Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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8. DRUG PREPARATION Wearing both pairs of gloves, clean one part of the syringe. Avoid touching the cleaned section with the gloves. Remove one outer glove. Holding the cleaned section with the inner glove, clean the rest of the syringe. Remove the second outer glove and dispose of the glove and the gauze pad. FIGURE 14 Technique for cleaning a syringe in the preparation cabinet The cleaning procedures described in Figures 13 and 14 were developed by Lucie Couture, Maryse Quirion et Marlène Thibeault, pharmacists and teachers at the Centre de formation professionnelle Fierbourg. 8-10 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
9. TRANSPORT AND STORAGE FOLLOWING PREPARATION 9 TRANSPORT AND STORAGE FOLLOWING PREPARATION 9.1 Issues and Risks The breaking of a drug container through a fall or otherwise may expose the workers present and contaminate the environment through the spread of liquids, powders or aerosols or the diffusion of vapours. Direct contact with a container (as the outside of the container may be contaminated if it was not properly cleaned following preparation). 9.2 Exposed Workers ‣ Pharmacy Department workers (e.g. pharmacist, clerk, pharmacy technician) ‣ Outpatient clinic and care unit workers (e.g. nurse, patient service associate, inhalation therapist) ‣ Transport workers (clerk, etc.) 9.3 Preventive Measures 9.3.1 Drug Transport RATING: +++ Transport hazardous drugs using a method that will prevent contamination of the environment in the event of breakage. RECOMMENDATIONS 9.3.1.1 Hazardous drugs should be placed in a closed, leakproof plastic bag (e.g. Ziploc ® type). 9.3.1.2 Transport of the hazardous drug in a closed, leakproof plastic bag, from the pharmacy to an area not adjacent to the preparation area (e.g. care unit, outpatient clinic, home care), must be done in a rigid, shock-resistant, leakproof container made of a material which can be easily cleaned and decontaminated in the event of a drug leak. The bottom should be covered with an absorbent, plastic-backed cloth. 9.3.1.3 The transport container must be identified with the “Cytotoxic” hazard symbol. 9.3.1.4 Mechanical transport systems which put stress on the contents should not be used to transport antineoplastic type hazardous drugs. ‣ Lifts may be used if the drugs are in rigid containers. ‣ Pneumatic conveyors should not be used unless: the cartridges are sturdy and leakproof; there is an effective system for decontaminating the tubes in the event a cartridge breaks or leaks; there are dedicated cartridges for the transport of hazardous drugs which are identified as such, using a colour code or the “Cytotoxic” hazard symbol. The cartridges should allow the contents to be viewed prior to opening. The cartridges should be cleaned regularly to remove chemical contamination; the drug tolerates the transport (the stability of certain drugs requires very gentle transport). While it is generally agreed that antineoplastic hazardous drugs should not be transported via mechanical means (e.g. pneumatic conveyors), there is no consensus regarding the other, non-oncology, hazardous drugs. The members of the Committee feel that the proper labeling of these drugs with the word “Caution” on an appropriate container (e.g. leakproof Ziploc ® type bag) is sufficient for sending these drugs with non-hazardous drugs via mechanical means. PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 9-1
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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
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1. INTRODUCTION 1.1.1 Survey Regard
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1. INTRODUCTION 1.3 Guide Structure
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2. RISKS RELATED TO THE USE OF HAZA
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Pharmacy Care Wastes Support Receiv
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Page 27 and 28: 2. RISKS RELATED TO THE USE OF HAZA
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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.
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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
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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 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
Page 115: 14. LAUNDRY 14 LAUNDRY 14.1 Issues
Page 118 and 119: 15. MEDICAL, BIOLOGICAL AND ENVIRON
Page 120 and 121: 15. MEDICAL, BIOLOGICAL AND ENVIRON
Page 123 and 124: 16. REFERENCES 16 REFERENCES AHQ [1
Page 125: 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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