hazardous drugs policy and procedure

This policy describes the specific procedures relating to disposal, return, destruction of investigational product for the Investigational Drug Service (IDS) Pharmacy at University of Utah Health (U of U Health) and all associated pharmacy satellites. • Gloves are required during handling of hazardous drugs (e.g., drug preparation, initial 42 0 obj<> endobj ﬁThis program must be a collaborative effort with input from all affected If you have questions regarding hazardous drugs including antineoplastic … All individuals who routinely handle cytotoxic drugs are trained in proper spill management and cleanup procedures. Recognize & prevent potential risks and conditions for exposure to potentially hazardous medications. Refer to Appendix A for list of medications. USP General Chapter <800> describes requirements including responsibilities of personnel handling hazardous drugs; facility and engineering controls; procedures for deactivating, decontaminating and cleaning; spill control; and documentation. c. The blower on the cabinet will be left on at all times. 12,13 Labelling. Note: This is a reformatted version of the procedure last published in March 2013 with some minor process changes (refer to the … 0000002483 00000 n “So the risk to handling hazardous drugs, it’s not like touching a hot object where you can feel the heat or get a burn. 0000000937 00000 n Policies & Procedures along with support documents to implement all requirements for USP <800> in Retail or LTC pharmacy. Definitions A. CFR: code of federal regulations B. Purposes A. 0000005043 00000 n 1. Topics include: Hazardous Drugs Introduction, Policies and Procedures, Hierarchy of Controls, Response to Exposure, Waste Disposal and Spill Response, and Site Specific Information. endstream endobj 5142 0 obj <. Policy & Procedure Systemic Therapy Coordinating Committee- Approved Dec 1, 2009 ... are available and readily accessible at each area where hazardous drugs are handled. Methodology for Adding Drugs to the List The Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings … Employees should wear gloves that are protective against the hazardous drug they are using. These hazardous drugs require special handling precautions during preparation, transport and administration as they may have some ri sk from occupational exposure. 4 Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings _____ I. Procedure: Cytotoxic and Hazardous Drugs: Administration & Handling - SCH This document reflects what is currently regarded as safe practice. 2. hazardous drugs are found in the Hazardous Drugs Policy (Supplement section of the Duke University Safety Manual). h�bbd``b`�k�S(��4�*�s+��D��pn"H�Ĳ� Y�h q��Qd ��Q��w�� i I �b�i�pm��(�vmv��=�e�n`�j��ok��l�|˷@u�[��V��a'X��Î�D5�x�E�ҍ��[Ŏ=_פ5��q��뚴��ݸ}�Qt�܇9��t]9�a��Y��U/��["�q��.��>﹓�cY��n�� unwٲ�y�Wx�?6k{r��8�y�Gt�|�-V�8{>�u��R�ܜ�[��8��u�y��m��|x�]|H�w�@��} @�� 28�l�O��L�w�TЕ"� l0Ly`CX�:��>��`� ��Q� �%�Z�X �e`5��X,� ��q�I�ɀq�y�e��x��_1��b�/T:��P� ��ܻ�1>h~�� ˷��74�U3� �30��5l� ڀ��k=�ff`��1��̂�c�0 ʹN# )i��fi`��LJ@q L'e��A�^��C�|�?�e�ZU��q��s�NH��_��a��fbk� D_:� 0000005801 00000 n 1.0 PURPOSE . )�v/��UZ4�w͉�a�hph�#��&��A�{� )�v��,j��U�e��D6P/�>�M5�x nђ3^s 12-14 Storage. 0000005348 00000 n USP 800 calls for facilities who have hazardous drugs in their formulary to create, if not already in place, a Compounding Supervisor role who will oversee hazardous drug specific areas for receipt, storage, and compounding. ��$ cQ��n_��RUOڐ��96|��U��諑a�[��+��&%g�~8�g�|a��s1��;��`=��cڵ^�s딮�sQ��H��pt��8t��N��Fi]�aڋ��=��ȋѩ�!F��C|!q��4�Dou�}8�!�G�Nh�V��pv��R�,�y �y�+�:��>��ۙM��M�;WH�;9(�)�\�ǻ��F'u��=�2�ԄM<0�Yp�ݒ|��pľ�ߕB \�� ~z��{Ɋ��"�mʢF[��S*�Oz��:dw�. The HDC Manager will oversee the process of documenting all hazardous drugs in your pharmacy. 2. Develop additional department/procedure specific written procedures as appropriate and ensure that See NIOSH list of Antineoplastic and Other Hazardous Drugs for a list. 5141 0 obj <> endobj It is important to clearly label all hazardous drugs to ensure that employees can easily determine the group to which the hazardous drug belongs to and the type of toxicity it causes. hazardous materials policy . Hazardous chemicals . Classify and manage a cytotoxic spill. 0000001824 00000 n N��;��+��H�/A��J�"V��k�� n �.�|b�w�>��+�_�c��$��4Oz ��p�,�kV-�ɯ$Y��&K�n��R;I��y�XU�!�p)��?��v��9� �F0O�K�h��)�J�;��%��-��RU{�ک. Workers should be trained to recognize and understand the risks associated with hazardous drugs and be provided with proper engineering controls and personal protective equipment (PPE). However, as in any clinical situation, there may be factors which cannot be covered by a single set of guidelines. H��W�r�F��+�V�v��I]�R��2�K�� E��|qz�FZf� For chemotherapy and other hazardous drugs, employees must wear gloves tested for use with chemotherapy drugs in the appropriate size. �U2��Lw��+vf�v3��ls'��@l'�?�H$��9�$�d�؎�b�L�_ϓ/��/7��k��p��n=��o�O��Z�|��t6��p��O��ᅶ��6ˉCk`xKL7�Mf�l�پK�qy_�u?q'��eS��Q�؊z��(�bW��il ��r�T endstream endobj startxref The purchase order must clearly specify: USP <800> brought this issue to the forefront by providing a clear explanation of the spectrum of safeguards needed to protect employees. POLICY AND PROCEDURE MANUAL TABLE OF CONTENTS SECTION I – ADMINISTRATION Mission Statement and Scope of Service I-1 Departmental Organization I-2 Staffing and Shift Coverage I-3 Meal Periods & Breaks I-4 Work Schedules I-5 Request for Time Off I-6 Departmental Orientation I-7 Sick Time I-8 Pharmacy Access I-9 Compensatory Time I-10 Employee … All hazardous drug work will be conducted in a Class II Biological Safety Cabinets that meet the current National Sanitation Foundation Standard. ��%�d��x�m��n��1��M��,aj�� hazardous drugs (HDs), they need to be aware of occupational risks. This cabinet must be authorized by DOHS for hazardous drug use. Hazardous drugs include those used for cancer chemotherapy, some antiviral drugs, hormones, and bioengineered drugs. Their recommendation for a collaborative approach of policy development is highly applauded and recommended. <<353074e9bb415f4087db472be9901a59>]>> Staff can mitigate possible exposure to hazardous medication by using one or more of the following minimum precaution recommendations when handling medication : • Wearing appropriate PPE indicated in this … 0000001017 00000 n �Wj�R��Y�j�U $��H��.r�qNPx[P��9�V�@�,��7�X��~֢%�a;}%�`��#w��Cg=��K�i`/�ǩ�,�L+�4�]��2�� ׎�o0�P��נ��ςE�]��C]��H��0�h�mR:�y8�e^�z�]��X�]e�¾�nW�om��5j�+��{{��ns7�EpR�u��ᷜm��OY�Y��kC�JY�@R(7pa�5�c5��-cLr'B{�/�1�a�t-� • Safe work practices (e.g., following spill procedures, standard cleaning practices) • Determination of the risk of inhalation, or risk of spill or splash . 2.0 SCOPE. ��Pb 12-15 Preparation. %%EOF This implementation of this policy will ensure that Authority employees are aware of any potential … 13,14 Packaging. 0000002728 00000 n hazardous drugs, following procedures as outlined in the Workplace Health “Cytotoxic – Spill Cleanup Procedure – Prepared medication or body fluids” and “Cytotoxic – Spill Cleanup – undiluted Medication”. 12,14,15 Drug … construed to represent any agency determination or policy. b. d. Decontamination should … Identify the proper handling of Hazardous consumables: receiving, storage, dispensing, delivery, and waste; recognize the proper use of personal protective equipment ! Disclosure Denise Frank reports no actual or potential conflicts of interest associated with this presentation. These standards apply to all healthcare personnel who receive, prepare, administer, transport or otherwise come in contact with hazardous drugs … startxref (7) Policies and procedures for profiling, labeling, manifesting, transporting, and disposing of all hazardous pharmaceutical waste in compliance with federal I think that by calling these toxic substances drugs, we look at them from a health care professional and even a patient’s perspective: drugs make you better, they don’t harm you. Exposures to hazardous drugs can cause both acute and chronic health effects such as rashes, adverse reproductive outcomes (infertility, spontaneous abortions and congenital … This document does not replace the need for the application of clinical judgement to each individual presentation. Handling Hazardous Drugs August 14, 2018 Denise M. Frank, BPharm, RPh, FACA 1. ��`-W��)��ZB��L�mQ��#1�qZ-�_n��q�y�zȩ�'q[U;\�q�Xq��AW��:l�ۖ!UO*+J��[e�A-��A/�p6{֩d^z34�DfAً.��7�v$L��=�� Managing risks of hazardous chemicals in the workplace– including substances, mixtures and articles that can be classified according to their chemical hazards – and storage, handling and disposal of dangerous goods. ��.��Rq/��I^��\��io��]�`�@�lo�� uɚ l ��p&700 1. Define cytotoxic and non-cytotoxic hazardous medications. 0 Ensure that employees know and follow the procedures outlined in this policy. 0000000016 00000 n 12,14,15 Safety equipment. Includes Assessment of Risk, Hazard Communication Plan, Hazardous Drug Inventory, Hazardous Drug Designee, Hazardous Drug Training, Best Practices, Dispensing Final Dosage Forms, and will continue to be updated as … This course will provide an overview of Hazardous Drugs awareness in the healthcare setting. These updated guidelines include infor-mation from the literature, NIOSH, and USP and are current to October 2017. 0000001289 00000 n %PDF-1.5 %�� 44 0 obj<>stream The Compounding Supervisor must thoroughly understand the rationale for risk-prevention policies, risks to themselves and others, risks of non-compliance … 1.9.1 Hazardous Drug Spill Kits will be readily available in areas where a spill may occur. 0000000636 00000 n Guidelines on Handling Hazardous Drugs are not intended to modify, interpret, or be a substitute for the provisions of USP chapter 800. To establish policy and procedures for all employees who work in healthcare areas where Hazardous Drugs (HDs) are handled to ensure requirements are met for the USP <800> Hazardous Drugs-Handling in Healthcare Settings standard which promotes patient safety, worker safety, and environment protection. 12,15 Transport. 0000001146 00000 n w��*��4��y�X1j��̅��>fF,��3�Y��òB�cr "Sl>�S��v�0}s$�pa��+��H%E�6 ��P!�Q�p�y�t5s�QɎ'$�B=ɬ��`��*��^�\��6��F�*�-��L��_�!�k��b��I�Z�0�)� 8�$ ��Y8�Y;�!A�Ѿ��䩬�Z�z�R(+^�:Y��ұ�� l�b��^�f7:�}�\�Rg�5b�l��I�E�)��@��T�-Ht4CF�*��[j� ��`�x��0Xz}�O�ΛԈ��*�(�p1�D��b��>�9��C�0=Yu示��v�4v�S�A6�L�R�|�Ԩ�)��6��9��_�a\�V֮��+-�� h�b```b``�``a``ke`@ V da�8(�,(�g`d`d8,��ϙ�>��@}�o��G|i"_�Ye��;$2$zd�ŏHrI�J-��$�_�]�^��n� <�Ql��J�[x�8ݸ�1O�`Ra`� xref Employees must wear gloves that are protective against the hazardous drug they are using. 5233 0 obj <>stream Purpose Significant advances in the awareness of safe handling of HDs have been made since the previous version of these … • Use of personal protective equipment (PPE). 0000005200 00000 n (ex: hazardous drug identification, hazards of specific drugs, spill procedures, etc.) Document all standard operating procedures related to hazardous drug handling; Review all healthcare personnel training records; train all personnel who come in contact with hazardous drugs, based on their job function and level of contact ; Ensure all personal protective equipment is General Chapter <800> compliant; Begin adjusting healthcare personnel to the new PPE policy … Hazardous Drug Program. This course has been modified from its original version for the environmental services department … 42 17 2. b. 3. • For chemotherapy and other hazardous drugs, employees must wear gloves tested for use with chemotherapy drugs in the appropriate size. Although these offered some protection, formal education about HD management was all but nonexistent, and the lack of detailed policy and procedures made enforcement and optimal use of HD equipment a significant challenge. Recognize how to complete the Assessment of Risk (AoR) of NIOSH listed drugs ! 0000002449 00000 n Bula helps you prepare to maintain compliance by offering the following three USP 800 Policies and Procedures templates: Hazardous Drug Handling – General Pharmacy / No Compounding ; Hazardous Drug Handling – NonSterile Compounding ; Hazardous Drug Handling – Sterile Compounding ; These are included in our almost 400 pages of pre-written policies and procedures … Determine appropriate precautions for safe handling of potentially cytotoxic and non-cytotoxic hazardous medications and associated waste. x�b```f``:��ǀ |@1V �� R�ߐ��B*��'V`��C�:�f&�� 0000002967 00000 n The guidelines were very heterogeneous regarding the stages described, likely because there is no international consensus on the phases that comprise the HD manipulation process. Summarize cleaning, deactivation, decontamination, … a. Hazardous Drug (HD) safe handling policies and procedures must be developed to address the following: 12,13 Receipt. 16 Use of Personal Protective Equipment (PPE) 14,17 Emergency procedures for treating accidental contact and spills. This SOP replaces previous SOPs on this topic as of June 1, 2018. endstream endobj 43 0 obj<> endobj 45 0 obj<> endobj 46 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 47 0 obj<> endobj 48 0 obj<> endobj 49 0 obj[/ICCBased 58 0 R] endobj 50 0 obj<> endobj 51 0 obj<> endobj 52 0 obj<> endobj 53 0 obj<>stream %%EOF 0 5157 0 obj <>/Filter/FlateDecode/ID[<43D66DFE3EC88341B11EC1F2524DC270><85424E5463B2A94587A393B2A94A1B8F>]/Index[5141 93]/Info 5140 0 R/Length 81/Prev 467110/Root 5142 0 R/Size 5234/Type/XRef/W[1 2 1]>>stream To illustrate this feature, we can note that although European authors consider actions such as staff training and/or patient … identify appropriate process for containment of hazardous residue ! The use of hazardous drugs should follow specific policies and procedures based on your work environment. 4.0 PURCHASE OF HAZARDOUS SUBSTANCES 4.1 A request for a MSDS shall be a standard procedure when purchasing a hazardous substance. The Hazardous Chemical Management Plan also references the procedures for controlling risks associated with selecting, handling, storing, transporting, usingesponding to spills or incidents,, r and disposing of hazardous chemicals, gases and … The ASHP Guidelines on Handling Hazardous Drugs provides some excellent guidance for developing laundry policies and procedures for protecting linen-handlers from exposure to HD™s. Gloves are required during handling of hazardou… Stages in the management process of hazardous drugs. POLICY/PROCEDURE TITLE: Safe Handling of Hazardous Drugs NUMBER: 7.02 Sponsor: Drugs & Therapeutics Committee Page: 1 of 23 Approved by: Medical Advisory Committee (Approved October 18, 2016) Approval Date: Oct 3, 2016 Effective Date: Dec 1, 2016 Applies To: Pharmacy, Physicians, Nursing, Housekeeping, Laundry Services, Protection Services TABLE OF CONTENTS Preamble 2 Policy … 2. trailer %PDF-1.4 %�� 0000003043 00000 n The cabinet will be certified every six (6) months by a certified technician. (6) Policies and procedures for transferring the collected hazardous pharmaceutical waste to the activity’s hazardous waste storage area (Storage Accumulation). The purpose of this policy is to inform the employees of the Grundy County Housing Authority about possible hazards connected with materials in their workplace and about proper handling of materials used in Authority operations. The entity’s policies need to define the expectations of receiving functions concerning HDs, and they should include the following for receiving personnel: • Identifying HDs, organizational policies and procedures. Hazardous drug:Any drug … Departments with employees who handle hazardous drugs on a regu lar basis must: 1. 0000005580 00000 n The person responsible for signing the purchase order irrespective of the purchase method shall initiate this action. Note: For administration of chemotherapy drugs refer to the policies in the SHR Nursing Policy & Procedure Manual. The Policy and Procedures for Developing the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings is intended to describe the methodology the National Institute for Occupational Safety and Health (NIOSH) uses to determine whether a drug meets the NIOSH definition of a hazardous drug. Authority The Occupational Safety and Health Act of 1970.1 II. 4.
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