1. Chemotherapy Handling and Administration
Personal Protective Equipment (PPE)
- Double chemotherapy-rated gloves
- Disposable chemotherapy gown
- Face shield/goggles
- N95 respirator when indicated
Preparation Area Requirements
- Negative pressure room
- Class II Biological Safety Cabinet (BSC)
- Spill kit accessibility
- Emergency eyewash station
2. Radiation Safety Measures
Controlled Areas
- Clear signage and restricted access
- Radiation monitoring devices
- Lead shielding requirements
- Emergency procedures posted
Personnel Monitoring
- TLD badge requirements
- Monthly exposure readings
- Annual safety training
3. Waste Management
Chemotherapy Waste
- Yellow containers for trace waste
- Black containers for bulk waste
- Proper sealing and labeling
- Documentation requirements
Radioactive Materials
- Decay-in-storage protocols
- Survey monitoring requirements
- Disposal documentation
4. Emergency Procedures
Spill Management
- Large spill protocol (>5mL)
- Small spill protocol (<5mL)
- Decontamination procedures
- Incident reporting requirements
Exposure Protocol
- Immediate first aid measures
- Exposure documentation
- Medical follow-up procedures
5. Quality Assurance
Documentation Requirements
- Safety checks documentation
- Equipment maintenance logs
- Staff training records
- Incident reports
Compliance Monitoring
- Monthly safety audits
- Quarterly compliance reviews
- Annual protocol updates
6. Staff Training
Required Training
- Initial safety certification
- Annual refresher courses
- Competency assessments
- Emergency response drills
Review and update this protocol annually or as needed per regulatory requirements.