Prevention Guide - Safe Handling of Hazardous Drugs - Irsst
Prevention Guide - Safe Handling of Hazardous Drugs - Irsst
Prevention Guide - Safe Handling of Hazardous Drugs - Irsst
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4. GENERAL PREVENTIVE MEASURES<br />
Table 4. Personal Protective Equipment Recommended According to Medication Circuit Tasks<br />
Medication Circuit Steps Gloves Gown RPA*<br />
Face<br />
Protection<br />
Cap***<br />
Shoe<br />
Covers<br />
Unpacking and cleaning<br />
Storage<br />
Sterile preparations<br />
Non-sterile preparations:<br />
Counting <strong>of</strong> solid oral<br />
forms<br />
Preparing creams,<br />
ointments, oral solutions<br />
and crushing tablets<br />
Routes <strong>of</strong> administration<br />
(intravenous, subcutaneous,<br />
intramuscular, vesical,<br />
intraperitoneal, intrathecal,<br />
liquid oral) or extravasation<br />
Solid oral administration<br />
(tablets)<br />
Topical administration (creams,<br />
ointments)<br />
Aerosolized administration<br />
(ribavirin, pentamidine)<br />
Patient care<br />
<strong>Handling</strong> <strong>of</strong> contaminated<br />
bedding on the wards<br />
Waste management<br />
(collection and transport)<br />
Spill or damaged or broken<br />
container<br />
Cleaning <strong>of</strong> sterile preparation<br />
room and airlock<br />
Cleaning <strong>of</strong> preparation<br />
cabinets (hoods)<br />
Cleaning <strong>of</strong> other oncology<br />
pharmacy rooms and care<br />
units/clinics<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
(1 pair)<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
(1 pair)<br />
<br />
(1 pair)<br />
<br />
(1 pair)<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
(2 pairs)<br />
<br />
(1 pair)<br />
<br />
<br />
**<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
(if risk <strong>of</strong><br />
splashing)<br />
<br />
(if risk <strong>of</strong><br />
splashing)<br />
<br />
(if risk <strong>of</strong><br />
splashing)<br />
<br />
(if risk <strong>of</strong><br />
splashing)<br />
<br />
<br />
(if on the<br />
floor)<br />
<br />
<br />
<br />
* RPA = respiratory protection apparatus ** Not required if the unpacking area has an air exhaust mechanism (see 6.3.2). ***<br />
The wearing <strong>of</strong> a cap is related to sterile practices.<br />
PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 4-9