Management of Extravasation of Cytotoxic Drugs in Children
Management of Extravasation of Cytotoxic Drugs in Children
Management of Extravasation of Cytotoxic Drugs in Children
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10.5 National Database<br />
• A national database <strong>of</strong> extravasation <strong>in</strong>cidents is be<strong>in</strong>g compiled by<br />
Andrew Stanley, St. Chad’s unit, Dudley road, Birm<strong>in</strong>gham. Report<strong>in</strong>g<br />
cards should be sent follow<strong>in</strong>g any extravasation and are available<br />
<strong>in</strong>side the extravasation kit. www.extravasation.org.uk<br />
11. Monitor<strong>in</strong>g compliance and effectiveness<br />
All <strong>Extravasation</strong>s will be recorded and DATIX as pre policy. An audit <strong>of</strong> these will<br />
be completed once a year and presented at the Paediatric Chemotherapy Multi<br />
Discipl<strong>in</strong>ary team meet<strong>in</strong>gs, by the author (overseen by the Trust Lead for<br />
Cancer Chemotherapy).<br />
Element to be<br />
monitored<br />
Lead<br />
Tool<br />
Frequency<br />
Report<strong>in</strong>g<br />
arrangements<br />
Act<strong>in</strong>g on<br />
recommendations<br />
and Lead(s)<br />
Change <strong>in</strong><br />
practice and<br />
lessons to be<br />
shared<br />
All chemotherapy extravasations with the child health<br />
directorate<br />
Sabr<strong>in</strong>a Tierney, Specialist Cl<strong>in</strong>ical Pharmacist<br />
(paediatrics)<br />
Audit observ<strong>in</strong>g type <strong>of</strong> drug that extravasated, cannula<br />
position, length <strong>of</strong> time cannula <strong>in</strong>, antidote<br />
Audit completed yearly<br />
Presented to Paediatric Multi-Displ<strong>in</strong>ary Team<br />
Paediatric Chemotherapy MDT lead – Nicki Gilbertson,<br />
Paediatric Consultant<br />
<strong>Extravasation</strong>s education to be provided and staff to be kept<br />
up to date with new developments <strong>in</strong> this area.<br />
All nurs<strong>in</strong>g staff to ma<strong>in</strong>ta<strong>in</strong> tra<strong>in</strong><strong>in</strong>g, <strong>in</strong>clud<strong>in</strong>g annual update<br />
day.<br />
12. Updat<strong>in</strong>g and Review<br />
12.1. This policy will be reviewed every 3 years by the Paediatric Guidel<strong>in</strong>es<br />
Committee<br />
13. Equality and Diversity<br />
13.1. This document complies with the Royal Cornwall Hospitals NHS Trust<br />
service Equality and Diversity statement.<br />
13.2. The Initial Equality Impact Assessment Screen<strong>in</strong>g Form is at Appendix 1.<br />
<strong>Management</strong> <strong>of</strong> <strong>Extravasation</strong> <strong>of</strong> <strong>Cytotoxic</strong> <strong>Drugs</strong> <strong>in</strong> <strong>Children</strong><br />
Ratified: Review: 14
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