ce CONTINUING EDUCATION • Responsibilities of personnel handling hazard- ous drugs
the risk of managing hazardous drugs, and help reduce the risk posed to patients and the healthcare workforce. USP <800) addresses all stages of a hazardous drug lifecycle from the receipt, transport, dispensing and administering the hazardous drug. USP Chapter <800> requires all healthcare person- nel who handle HD preparations and all facilities that store, prepare, transport, or administer HDs comply with this standard. Personnel who may potentially be exposed to HDs include pharmacists, pharmacy technicians, nurses, physician assis- tants, home healthcare staff and veterinarians. Under USP <800>, facilities that handle HDs must incorporate the components of this chapter require the facility to maintain a list of HDs used in the facility, facility and engineering controls in place, competent staff must be employed, utiliz- ing safe work practices, proper use of Persona. Protective Equipment (PPE) and policies for hazardous waste segregation and disposal. USP <800> addresses the following topics: • List of hazardous drugs • Types of exposure
• Facilities and engineering controls • Environmental quality and controls • Personal Protective Equipment • Hazard Communication Program • Personnel training • Receiving hazardous drugs • Labeling, packaging, transporting and disposing of hazardous drugs. • Dispensing final disposal forms • Compounding hazardous drugs • Administering hazardous drugs • Deactivating, decontaminating, cleaning, and disinfecting • Spill control of hazardous drugs • Documentation and Standard Operating Procedures of hazardous drugs • Medical surveillance
SUMMARY
The NIOSH List of Hazardous Drugs List was cre- ated to provide guidance for healthcare workers and employers to prevent occupational exposures to these drugs and to provide safer workplaces for those who handle them. The United States Pharmacopoeia (USP) provides standards for safe handling of hazardous drugs to minimize the risk of exposure to healthcare personnel to include phar- macists and pharmacy technicians, patients, and the environment. OSHA has established standards requiring the reporting of employee exposure to haz- ardous medications and permits access to these records by employees. In addition, OSHA enacted Hazard Communication Standard which requires a healthcare facility to ensure workers are aware of chemical hazards in the workplace. The use of these three resources can help minimize adverse effects associated with hazardous drugs.
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