OCC Administration & Safety Protocols

Question 1

What is the most appropriate PPE for administering IV chemotherapy?

Accepted Answer

Chemotherapy-tested gloves, gown, and eye protection

Answer

Chemotherapy drugs are hazardous and can be absorbed through the skin or mucous membranes, or inhaled. Therefore, specific Personal Protective Equipment (PPE) designed to protect against these agents is essential. This includes chemotherapy-tested gloves (often double-gloving), a protective gown, and eye protection to prevent exposure during administration, ensuring staff safety.

Question 2

What should be done immediately after a chemotherapy spill on a countertop?

Accepted Answer

Use a chemotherapy spill kit

Answer

A chemotherapy spill is a hazardous incident that requires immediate and specialized handling to protect staff and patients from exposure. A designated chemotherapy spill kit contains the necessary PPE, absorbent materials, and disposal bags. This allows for safe containment, cleaning, and disposal of the spilled hazardous drug according to established protocols, minimizing risk.

Question 3

Which type of IV access is preferred for vesicant chemotherapy drugs?

Accepted Answer

Central venous catheter

Answer

Vesicant chemotherapy drugs can cause severe tissue damage, including blistering, necrosis, and ulceration, if they extravasate (leak) into surrounding tissues. A central venous catheter (CVC) is preferred for these drugs because it provides direct access to a large vein. This minimizes the risk of extravasation and ensures safe and effective delivery of the medication.

Question 4

What is the primary reason for a two-nurse verification before chemotherapy administration?

Accepted Answer

To ensure correct chemotherapy is given

Answer

A two-nurse verification process for chemotherapy administration is a critical safety measure designed to prevent medication errors. It ensures that the correct patient receives the correct drug, dose, route, and time. This significantly reduces the risk of administering the wrong hazardous medication, which could have severe or fatal consequences for the patient.

Question 5

Which step helps minimize exposure risk during oral chemotherapy handling?

Accepted Answer

Wear gloves and use designated containers

Answer

Oral chemotherapy drugs are still hazardous and can pose an exposure risk to healthcare providers. Wearing gloves prevents skin absorption, and using designated containers ensures proper handling and disposal. This minimizes direct contact and prevents environmental contamination, protecting both the healthcare worker and others in the vicinity. Crushing pills or using bare hands increases exposure risk.

(OCC) Oncology Chemotherapy Certification Practice Test

(OCC) Oncology Chemotherapy Certification Practice Test

OCC Administration & Safety Protocols