As research continues to highlight the risks involved in handling anti
neoplastic drugs, the health services are giving increased attention t
o safety measures. In order to establish what protective measures nurs
ing staff employ and what they know about antineoplastic drugs, a surv
ey was carried out in The Netherlands. The questions were based on the
self-study modules by Dunne and the (American) Oncology Nursing Socie
ty. A total of 1,373 questionnaires were distributed in 10 hospitals.
Of these, 824 were returned, which represents a response rate of 60%.
Over two-thirds (68%) of the nursing staff reported that they were inv
olved, on a daily or weekly basis, in caring for patients being treate
d with antineoplastic drugs. In the view of 94% of the nurses, protect
ive measures are effective. While administering antineoplastic drugs,
91% of the respondents said that they wore gloves, 21% said that they
wore a gown, 18% wore a mask, and 3% used goggles. While handling excr
eta, fewer nurses applied safety measures. Thirty-nine percent of the
respondents knew that latex gloves offer a greater degree of protectio
n than PVC gloves. It appeared that there was not one Dutch hospital w
hose guidelines for the safe handling of antineoplastic material were
completely up-to-date and that nurses do not always follow the guideli
nes established.