Monoclonal Antibody agents (mAbs) not included on the NIOSH Hazardous List will not be handled as hazardous agents, meaning the following compounding and administration processes will go into effect: • No longer prepared with Closed System Transfer Devices (CSTD) and will be prepared in an IV bag without tubing attached • Will be delivered with regular IV preparations • No chemo rated PPE will be required for administration (i.e. chemo gown) • Will not be required to be administered by a chemo certified nurse • Will be orderable via EMR for providers
Vital signs to assess are: • Body temperature • Blood pressure • Pulse rate • Respiration rate • Saturation of peripheral oxygenFrequency of vital sign assessment: prior to infusion, every 15 minutes during infusion, and every 30 minutes for the hour after infusion complete.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
CCU, OR, PACU, CCL, ED
PCU
2N (Tele)
1N (Tele), 3N (Tele)
Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N)
BirthPlace
SNF
ICS
OPS
rituximab-abbs (Truxima) IV Push, IV Infusion Key: certified RN and 1N designated staff only
meaning the following compounding and administration processes will go into effect:
• No longer prepared with Closed System Transfer Devices (CSTD) and will be prepared in an IV bag without tubing attached
• Will be delivered with regular IV preparations
• No chemo rated PPE will be required for administration (i.e. chemo gown)
• Will not be required to be administered by a chemo certified nurse
• Will be orderable via EMR for providers
• Body temperature
• Blood pressure
• Pulse rate
• Respiration rate
• Saturation of peripheral oxygen
Frequency of vital sign assessment: prior to infusion, every 15 minutes during infusion, and every 30 minutes for the hour after infusion complete.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Push, IV Infusion Key: certified RN and 1N designated staff only
(CCU only)
(1N only)
(1N only)