Handling Injectable Cytotoxic Drugs in Clinical Areas in NHS HospitalsThe NHS makes the following key recommendations for cytotoxic users:
NHS Key Recommendations Ready-to-administer bags should either be accessed using spike free connections (needle free bags) which then remain connected for disposal or should be spiked with closed system devices (working over a tray) to allow safe disconnection (of the closed system device) following administration. Any connections which do not specifically require disconnection should remain in place. Closed system caps should be added to syringes for IV use following removal of the storage cap immediately before connecting to the patient. (There is not currently a solution for intrathecal or sub-cutaneous injections). Cytotoxic bladder instillations should always use closed system catheters.
Related Materials Guidance on Handling of Injectable Cytotoxic Drugs in Clinical Areas in NHS Hospitals in the UKRead Article