Designing an In-House Cytotoxic Spill Management Training Program

This project details the design of an in-house training program for cytotoxic spill management within an oncology department. It begins with a needs assessment, identifying gaps in staff knowledge and practices regarding cytotoxic agents. The training overview includes a two-day schedule with specific topics such as precaution measures, administration of cytotoxic agents, waste management, and hands-on training with spill kits. The program's goals are to enhance staff skills in handling cytotoxic spills and ensure a safe work environment. The audience assessment focuses on healthcare professionals working with cytotoxic drugs. The training program design includes course content, learning outcomes, and assessment activities. Logistics, resource allocation, and a session plan are also outlined. The project includes a feedback form and references to support the design. The training aims to improve staff's ability to efficiently administer cytotoxic drugs, handle hazards, and report incidents, ultimately minimizing adverse events related to cytotoxic spills.

Running head: HEALTH SERVICES MANAGEMENT
DESIGNING IN-HOUSE TRAINING COURSE
Name of the Student:
Name of the University:
Author Note:

1IN-HOUSE TRAINING COURSE
Table of Contents
A. Needs Assessment..............................................................................................................3
Determine the gap..................................................................................................................3
Organisational Training needs...............................................................................................3
Individual training needs........................................................................................................4
B. Training Overview.............................................................................................................4
Topic......................................................................................................................................4
Timeframe..............................................................................................................................4
Goals and objectives..............................................................................................................8
Essential Question..................................................................................................................9
Summary of Participant activities..........................................................................................9
Resources...............................................................................................................................9
Assessment Activities............................................................................................................9
Evaluation of the training process........................................................................................10
Outcome...............................................................................................................................10
C. Audience Assessment.......................................................................................................10
Demographic Information of Audience...............................................................................10
Audience Overview..............................................................................................................11
Audience..............................................................................................................................11
Current Role.........................................................................................................................11
General Overview................................................................................................................13

2IN-HOUSE TRAINING COURSE
Notes on specific needs........................................................................................................13
D. Training Program Design.................................................................................................14
Cover page...........................................................................................................................14
Content Page........................................................................................................................14
Course Aim..........................................................................................................................15
Overview..............................................................................................................................15
Learning Outcomes..............................................................................................................15
Course Content.....................................................................................................................15
Course Delivery...................................................................................................................21
E. Logistics Requirement and resource availability checklist and notes..............................21
F. Session Plan.....................................................................................................................23
G. Assessment and Assessment schedule.............................................................................24
H. Feedback Form.................................................................................................................25
References................................................................................................................................26

3IN-HOUSE TRAINING COURSE
A. Needs Assessment
Determine the gap
In the newly launched oncology department, the gap was identified. The staffs of the
department must undergo training and avail the certification on the cytotoxic spill
management (He, Mendelsohn-Victor, McCullagh, & Friese, 2017). The training would help
the staff to perform effective roles and responsibilities in delivering care. Further, this would
make the clinical setting free from any hazardous incidences. However, there was a report of
increased incidences due to poor handling of the cytotoxic agent handling.
It was found that the staffs of the oncology department lacks knowledge of identifying
the responsibilities of the manufacturer and management of risks involved due to cytotoxic
agents. Further, it was found that the practice of disposing of the cytotoxic agents was poor as
if they do not find the specific dustbin than they dispose of with the general dustbin. The
practice of safety precaution is also low as staff often lack in the usage of spill kit (Capoor &
Bhowmik, 2017).
Organisational Training needs
The organisation needs training if their employees lack in performing their tasks and
responsibilities. Training act as a performance improvement mechanism or tool that would
enhance the outcome of the employees. Further, the improvement in the performance of the
employees would help the organisation as a whole in accomplishing the goals and objectives

4IN-HOUSE TRAINING COURSE
of delivering effective care to the patients and maintain the hazards-free work environment
within the healthcare settings (Ford, 2014).
Individual training needs
Every individual differs in performing the relevant task or responsibilities, and
therefore, it is important to provide the basic and relevant training that would involve the
necessary duties to perform. In the oncology department, it was found that the poor handing
in cytotoxic agents has resulted in adverse hazardous events (Vincent, Burnett & Carthey,
2014). Thus, each individual or staff is prone to the incidence, and therefore, effective
training is necessary for enhancing their skills in managing the cytotoxic agents and thus
reducing the incidences.
B. Training Overview
Topic
In training, the course would focus majorly on improving the skills in handling and
managing the cytotoxic agents.
Timeframe
The training would involve the duration of two consecutive days.
Day 1
Activity Duration Scheduled time
Registration 30
minutes
9:00 am- 9:30
am
Session of
Introduction
45
minutes
9:30 am -10:15
am

5IN-HOUSE TRAINING COURSE
Pre-
assessment
quiz
30
minutes
10:15 am -
10:45 am
Mini Break
(Tea)
20
minutes
10:45 am -
11:00 am
Concept of
precaution
measures
60
minutes
11:00 am - 12
noon
Concept of
administering
the cytotoxic
agents
40
minutes
12 noon - 12:40
pm
Waste
management
35
minutes
12:40 pm - 1:15
pm
Meal break 60
minutes
1:15 pm - 2:15
pm
Concept of
procedure
manual
60
minutes
2:15 pm - 3:15
pm
Visual
representation
training
30
minutes
3:15 pm - 3:45
pm
Mini Break
(Tea)
15
minutes 3:45 pm - 4 pm
Adverse
incidence
report
30
minutes 4 pm - 4:30 pm
Day 2
Activity Duration Scheduled
time
Summary of
previous day
training course
45 minutes 9:00 am - 9:45
am
Nursing
documentation 45 minutes 9:45 am - 10:30
am
Mini break 15 minutes 10:30 am -
10:45 am
Role play 60 minutes 10:45 am -
11:45 am

6IN-HOUSE TRAINING COURSE
Hands-on training
on spill kit 60 minutes 11:45 am - 12:
45 pm
Meal break 60 minutes 12:45 pm - 1:45
pm
Query solving
session 30 minutes 1:45 pm - 2:15
pm
Post-training Quiz 30 minutes 2:15 pm - 2:45
pm
Feedback form 30 minutes 2:45 pm - 3:15
pm
Certification and
closing session 45 minutes 3:15 pm - 4:00
pm
Source: (Noe & Kodwani, 2018)
Particula
rs
Amou
nt (in
$)/ day
Quantit
y( in
days)
Total
Amou
nt
Venue
(Hall)
2000 2 4000
Menu 2000 2 4000
Training
Material
1800 2 3600
Kit( regist
ration)
2500 2 3000
Certificate
s
150 2 300
Fees for
trainers
1500 2 3000
Service
fee
7000 2 14000
Total budget (in $) 31900
Source: (Leider et al., 2014)

7IN-HOUSE TRAINING COURSE
Goals and objectives
The goal of the training is to provide an efficient knowledge of handling the cytotoxic
spill management and hand-on experienced on the practice of spill kit.
Essential Question
1 What is the first step when there is any spill of cytotoxic agents?
2 What are the preventive measures while handling the cytotoxic agents?
3 Why is effective waste management important?
4 What are the steps in manually handling the cytotoxic agents?
Summary of Participant activities
The training course that would be delivered to the participants covers multiple
approaches and teaching methods. Such teaching methods include visual representation, role
plays, and discussions along with assessment tests (Wiliam, 2017). There was an open query
session for the trainees to resolve any additional queries at the end of the training course. The
participants were lesser in number, and therefore, it has an opportunity for the trainees to
engage more with their trainers and instructors.
Resources
The resources included in delivering the training are from the highly known training
provider institute. The trainers are highly qualified in delivering the course as they have
relevant credentials and experiences in the same field of profession.

8IN-HOUSE TRAINING COURSE
Assessment Activities
The training has held a quiz in the initial stage, of course, that helps the trainer or
instructor in analysing the knowledge of the trainees. The result of the quiz would also help
the instructor to deliver a summative approach. The summative approach would build the
interaction among the trainees and trainer and would help in the assessment.
Evaluation of the training process
The quality can be evaluated by measuring the assessment test that would be
conducted before the training and at the end of the training course.
Outcome
The major gap was a lack of knowledge in cytotoxic agents handling an increased
number of incidences due to it (Fung & Seneviratne, 2016). This training would provide
hands-on training on the management and control of the cytotoxic agents.
C. Audience Assessment
Demographic Information of Audience
Name Role Age
Gende
r
XXX Oncologist 50 year Male
XXX Pharmacist 32 year Male
XXX Administrator 47 year Male
XXX Quality control 40 year Male
XXX Registered Nurse 32 year Female
XXX Pharmacist 30 year Female
XXX Registered Nurse 28 year Female
XXX
Infection control
manager 42 year Male

9IN-HOUSE TRAINING COURSE
XXX Patient care assistant 33 year Female
XXX Laboratory manager 41 year Male
Audience Overview
Ten participants would undergo the training course. All the participants are involved
in the handling of cytotoxic drugs or agents. Therefore, this training would provide immense
benefits to the participants.
Audience
This training proposal is targeted to the human resource managers, senior leaders in
the clinical settings, and all other healthcare professionals (Kaleem, Shaik, Shaik & Bokhari,
2018).
Current Role
Job Title Roles
Oncologist Diagnose, treat and prescribes
medicines and further
assessments
Pharmacist Storage of cytotoxic agents
Administrator Overall administration of the
clinical settings
Quality control Ensure the responsibilities
along with the performance of
the staffs
Registered Nurse Assist Patents and administers
cytotoxic drugs
Pharmacist Labeling and maintenance of
cytotoxic agents
Registered Nurse Works closely with a
physician in administering the
cytotoxic drugs to the patients
Infection control
manager
Monitor the infectious disease
within the premises
Patient care assistant Assist patients with the
necessary requirement include

10IN-HOUSE TRAINING COURSE
educating the handling of
cytotoxic drugs
Laboratory manager Manages the equipment
General Overview
All the participants work closely and within the oncology care setting.
Notes on specific needs
The specific needs while delivering the course is that it is delivered in a well renowned
functional hall. The amenities and facilities such as meals are provided, keeping the cultural
choice or lifestyle choice.

11IN-HOUSE TRAINING COURSE
D. Training Program Design
Cover page
Content Page
Provided in the initial pages.