| Pre-HIPEC |
| Educate OR personnel regarding environmental concerns. |
All OR personnel should don airborne, droplet and contact PPE prior to HIPEC: - N95 mask
- Eye protection (goggles)
- Impervious gown
- Disposable impervious shoe covers
- Gloves
|
| Use impervious, disposable surgical drapes. |
| Place absorbent towels with impervious backing on the floor and around the base of the OR table for spills. |
| Use leak-proof biohazard disposal containers in the OR. |
| Ensure proper operating room ventilation and air conditioning. |
| HIPEC phase |
| Surgeons in contact with HIPEC solution should wear triple gloves, including elbow length gloves. |
| Change gloves immediately after overt contamination, every 30 minutes for personnel handling cytotoxic agents. |
| Wash exposed skin immediately with additive free soap. |
| For eye exposure, flush with water or saline for five minutes. |
| Place a smoke evacuator under plastic sheet covering the abdomen to run continuously during HIPEC. |
| Nonessential personnel should leave the OR. |
| Secure OR door when HIPEC in progress. |
| Placed signs outside the OR to indicate that HIPEC is in progress and entry is restricted. |
| Post-HIPEC |
| Personnel who clean the OR after HIPEC should use the same PPE described above. |
| Clean up spills immediately. Blot dry, and clean with water and neutral soap. Avoid use of bactericidal cleaning solutions, which may react with cytotoxic agents. |
| All trash should be disposed of in leak-proof bins. |
| Surgical instruments and equipment should be washed three times with water and pure soap. |
| Institute medical surveillance of OR personnel involved with HIPEC. |
