Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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4. GENERAL PREVENTIVE MEASURES Table 5. Sequence of Operations for Putting on and Removing Personal Protective Equipment* Putting On Equipment Preparation in the Pharmacy (2 pairs of gloves) In the airlock (clean area **) 1. Wash your hands 2. Shoe covers and cap: place the feet, one after the other, in the dirty area Removing Equipment In the sterile preparation room 1. Outer pair of gloves In the airlock (dirty area) 3. Apply an alcohol-based gel to your hands 4. Inner pair of gloves (under the cuff of the gown) 5. Gown 6. Outer pair of gloves, over the cuff of the gown (this pair of gloves may also be put on in the sterile preparation room). In the airlock (dirty area*) In the airlock (clean area*) 2. Cap and gown*** 3. Inner pair of gloves 4. Shoe covers: remove by placing the feet, one after the other, in the clean area (avoid contact with the outer side) 5. Wash your hands (clean area) Administration of Drugs / Patient Care If wearing one pair of gloves 1. Wash your hands 2. Gown 3. Pair of gloves (over the cuff of the gown) 4. Face protection, if required If wearing one pair of gloves 1. Pair of gloves 2. Gown 3. Face protection, if worn 4. Wash your hands If wearing two pairs of gloves 1. Wash your hands 2. Pair of inner gloves (under the cuff of the gown) 3. Gown 4. Pair of outer gloves (over the cuff of the gown) 5. Face protection, if required If wearing two pairs of gloves 1. Outer pair of gloves 2. Gown** 3. Inner pair of gloves 4. Face protection, if worn 5. Wash your hands * Suggested procedure. It can be done another way if the sink is located midway between the clean and dirty areas. ** Clean area: should be free of chemical contamination (entry side area of the airlock). It contains the sink. Dirty area: may be chemically contaminated (sterile preparation room side). See 7.3.2.4 *** Special case: if the gown is kept on, but the gloves must be changed, it is recommended that the procedure shown in Figure 6 be followed. 1) To remove the outer pair of gloves (over the cuff of the gown). 4-10 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
4. GENERAL PREVENTIVE MEASURES Grasp the outer glove on hand 1 with hand 2 and pull off, touching only the outside of the glove, in order to avoid contaminating the inner pair. Pull off outer glove 2 with hand 1, touching only the inside of the glove. 2) To remove the inner pair of gloves (under the cuff of the gown) Pull on the gloves to free them from the cuffs of the gown. Touch only the outside of the gloves. With gloved hand 1, remove the glove on hand 2, by grasping it on the outside. With bare hand 2, insert the fingers under the cuff of the remaining glove and remove it. FIGURE 6 Procedure for removing gloves if the gown is kept on and two pairs of gloves are worn. PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 4-11
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
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Page 34 and 35: 3. PREVENTION OBJECTIVES AND ACTION
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Page 39 and 40: 4. GENERAL PREVENTIVE MEASURES 4.1.
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Page 50 and 51: 5. RECEIVING AND TRANSPORT 5.3.2 De
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
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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
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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
Page 94 and 95: 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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