pre-printed order sheet available. • Chemo is administered by specially trained RNs. • 2 RNs independently verify pump settings and drug on continuous infusions prior to administration. • IV sites are assessed every 2 hours. • Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.
Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)
Waste Requirements
fulvestrant (Faslodex)
If > 3% by weight of drug remains ⇒ BLACK BUCKET Trace amounts/uncontaminated PPE ⇒ YELLOW BUCKET
USP <800> Hazardous Drugs
Per Policy, these drugs have special handling requirements (any drug with an "AOR" is exempt from these requirements under normal circumstances).
generic (Brand) Route
Risk Level
AOR?
Warnings (hover over entry for details)
fulvestrant (Faslodex) IM
High
No
FDA-D
Receiving
• Gloves: Single
Pharmacy: Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing: Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
Last updated: Jun. 12, 2024
Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug
• Pharmacist reviews literature in order to to verify calculations and dose prescribed.
• Two pharmacists independently verify preparation.
• No telephone orders. Pre-printed order sheet available.
• Chemo is administered by specially trained RNs.
• 2 RNs independently verify pump settings and drug on continuous infusions prior to administration.
• IV sites are assessed every 2 hours.
• Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.
Trace amounts/uncontaminated PPE ⇒ YELLOW BUCKET
(hover over entry for details)
Preparation
Administration