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. 2020 Apr 23;36(3):151028. doi: 10.1016/j.soncn.2020.151028

Table 3.

Oncology Nursing Society (ONS) interim recommendations for use of PPE during care delivery and administration of hazardous cancer drugs10

PPE ONS Recommendation COVID-19 Interim recommendation
Gowns Disposable poly-coated Regular disposable gown (water resistant)
Cloth gown (facility laundered)*
Masks Mask with face and eye protection required only if splashing is likely and for cleaning of spills N95 masks should be reserved for symptomatic or COVID-19–+ patients, hazardous spills and clean-up
Powdered air purifying respirators (PAPRs)
Eye protection Mask with eye protection or goggles if splashing is likely and for cleaning of spills Full face piece air purifying respirators or PAPRs
Gloves Double chemotherapy-tested gloves Single chemotherapy-tested gloves, double standard exam gloves, or single standard exam glove
Shoe covers Use in compounding areas only Work-only washable shoes
Safe handling of NIOSH drugs Poly-coated gown and double chemotherapy tested gloves (single use to hang or take down chemotherapy) Use one gown per patient – hang gown inside-out near patient and away from surfaces between uses
One nurse performs all takedowns of chemotherapy
Use gloves only (no gown) for lower hazardous risk drugs

For infection control and non-hazardous drugs.