1. Alert nearby persons about the spill.
2. If the spilled drug got on anyone's skin, eyes, or clothing, see supplemental info below (*).
3. Prevent risk of additional skin contact with the spilled drug.
4. Obtain chemotherapy/hazardous drugs spill kit.
5. Put on safety goggles and double gloves from kit. If spill involves more than 5 mL or covers more than one square foot (or, for smaller spills, at the discretion of the person cleaning the spill), put on Tyvek gown and shoe covers (or coveralls) from kit. Tuck sleeves into the outer gloves.
6. If there are broken glass fragments, use the detachable scraper to carefully "sweep" them or other sharps into the scoop. Place these sharps in a needle box.
7. Use the absorbent pads to gently cover and wipe up the spilled material. If additional absorbent material is needed, use plastic lined blue pads (chux) or other available materials. Place used absorbent in one of the clear 5-gallon bags from the spill kit.
8. Clean the area thoroughly with water. Disposable materials used in this step should go into the open bag from the spill kit.
9. Clean the area three times using a detergent solution, then rinse. (Housekeeping can be called in for this step ONLY.)
10. Place any contaminated hospital linens in a hospital laundry bag.
11. Place other (personal) contaminated clothing in a sealed plastic bag. If it will be laundered, double bag for transport, then wash twice before combining with other laundry. If it will be discarded, place it in the open bag from the spill kit.
12. Remove the shoe covers (if used) and outer pair of gloves. Place these into the open bag from the spill kit.
13. Remove the goggles and place them into the open bag from the spill kit. (Alternately, goggles may be washed and reused.)
14. Close the open waste bag (by knotting or using twist tie or tape), then place it into the second clear 5-gallon bag from the spill kit.
15. Remove the Tyvek gown (or coveralls) and inner gloves. Place these into the second bag from the spill kit. Close the outer bag.
16. Wash hands thoroughly.