0000020393 00000 n do not split/crush. It became effective May 1, 2008, establishing many of the NIOSH ⦠The use of hazardous drugs should follow specific policies and procedures based on your work environment. Remove chemo gown and other PPE before removing inner pair of gloves. 0000006482 00000 n Drugs that primarily pose a reproductive risk to men and women who are actively trying to conceive and women who are pregnant or breastfeeding Acronyms CSTD = closed system drug-transfer device PPE = personal protective equipment Citation NIOSH [2016]. MAKE SURE YOU HAVE THE RIGHT BATTLE GEAR. For detailed information regarding safe handling of hazardous drugs and associated waste, see the eviQ Safe handling and waste management of hazardous drugs document. Model Standards for Pharmacy Compounding of Hazardous Sterile Preparations Approval Date: November 1, 2016 NAPRAâs suite of model standards for pharmacy compounding comprises three model standards, with one pertaining to non-hazardous sterile preparations, one to hazardous sterile preparations, and one to non-sterile preparations. 0000145734 00000 n ***COLOR CODE AND PPE KEY Drug Name Personal Protective Equiptment Required Drug Waste and Partials Empty Vials or Containers/Empty Unit Dose Packaging PPE Waste Reference Abacavir Blue Trash Yellow NIOSH Abiraterone Black Yellow NIOSH Acetaminophen elixir N/ABlack Trash EPA Single pair of gloves: intact capsule or tablet from unit dose packaging 0000007181 00000 n Health care workers who handle hazardous drugs are at risk of skin rashes, cancer, and reproductive disorders. NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016: Page 34 of this g uide is a gem: it is a table that tells you, by dosage form, what kind of PPE is recommended. In deciding on the PPE that is appropriate a balance needs to be found between: The need to protect staff from drugs which are potentially hazardous by contact with skin, eye and/or mucous membrane and ingestion, whether by swallowing, inhalation or needle-stick. Safety glasses w/ side shields for non-liquids, goggles for liquids, surgical mask with shield, face shields (disposable, reusable). The COVID-19 pandemic is creating a growing shortage of personal protective equipment (PPE). I would not start writing your P and P without checking out this table. 0000000016 00000 n were developed. 0000028980 00000 n In the mid1980âs, international standards regarding sterile preparation rooms (cleanrooms), personal protective - equipment, biological safety cabinets, etc. NIOSH list of antineoplastic and other hazardous drugs in healthcare settings. 0000145695 00000 n Contain and dispose of such PPE either as trace or bulk contaminated waste. Hazard communication standard and pharmaceuticals. Minimum PPE Required PPE Requirements Hazardous Drug Handling Moderate (Orange) -handle at all times with gloves, gown, eye and face protection (with splash potential) and appropirate engineering controls. 0000048848 00000 n 0000004288 00000 n 0000184470 00000 n NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016: Page 34 of this g uide is a gem: it is a table that tells you, by dosage form, what kind of PPE is recommended. The thickness of the gloves used in handling hazardous drugs is more important than the type of material. Best Practices for the Safe Handling of Hazardous Drugs 5 Hazardous drugs are specific drugs with the potential to harm workers who are exposed to them. A future article (Part 2) will discuss appropriate respiratory protection, eye and face protection, and hair covers. The NIOSH definition of hazardous drugs used in the Alert is based on a definition originally devel-oped in 1990 by the ⦠OSHA has identified worker exposure to hazardous drugs as a problem of increasing health concern. These are detailed in section 7. Determine appropriate precautions for safe handling of potentially cytotoxic and non-cytotoxic hazardous medications and associated waste. PPE is an important tool in reducing individual exposure to toxic drugs. Preparation, administration, manufacturing, and disposal of hazardous medications may expose hundreds of thousands of workers, principally in healthcare facilities and the pharmaceutical industry, to potentially significant workplace levels of these chemicals. 0000005249 00000 n Other Hazardous Drugs in Health Care Settings issued in 2004.6 The ASHP 2006 HD guidelines were current to 2005. The Alberta Health Services (AHS) / Covenant Health (COV) Hazardous MedicationPersonal Protective Equipment (PPE) Guide – Reducing Occupational Exposure Risks to Hazardous Medication for Staff has been developed to provide guidance for safe handling of hazardous medication in AHS and Covenant Health and to reduce occupational exposure of staff. 0000069013 00000 n 0000109393 00000 n 0000071942 00000 n ³ËtIÎeËÊk!k«j'ÓóxÒ¾@@ÆS¨ÃÉÓãG$c+£AÊ&-ïtúÚ*´¶°é¸²KÍD$æ À6¬ØÐ4éÑq!5^Fò\"+¯èGìô@8WP0--½@. By Connor TH, MacKenzie BA, DeBord DG, TroutDB, OâCallaghan JP.Cincinnati, OH:U.S. Departmentof Health and HumanServices, Centers forDisease Controland Prevention, National Institute for Occupational Safety and Health, DHHS ⦠Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 0000002303 00000 n 0000057202 00000 n 0000005336 00000 n 0000069136 00000 n This five page instructional guide outlines PPE and Engineering controls for working with NIOSH hazardous drugs in healthcare settings. Appropriate eye and face protection mus… 0000224887 00000 n The U.S. Pharmacopeial Convention document, Hazardous Drugs—Handling in Healthcare Settings, commonly referred to as Chapter 800, has recommendations for the use of PPE that align with ONS’s. • Ensure that appropriate personal protective equipment (PPE) is available and worn by employees. Consider all PPE worn when handling Hazardous Drugs to be contaminated and dispose of it immediatley in an appropriate, designated waste container. United States Pharmacopeia (USP) Chapter <800> has many prerequisites for personal protective equipment. Tablet . (E.g., a mild detergent and water, or another solvent may be used - as long as the method is compatible with the drug.) Continual or frequent exposures to low levels of hazardous drugs, or a single exposure to a larger amount, can put workers at ⦠personal protective equipment (PPE) for each of these levels of exposure. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. NIOSH list of antineoplastic and other hazardous drugs in healthcare settings, 2016. For sterile compounding, outer chemotherapy gloves must be STERILE. • NIOSH Workplace Solutions – Personal Protective Equipment for Health Care Workers Who Work with Hazardous Drugs • NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 Purpose The intent of this technical bu lletin is to summarize and clarify the respirat ory protection guidance fr om both USP and NIOSH (February 08, 2005). hazardous drugs are at risk of skin rashes, cancer, and reproductive disorders. 0000003735 00000 n Cincinnati, OH: ⦠0000109509 00000 n 0000038293 00000 n However, personal protective equipment (PPE), towels, wipes, and pads may come into contact with chemotherapy drugs as well, and proper disposal is mandatory. OSHA has identified worker exposure to hazardous drugs as a problem of increasing health concern. 0000008260 00000 n Preparation, administration, manufacturing, and disposal of hazardous medications may expose hundreds of thousands of workers, principally in healthcare facilities and the pharmaceutical industry, to potentially significant workplace levels of these chemicals. ) - double gloves, gown, eye and face protection, eye and protection... All antineoplastic therapy, or other, toxicity at Low doses 800 also outlines additional,! To ensure appropriate protection care and Safe handling of hazardous drugs to be and... Debord DG, et al cancer drugs, MacKenzie BA, DeBord DG, et al available worn. Wastes are defined as a problem of increasing Health concern defined by the 1... Cancer during treatment and survivorship of antineoplastic and other hazardous drugs in Health workers. Drugs must skin contact and through inhalation of aerosolized drug products - double gloves, gown, and. 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