Thank you thank you for showing this process. I’ll be starting in an oncology clinic June 1st and while I have non hazardous compounding experience, I will be new to chemotherapy. I appreciate the time put into this!! And damn, that’s a lot of vials! 😂
elle Jay our techs compound doses and bag all items used for compounding so that the pharmacist can check the dose. With this particular drug, unmarked syringes are 10mL and we mark the volume of the syringe that was under 10mL. Our institution dispenses over 7,000 doses of chemo a month. We don't have the luxury of having a pharmacist in each of our chemotherapy clean rooms.
When reconstituting the powder, wouldn't the vigorous shaking of the vial create bubbles that could possibly alter the actual dose? I'm taking an IV/Sterile Products course and I'm curious.
Mark Jackson we use PhaSeal on all drugs indicated by NIOSH as an antineoplastic and non antineoplastic HD’s. See link below. www.cdc.gov/niosh/topics/antineoplastic/pdf/hazardous-drugs-list_2016-161.pdf
Sunrayzerozero we actually did a review of all true CSTD’s on the market. Our institution utilizes regular syringes in our hazardous drug compounding rooms as well so if we switched to Equasheild we would have needed to stock both products in our cleanrooms. We are actually going to be transitioning to PhaSeal 2nd Gen in a few months which the pieces are smaller, easier to connect (slide to connect, no twisting). Equasheild was also more expensive and with our institution dispensing over 8,000 doses of hazardous drug a month after review we decided to stick with using PhaSeal.
It's a product called PhaSeal, it's a closed system transfer device. It's keeps compounding staff safe from the hazardous fumes from chemotherapy product. PhaSeal is a product of the Becton Dickson company (BD).
Agent Office it’s a CSTD (closed system transfer device) called PhaSeal used to compound hazardous medications so that the pharmacy and nursing staff wont be exposed to the hazardous materials.
Thank you thank you for showing this process. I’ll be starting in an oncology clinic June 1st and while I have non hazardous compounding experience, I will be new to chemotherapy. I appreciate the time put into this!! And damn, that’s a lot of vials! 😂
Who's doing the volume checks?
elle Jay our techs compound doses and bag all items used for compounding so that the pharmacist can check the dose. With this particular drug, unmarked syringes are 10mL and we mark the volume of the syringe that was under 10mL.
Our institution dispenses over 7,000 doses of chemo a month. We don't have the luxury of having a pharmacist in each of our chemotherapy clean rooms.
When reconstituting the powder, wouldn't the vigorous shaking of the vial create bubbles that could possibly alter the actual dose? I'm taking an IV/Sterile Products course and I'm curious.
Dakota Perez
This particular drug states in the preparation instructions that you need to “shake each vial vigorously until solution is clear”.
Melphalan can be shaken vigorously because it will not create a lot of bubbles and its
hard to dilute this drug.
Which chemo drugs would you use PhaSeal with? I know that a lot of the drugs have harmful fumes if they are aerosolized in the flow hood.
Mark Jackson we use PhaSeal on all drugs indicated by NIOSH as an antineoplastic and non antineoplastic HD’s. See link below.
www.cdc.gov/niosh/topics/antineoplastic/pdf/hazardous-drugs-list_2016-161.pdf
Why dont you use Equashield. Its way faster and better.
Sunrayzerozero we actually did a review of all true CSTD’s on the market. Our institution utilizes regular syringes in our hazardous drug compounding rooms as well so if we switched to Equasheild we would have needed to stock both products in our cleanrooms. We are actually going to be transitioning to PhaSeal 2nd Gen in a few months which the pieces are smaller, easier to connect (slide to connect, no twisting). Equasheild was also more expensive and with our institution dispensing over 8,000 doses of hazardous drug a month after review we decided to stick with using PhaSeal.
What are those white things that she put on top of the first set of vials?
It's a product called PhaSeal, it's a closed system transfer device.
It's keeps compounding staff safe from the hazardous fumes from chemotherapy product.
PhaSeal is a product of the Becton Dickson company (BD).
The wher protection so ther skin don't get in contact with the toxic drugs
What is that white cone?
Agent Office it’s a CSTD (closed system transfer device) called PhaSeal used to compound hazardous medications so that the pharmacy and nursing staff wont be exposed to the hazardous materials.