Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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7. PLANNING THE ONCOLOGY PHARMACY be lowered completely when the cabinets are not in use. To shut down the cabinets outside working hours to conserve energy, use a timer to make sure they are restarted 30 minutes before resuming work and stopped 30 minutes after finishing work; the ventilation in the sterile preparation room should always be adjusted accordingly. Clean the cabinet (i.e., floor, side walls, including the glass wall) after completing and before resuming work. In the event of a stoppage (e.g. breakdown), decontaminate the cabinet and allow it to operate for at least 30 minutes before resuming preparation work. 7.3.4.4 A Class II A2 cabinet may be used in the sterile preparation room for non-hazardous drugs intended for oncology patients. 7.3.4.5 The cabinets may be positioned side by side, with a space of at least 0.3 metres between them (see Figure 11). Rolling carts may be used next to a cabinet to support the preparation activities. Smoke pattern tests may be performed at the time of certification to confirm that the layout does not interfere with the laminar flow inside the cabinet. APES, p. 5-13, 5-17 ♦ ASHP, p. 1176-77, 1188 ♦ CSHP, Section 8.4 ♦ NIOSH, p. 13-16 ♦ ONS, p. 15 ♦ OPQ, Sections 7.1.9, 7.2 ♦ OSHA, Section Vb3 ♦ USP 797 ♦ proposed revision * 7.3.5 Non-sterile Preparation Cabinets RATING: ++ Use non-sterile preparation cabinets consistent with the level of worker protection and the use of non-sterile preparations of hazardous drugs. RECOMMENDATIONS 7.3.5.1 Class I biological safety cabinets exhausted to the outdoors may be used; when available, Class II B2 or B1 cabinets may also be used. 7.3.5.2 At the very least, a work area dedicated to the handling of non-sterile preparations of hazardous drugs should be used. ASHP, p. 1176 ♦ CSHP, Section 8.7 ♦ NIOSH, p. 15 * http://www.usp.org/USPNF/pf/generalChapter797.html [Accessed on October 10, 2007] 7-6 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
Hood Hood Pass-through to the clean room Pharmacists’ Office Pass-through to the data entry area Clean Room Airlock Pharmacists’ Office Prepared drug validation area Storage Unpacking and cleaning Data Entry Data Entry Pharmacists’ Office Wall exhaust hood Unpacking counter 7. PLANNING THE ONCOLOGY PHARMACY Hood FIGURE 9 Sample layout of an oncology pharmacy with a high preparation volume PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 7-7
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Prevention Guide Safe Handling of H
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Prevention Guide Safe Handling of H
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This guide has been developed by th
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Table of Contents PREAMBLE ........
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List of Tables Table 1 Medication C
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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.
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 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
Page 60 and 61: 7. PLANNING THE ONCOLOGY PHARMACY 7
Page 62 and 63: 7. PLANNING THE ONCOLOGY PHARMACY
Page 66 and 67: Fridge 7. PLANNING THE ONCOLOGY PHA
Page 68 and 69: 7. PLANNING THE ONCOLOGY PHARMACY T
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
Page 88 and 89: 10. ADMINISTRATION OF DRUGS Establi
Page 90 and 91: 10. ADMINISTRATION OF DRUGS if a o
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
Page 101 and 102: 11. PATIENT CARE arrive (see 13.3.1
Page 103: 11. PATIENT CARE Table 8. Hazardous
Page 106 and 107: 12. MANAGEMENT OF WASTE, ACCIDENTAL
Page 112 and 113: 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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