Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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5. RECEIVING AND TRANSPORT 5.3.2 Delivery Containers RATING: ++ Ensure that the hazardous drug delivery containers from manufacturers and distributors are properly identified. RECOMMENDATIONS 5.3.2.1 The Drug Purchasing Managers should ensure that: ‣ the manufacturers and distributors package hazardous drugs separately from other drugs. This recommendation is generally applied in Canada by the distributors of the antineoplastic drugs used in oncology. Until regulatory consensus has been reached in Canada regarding the necessary precautions for other hazardous drugs, we feel it is not very realistic to require distributors to provide separate packaging and labeling for other drugs not used in oncology. ‣ the manufacturers and distributors package antineoplastic drugs in a plastic bag placed inside a properly sealed cardboard box marked with the symbol C (cytotoxic). If this cardboard box is placed in a rigid delivery container, the container must also be marked with the symbol C (cytotoxic). The delivery container may contain other, nonhazardous drugs. ‣ the distributor cleans the delivery containers regularly. For the sake of efficiency, these measures may be carried out at a regional or provincial level. ASHP, p. 1175 ♦ NIOSH, p. 12 5.3.3 Handling Hazardous Drug Delivery Containers RATING: +++ Ensure that hazardous drug delivery containers are unpacked in the Pharmacy Department. RECOMMENDATIONS 5.3.3.1 The receiving dock workers should check the integrity of the delivery containers upon receipt; in the event of breakage or a damaged parcel likely to cause a spill, apply the Spill Protocol (Appendix 4). 5.3.3.2 Delivery containers should immediately be taken by to the Pharmacy Department by the receiving dock workers or the distributor. 5.3.3.3 The receiving dock or storeroom workers should not open the delivery containers. Only the Pharmacy Department workers are authorized to proceed with the unpacking and subsequent steps. 5.3.3.4 The delivery containers should be handled with care to avoid breakage of the hazardous drug containers and should not be left unattended in a corridor. APES, p. 5-35 ♦ ASHP, p. 1175 ♦ OPQ, Section 6.2 5-2 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
5. RECEIVING AND TRANSPORT 5.3.4 Spill Kit RATING: +++ Ensure the availability of a spill kit for the management of spills. RECOMMENDATIONS 5.3.4.1 Damaged containers should be handled like spills. To limit exposure, a damaged container should never be returned to the manufacturer or distributor. The manufacturer or distributor must, however, be advised in writing and the event should be documented (e.g. supporting material, photos). See Section 12 regarding spills. (++) 5.3.4.2 A spill kit must be available in areas where hazardous drugs are received. ASHP, p. 1175-76, 1183 ♦ CSHP, Section 8.15.3 ♦ NIOSH, p. 11, 12, 18 ♦ ONS, p. 31-32 ♦ OSHA, Sections Vc5, Vc6 PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 5-3
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
Page 37 and 38: 4. GENERAL PREVENTIVE MEASURES 4 GE
Page 39 and 40: 4. GENERAL PREVENTIVE MEASURES 4.1.
Page 41 and 42: 4. GENERAL PREVENTIVE MEASURES 4.1.
Page 43 and 44: 4. GENERAL PREVENTIVE MEASURES clea
Page 45 and 46: 4. GENERAL PREVENTIVE MEASURES Tabl
Page 47: 4. GENERAL PREVENTIVE MEASURES Gras
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
Page 94 and 95: 10. ADMINISTRATION OF DRUGS 10.3.13
Page 96 and 97: 10. ADMINISTRATION OF DRUGS contain
Page 99 and 100: 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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