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Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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5. RECEIVING AND TRANSPORT<br />

5 RECEIVING AND TRANSPORT<br />

5.1 Issues and Risks<br />

<strong>Drugs</strong> from suppliers usually arrive at the institution’s receiving dock. Depending on the institution, the unpacking<br />

and storage are done either upon receipt or in the pharmacy. In the first instance, the workers are not trained to handle<br />

hazardous drugs. It is thus preferable for these procedures to be performed in the pharmacy itself. In some<br />

institutions, delivery is made directly to the pharmacy.<br />

5.1.1 Risks<br />

Damaged parcels or containers represent a significant exposure risk. Liquid leaks can contaminate<br />

surfaces, while powders or aerosols can contaminate the air.<br />

A container broken in a fall or in some other way may expose the workers present and contaminate<br />

the environment via the spread <strong>of</strong> liquids, powders or aerosols or through the diffusion <strong>of</strong> vapours.<br />

Manufacturers and suppliers do not guarantee that the containers are free <strong>of</strong> contamination. The<br />

containers must thus be considered contaminated, unless effective packaging and segregation<br />

techniques have been used.<br />

5.2 Exposed Workers<br />

Receiving or transport clerks (e.g. stock-keeper, storeroom clerk)<br />

Hygiene and Sanitation Department workers<br />

Pharmacy Department workers (e.g. pharmacist, clerk, pharmacy technician)<br />

5.3 Preventive Measures<br />

5.3.1 Selection <strong>of</strong> <strong>Drugs</strong> RATING: +++<br />

Select hazardous drugs such that the risks are limited.<br />

RECOMMENDATIONS<br />

5.3.1.1 Institutions should ensure that purchases take into account the recommendations regarding<br />

hazardous drugs. If the purchases are made through group purchasing agreements, the<br />

Heads <strong>of</strong> the Pharmacy Departments involved should see to compliance with this<br />

recommendation.<br />

5.3.1.2 Whenever possible, choose hazardous drugs whose distribution form limits exposure risks<br />

and facilitates preparation and administration. For example, if the choice is between an<br />

already diluted product and a powder which requires reconstitution, preference should be<br />

given to the product already in solution.<br />

<br />

CSA, Z317.10-01, Section 4.1<br />

PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 5-1

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