Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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4. GENERAL PREVENTIVE MEASURES respiratoire, 2e édition, (Practical Respiratory Protection Guide, 2 nd edition), IRSST, 2003. [Available on line, in French only, at: http//www.irsst.qc.ca/fr/_publicationirsst_862.html] 4.1.7.12 Surgical Mask Surgical masks do not provide respiratory protection against hazardous drugs. They may be used in the event of a respiratory tract infection to limit the risk of microbial contamination of the product (respiratory etiquette). 4.1.7.13 Shoe Covers Disposable shoe covers must be worn when required. Shoe covers should be changed halfway through each shift or after a total of 3.5 hours or in the event of contamination, spillage or breakage. Aseptic practices include the wearing of shoe covers. In addition, in some cases where the floor may be contaminated (for example, in front of the hood in the sterile preparation room or in the event of a spill), the shoe covers prevent contamination of the shoes and, therefore, spreading of the contamination. APES, p. 5-6, 5-7 ♦ ASHP, p. 1178-80 ♦ CSA, Z94.4-83 ♦ CSHP, Sections 8.2.4, 8.3 ♦ LSST, Art.. 49 and 51 ♦ NIOSH, p. 12, 13, 14, 17 ♦ ONS, p. 17-19 ♦ OPQ, Sections 8, 9.2.2 ♦ OSHA, Section Vb6 4-8 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
4. GENERAL PREVENTIVE MEASURES Table 4. Personal Protective Equipment Recommended According to Medication Circuit Tasks Medication Circuit Steps Gloves Gown RPA* Face Protection Cap*** Shoe Covers Unpacking and cleaning Storage Sterile preparations Non-sterile preparations: Counting of solid oral forms Preparing creams, ointments, oral solutions and crushing tablets Routes of administration (intravenous, subcutaneous, intramuscular, vesical, intraperitoneal, intrathecal, liquid oral) or extravasation Solid oral administration (tablets) Topical administration (creams, ointments) Aerosolized administration (ribavirin, pentamidine) Patient care Handling of contaminated bedding on the wards Waste management (collection and transport) Spill or damaged or broken container Cleaning of sterile preparation room and airlock Cleaning of preparation cabinets (hoods) Cleaning of other oncology pharmacy rooms and care units/clinics (2 pairs) (1 pair) (2 pairs) (1 pair) (2 pairs) (1 pair) (1 pair) (2 pairs) (1 pair) (1 pair) (1 pair) (1 pair) (2 pairs) (1 pair) (2 pairs) (1 pair) ** (if risk of splashing) (if risk of splashing) (if risk of splashing) (if risk of splashing) (if on the floor) * RPA = respiratory protection apparatus ** Not required if the unpacking area has an air exhaust mechanism (see 6.3.2). *** The wearing of a cap is related to sterile practices. PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 4-9
Page 1 and 2: Prevention Guide Safe Handling of H
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Page 5 and 6: This guide has been developed by th
Page 7 and 8: Table of Contents PREAMBLE ........
Page 9 and 10: List of Tables Table 1 Medication C
Page 11: PREAMBLE In September 2004, the Uni
Page 14 and 15: 1. INTRODUCTION 1.1.1 Survey Regard
Page 16 and 17: 1. INTRODUCTION 1.3 Guide Structure
Page 19 and 20: 2. RISKS RELATED TO THE USE OF HAZA
Page 23 and 24: Pharmacy Care Wastes Support Receiv
Page 31: 2. RISKS RELATED TO THE USE OF HAZA
Page 34 and 35: 3. PREVENTION OBJECTIVES AND ACTION
Page 37 and 38: 4. GENERAL PREVENTIVE MEASURES 4 GE
Page 39 and 40: 4. GENERAL PREVENTIVE MEASURES 4.1.
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Page 53 and 54: 6. UNPACKING AND STORAGE 6 UNPACKIN
Page 55 and 56: 6. UNPACKING AND STORAGE 6.3.3 Unpa
Page 57: 6. UNPACKING AND STORAGE 6.3.6 Spil
Page 60 and 61: 7. PLANNING THE ONCOLOGY PHARMACY 7
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Page 66 and 67: Fridge 7. PLANNING THE ONCOLOGY PHA
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Page 70 and 71: 8. DRUG PREPARATION The product nev
Page 72 and 73: 8. DRUG PREPARATION ‣ avoid sudde
Page 74 and 75: 8. DRUG PREPARATION or “Caution
Page 76 and 77: 8. DRUG PREPARATION 8.3.9 Preparing
Page 78 and 79: 8. DRUG PREPARATION Wearing both
Page 80 and 81: 9. TRANSPORT AND STORAGE FOLLOWING
Page 82 and 83: 10. ADMINISTRATION OF DRUGS Adminis
Page 84 and 85: 10. ADMINISTRATION OF DRUGS Nurses
Page 86 and 87: 10. ADMINISTRATION OF DRUGS Primary
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Page 92 and 93: 10. ADMINISTRATION OF DRUGS 10.3.10
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10. ADMINISTRATION OF DRUGS 10.3.13
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10. ADMINISTRATION OF DRUGS contain
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11. PATIENT CARE 11 PATIENT CARE 11
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11. PATIENT CARE arrive (see 13.3.1
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11. PATIENT CARE Table 8. Hazardous
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12. MANAGEMENT OF WASTE, ACCIDENTAL
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13. HYGIENE AND SANITATION 13.2 Exp
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14. LAUNDRY 14 LAUNDRY 14.1 Issues
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15. MEDICAL, BIOLOGICAL AND ENVIRON
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15. MEDICAL, BIOLOGICAL AND ENVIRON
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16. REFERENCES 16 REFERENCES AHQ [1
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16. REFERENCES Nygren O., Lundgren
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APPENDIX 1 - GLOSSARY APPENDIX 1- G
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APPENDIX 1 - GLOSSARY TERMS DEFINIT
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APPENDIX 1 - GLOSSARY TERMS DEFINIT
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APPENDIX 2 - LIST OF HAZARDOUS DRUG
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APPENDIX 3 - SURVEY REGARDING PRACT
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APPENDIX 4 - HAZARDOUS SPILL MANAGE
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APPENDIX 4 - HAZARDOUS SPILL MANAGE
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5. MEASUREMENT OF WORK SURFACE CONT
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