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Hi,
We have recently changed to a reusable waste bin system including Cytotoxic waste. Can anyone give me any information on aerosoling of cytotoxic waste – I have queries from staff re if the bins are not filled nd emptied in one day.
ThanksChristine Lawson | RN
Quality and Risk Manager | Caboolture Private Hospital
Caboolture Private Hospital
McKean Street, CABOOLTURE QLD 4510
t: 07 5495 9418
e: LawsonC@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
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Hi Christine,
I’ve reviewed literature on risk in handling cyto wastes and aerosols (together with skin and mucous membrane contact) is certainly a mode of contact with cyto drugs (CD). However aerosol risk (i.e. fine spray/mist) appears only to be a risk among staff diluting/drawing liquid formulations, or if vessels container CD are dropped and break.
The literature states that cyto risk “hierarchy” descends from manufacturer to pharmacist to nurse to waste handler. There were no cases of CD illnesses in waste handlers reported.
Some CD can sublime from the powder state at room temperature but I could find no evidence that foot-pedal bins generated aerosols or that CD bins needed emptying daily or that bins in use for longer increased aerosolisation risk.Hope this helps.
Kind regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
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We have recently changed to a reusable waste bin system including Cytotoxic waste. Can anyone give me any information on aerosoling of cytotoxic waste – I have queries from staff re if the bins are not filled nd emptied in one day.
ThanksChristine Lawson | RN
Quality and Risk Manager | Caboolture Private Hospital
Caboolture Private Hospital
McKean Street, CABOOLTURE QLD 4510
t: 07 5495 9418
e: LawsonC@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
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