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Run: Oncology Unit Chemotherapy Spill Readiness Audit

Audit oncology unit chemotherapy spill readiness by verifying kit location, contents, PPE, staff response knowledge, and reporting closeout before a hazardou...

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Spill Kit Location and Accessibility

A hazardous drug spill kit is physically available in the oncology unit.
Kit is positioned near medication preparation, administration, or storage areas and can be accessed immediately.
Signage identifies the spill kit location so staff can find it quickly during an incident.
No carts, equipment, locked doors, or other barriers prevent immediate access to the spill kit.

Spill Kit Contents and Condition

A contents list is available inside or attached to the kit and matches the stocked supplies.
Kit contains absorbent pads or equivalent materials appropriate for hazardous drug spill cleanup.
Kit contains PPE appropriate for hazardous drug spill response, such as chemotherapy gloves, gown, eye/face protection, and respiratory protection if required by procedure.
Kit contains waste bags, closure materials, and labels or instructions for hazardous drug waste disposal.
No damaged containers, missing items, or expired supplies are observed.
The spill kit container is clean, closed, and clearly identified as a chemotherapy or hazardous drug spill kit.

Staff Response Readiness

At least one staff member on shift can point to the spill kit location without prompting.
Staff can state the immediate actions for isolating the area, donning PPE, and following the spill procedure.
Written instructions or SOP for chemotherapy spill response are accessible in the unit.

Training, Reporting, and Closeout

Observed staff have documented training on hazardous drug spill response within the required interval.
Staff know how to report a spill, exposure, or kit deficiency to the appropriate supervisor or safety contact.
Any non-conformance is recorded with owner, due date, and corrective action plan.

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