Pre-HIPEC |
Educate OR personnel regarding environmental concerns. |
All OR personnel should don airborne, droplet and contact PPE prior to HIPEC:
|
Use impervious, disposable surgical drapes. |
Place absorbent towels with impervious backing on the floor and around the base of the OR table for spills. |
Use leak-proof biohazard disposal containers in the OR. |
Ensure proper operating room ventilation and air conditioning. |
HIPEC phase |
Surgeons in contact with HIPEC solution should wear triple gloves, including elbow length gloves. |
Change gloves immediately after overt contamination, every 30 minutes for personnel handling cytotoxic agents. |
Wash exposed skin immediately with additive free soap. |
For eye exposure, flush with water or saline for five minutes. |
Place a smoke evacuator under plastic sheet covering the abdomen to run continuously during HIPEC. |
Nonessential personnel should leave the OR. |
Secure OR door when HIPEC in progress. |
Placed signs outside the OR to indicate that HIPEC is in progress and entry is restricted. |
Post-HIPEC |
Personnel who clean the OR after HIPEC should use the same PPE described above. |
Clean up spills immediately. Blot dry, and clean with water and neutral soap. Avoid use of bactericidal cleaning solutions, which may react with cytotoxic agents. |
All trash should be disposed of in leak-proof bins. |
Surgical instruments and equipment should be washed three times with water and pure soap. |
Institute medical surveillance of OR personnel involved with HIPEC. |
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