Spill Kit Accreditation

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1. Which drugs are classified as hazardous drugs?
Antibiotics
Antineoplastic Drugs
Radiopharmaceuticals
All of the above
2. What must be worn when handling hazardous drugs?
Shoes
PPE
Surgical Mask
Identification Badge
3. In the event of a hazardous Drug spill:
Exit the room and call the Fire Brigade
Alert others in the area and ask for their assistance to clean up the spill
Alert others in the area to the spill and have them don extra PPE before resuming work
Alert others in the area to the spill and have them vacate the area, leaving 1 competent operator to clean the spill
4. When handling hazardous drugs, the following must be in close proximity:
Hazardous Drug Spill Kit
Fire Extinguisher
Supervisor
First Aid Kit
5. How often can the components within a hazardous spill kit be used?
Once only
Twice
Three times
Four times
6. In the event of a hazardous drugs spill, when should it be cleaned up?
After administration or dispensing is complete
Immediately - spill not to be left unattended
After alerting your supervisor or a senior member of staff
After you have opened all doors and windows in the vicinity to provide ventilation
7. Why must 2 pairs of purple nitrile gloves be donned prior to clean up of a hazardous drugs spill?
To provide extra protection against the hazardous substance by wearing two layers of nitrile
In case one glove gets a hole in it
To ensure spread of hazardous drug contamination is minimised during the degowning process
8. When double gloving, do you:
Pull both gloves over the top of the gown's cuff
Ensure both gloves are pulled up firmly beneath the gown's cuff
Ensure the inner gloves remain under the gown's cuff, and the outer gloves are pulled over the gown's cuffs
Roll the cuffs of the gown up out of the way of the gloves
9. During a spill, the 2 greatest risks of exposure are through: (Select 2 answers)
Ingestion
Inhalation
Injection
Absorption
10. If you have powder spill, the cleanup procedure should include the following:
Quickly wipe the powder up with a chemosorb pad
Lay chemosorb pad over powder and saturate chemosorb pad with water
Place a dry chemosorb pad on top and call for the cleaners
Pour water onto the powder and place a chemosorb pad on top
11. In the event of a hazardous drugs spill, what should you do if your protective garments become contaminated?
Clean the spill up as rapidly as possible so you can remove your protective wear quickly.
Remove and dispose of garments straight away and wash affected areas well with soap and water
Remove when conveneient and send to laundry services for cleaning
Don a second set of protective wear over the contaminated set
12. Degown in the following order:
Overshoes, Chemo Gown, Outer Gloves, Safety Glasses, Respirator, Inner Gloves
Outer Gloves, Overshoes, Chemo Gown, Safety Glasses, Respirator, Inner Gloves
Chemo Gown, Overshoes, Outer Gloves, Safety Glasses, Respirator, Inner Gloves
Overshoes, Outer Gloves, Chemo Gown, Safety Glasses, Respirator, Inner Gloves
13. Where should the sealed hazardous waste collected from a spill cleanup be disposed of?
Into the nearest biohazard bin
Into the nearest rubbish bin
Left where the spill took place until the cleaners collect the rubbish
Into a purple waste bin
14. Wearing personal protective wear when dealing with hazardous drugs is a reasonable substitute for safe handling techniques:
TRUE
FALSE
15. Who should be trained in managing a hazardous drug spill?
Pharmacy personnel
Stores personnel
Cleaners
All of the above
16. How often should hazardous drug spill training occur if equipment and procedures remain the same?
Every 6 months
Annually
Bi-annually
Once only
17. If glass is broken during a spill, you should:
Sweep up the broken glass prior to cleaning the spill
Use your gloved hands to carefully pick out the broken glass, and dispose of in waste bag
Use the scoop and scraper to collect any large glass fragments, or place the chemosorb pad directly over the spill
18. Upon completion of a hazardous drug spill clean-up you must:
Report the incident to your supervisor
Complete the hazardous drug report form
Clean the area with a mild detergent solution
Thoroughly wash your hands with soap and water
All of the above
19. Whose responsibility is it to ensure replacement spill kits are ordered and in stock?
Purchasing Department
Departmental Manager
Everyone's
OH&S Officer
20. The Baxter/CRG hazardous drugs spill kit is suitable for spills up to:
500mL
1 Litre
2 Litres
5 Litres

FOR A CERTIFICATE OF ACCREDITATION TO BE ISSUED IN THE SAFE HANDLING OF CYTOTOXIC SPILLS, A SCORE OF 18 OUT OF 20 MUST BE OBTAINED FOR THIS TEST.