This appendix defines standard procedure for removing protective clothing after preparation of chemotherapy drugs.

The procedure should be as follows:

1. Scope.
2. Procedure for managing spill in the cabinet.
   1. Ensure that the cabinet remains operating
   2. Absorb liquid spill with absorbent pads and dispose them into a sealable bag
   3. Absorb powder spill with wet towels and dispose them into a sealable bag
   4. Wash the entire area with detergent solution
   5. Rinse well with clean water
   6. Repeat washing and rinsing until all of the drug has been removed
   7. Discard all contaminated items into a sealable waste bag.
   8. Remove outer pair of gloves and dispose them into a sealable waste bag
   9. Discard all sealed waste bags and contaminated items into a cytotoxic waste bag or bin
   10. Remove protective clothing and discard into cytotoxic disposal waste bag
   11. Wash hands thoroughly
   12. Fill up the incident report form as required by your work place
3. Procedure for managing spill outside the cabinet.
   1. Call for assistance if necessary. Do not leave the area unattended.
   2. Don protective clothing:
      • Gown
      • Shoe cover
      • Gloves
      • Respirator
      • Chemical safety glasses
      • Chemotherapy gloves
   3. Remove glass particles and other debris using the absorbent pads. Place them in the appropriate sharps container
   4. Absorb liquid spill with absorbent pads and dispose them into a sealable bag
   5. Absorb powder spill with wet towels and dispose them into a sealable bag
   6. Wash the entire area with detergent solution
   7. Rinse well with clean water
   8. Repeat washing and rinsing until all of the drug has been removed
   9. Discard all contaminated items into a sealable waste bag.
   10. Remove outer pair of gloves and dispose them into a sealable waste bag
   11. Discard all sealed waste bags and contaminated items into a cytotoxic waste bag or bin
   12. Remove remaining protective clothing and discard into cytotoxic disposal waste bag
   13. Wash hands thoroughly
   14. Fill up the incident report form as required by your work place