Tom Marler-Hausen, Christ Holt, Christine Headley and Paul Sessink.
Use of a closed-system drug transfer device reduces contamination with doxorubicin during bolus injection.
Br J Nurs 2020;29(10):S15-S21.
Open access article. Free downloadable via https://doi.org/10.12968/bjon.2020.29.10.S15
Abstract
Background:
Administration of doxorubicin via bolus injection may result in environmental contamination and a risk of nurses becoming exposed. Small spills are frequently observed by nurses when syringes are connected to, and disconnected from, infusion lines.
Aims:
The effect of a closed-system drug transfer device (CSTD) on the release of doxorubicin was studied during administration via bolus injections.
Methods:
10 administrations with the currently used technique and 10 administrations using the CSTD were compared by analysis of doxorubicin contamination on gauze pads, tissues and gloves.
Findings:
Using the current technique, contamination was found during nine administrations, which was mainly on the gauze pads and, to a lesser extent, on the tissues and gloves, indicating release of doxorubicin during administration. With use of the CSTD, contamination was found only on one pair of gloves.
Conclusion:
Use of a CSTD significantly decreased the number of spills and level of contamination compared with the currently used technique and, consequently, the use of such devices offers a safer working environment for nurses.
