Assessing the Workplace for Antineoplastic Drug Exposure Jackie Gambrell, RN, BSN, OCN Oncology Nurse Navigator Oncology Multidisciplinary Center Cancer Treatment Center Greenville Hospital System University Medical Center South Carolina Magnet Conference April 28, 2006
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Assessing the Workplace Environment for Antineoplastic Exposure
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Assessing the Workplace for Antineoplastic Drug Exposure
Jackie Gambrell, RN, BSN, OCN
Oncology Nurse Navigator
Oncology Multidisciplinary Center
Cancer Treatment Center
Greenville Hospital System University Medical Center
South Carolina Magnet ConferenceApril 28, 2006
Discussion Topics• Drug Exposure in the Workplace
• Regulating Agencies and Drug-Handling Guidelines
• Find chronic problems • The cost approach problem selection method• The impact / effort problem selection method
(O) Organize The Investigation
• The formal analysis team
• The informal analysis team
• The individual problem solver
(L) Live Evidence Collection
• (F) Find and interview people• (A) Act quickly to begin the investigation• (C) Collect physical evidence• (T) Track time and position• (S) Search for cause and effect relationships
(V) Verified Analysis
• Problem definition• Problem analysis
• Root cause discovery• Logic tree examples• Site specific practice
(E) Effective Corrective Action
• Actions to eliminate root cause• Management review and approval
• Engineering• Procedures and training• Planning, scheduling and execution• Tracking for success