Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

10. ADMINISTRATION OF DRUGS
10.3.7.1 Workers administering the drugs should use handling and administration techniques that
minimize exposure risks:
‣ once drug administration is complete, rinse the primary tubing with the primary
solution;
‣ never remove the tubing, needle or tip from the hazardous drug bag; discard everything
in a cytotoxic waste receptacle. If a needle is used, discard it in a cytotoxic waste
sharps container;
‣ use separate tubing for each bag of hazardous drug;
‣ it is preferable to leave the secondary tubing attached to a hazardous drug bag and to
discard the primary tubing and all of the secondary tubing when the treatment has been
completed;
‣ if this is not possible, rinse the secondary tubing connection site before disconnecting it
from the primary tubing:
using the retrograde technique, fill the secondary tubing containing the
hazardous drug with the fluid from the primary tubing, in order to dilute the
residual amount of hazardous drug (Figure 20); or
Primary
solution
Drug
bag
Secondary
tubing
Primary
tubing
Toward the
patient
Area to be
rinsed
Disconnection
site
FIGURE 20
Rinsing the tubing using the retrograde technique
PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 10-9