Oncology Practice Emergency Response Protocols

1. Immediate Response Procedures

1.1 Chemotherapy Extravasation

• Immediately stop infusion
• Document site and medication involved
• Apply appropriate antidote based on vesicant type:
  • Dexrazoxane for anthracyclines
  • Sodium thiosulfate for mechlorethamine
  • Cold/warm compresses as indicated
• Photograph the site
• Complete incident report

1.2 Anaphylactic Reactions

• Stop drug administration immediately
• Call emergency response team
• Administer:
  • Epinephrine 0.3-0.5mg IM
  • Diphenhydramine 50mg IV
  • Hydrocortisone 100mg IV
• Monitor vital signs q5min

2. Critical Care Equipment Requirements

2.1 Emergency Cart Contents

• Resuscitation equipment
• Emergency medications
• Extravasation kit
• Spill kit
• Documentation forms

2.2 Location Requirements

• Emergency cart in each treatment area
• Backup supplies in designated storage
• Clear access paths maintained

3. Staff Responsibilities

3.1 Primary Response Team

• Oncologist on call
• Charge nurse
• Infusion nurse
• Emergency response coordinator

3.2 Secondary Support

• Pharmacy staff
• Administrative personnel
• Security team

4. Documentation Requirements

4.1 Incident Reports

• Patient information
• Event description
• Actions taken
• Outcomes
• Staff involved

4.2 Follow-up Procedures

• Patient monitoring protocol
• Incident review
• Protocol updates as needed
• Staff debriefing