Prevention Guide - Safe Handling of Hazardous Drugs - Irsst

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10. ADMINISTRATION OF DRUGS containers; this pad will also absorb any contamination. Avoiding pushing on the plunger, the protective cap on the syringe should be removed over the absorbent pad; ‣ following the injection, discard the syringe in a rigid cytotoxic waste container and place the rest of the material in a Ziploc ® type bag, which is to be discarded with the cytotoxic waste. In the event that several consecutive intrathecal injections are required, the technique is the same for each syringe, i.e., the first syringe is placed on the absorbent pad, the contents of the second syringe are injected, etc. Everything is then discarded as described above. 10.3.15 Hazardous Drug Returns RATING: ++ Use procedures that limit contamination to return unused hazardous drugs to the pharmacy. RECOMMENDATIONS 10.3.15.1 Hazardous drug returns should be placed in a closed, leakproof, plastic bag (e.g. Ziploc ® type), particularly if the treatment is postponed, refused or changed. 10.3.15.2 The closed, leakproof, plastic bag containing the unused hazardous drug returns should be taken from the care unit/clinic to the pharmacy in a rigid, shock-resistant, leakproof container made of a material which can be easily cleaned and decontaminated in the event of a leak. The transport container must be identified with the “Cytotoxic” hazard symbol. 10.3.15.3 Mechanical transport systems (such as pneumatic systems),which put stress on the contents, should not be used unless certain conditions are met (see 9.3.1.4). 10.3.15.4 Avoid using the transport containers for other purposes within the institution; in addition, the containers should be cleaned periodically (e.g. every three months). CSHP, Section 8.9 10.3.16 Spill Kit RATING: +++ Make sure a kit is available for the management of spills. RECOMMENDATIONS 10.3.16.1 A spill management kit must be available in proximity to the care units/clinics where hazardous drugs are administered. In the event of a spill, see Section 12.3.4 and Appendix 4. ASHP, p. 1176, 1183, 1189-90 ♦ CSHP, Section 8.15.3 ♦ NIOSH, p. 11, 12, 18 ♦ ONS, p. 31-32 ♦ OSHA, Section Vc5 10-16 ASSTSAS PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS
10. ADMINISTRATION OF DRUGS 10.3.17 Administration in the Home RATING: +++ Establish policies and procedures to limit exposure risks. RECOMMENDATIONS NOTE All of the recommendations in this guide regarding administration also apply to administration in the home. For additional information, see also Section 11.3.3. 10.3.17.1 All hazardous drug preparations must be compounded in the pharmacy. 10.3.17.2 Hazardous drugs should be transported, administered and disposed of by properly trained workers. It should be ensured that the hazardous drug transport containers are not reused by patients for domestic purposes, which may expose the family to hazardous drugs (e.g. toy box, sewing basket, etc.). 10.3.17.3 Make sure that the management of hazardous waste in the home complies with the recommendations in Section 12.3.2. 10.3.17.4 The nurse or inhalation therapist who administers hazardous drugs in the home must carry a spill kit. If the patient self-administers a hazardous drug, the institution should provide him with a spill kit, as well as the training necessary for its use. See Section 12.3.4 and Appendix 4. ASHP, p. 1183 ♦ ONS, p. 32 ♦ OSHA, Section Vc2 PREVENTION GUIDE – SAFE HANDLING OF HAZARDOUS DRUGS ASSTSAS 10-17
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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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3. PREVENTION OBJECTIVES AND ACTION
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4. GENERAL PREVENTIVE MEASURES 4 GE
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4. GENERAL PREVENTIVE MEASURES 4.1.
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4. GENERAL PREVENTIVE MEASURES 4.1.
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4. GENERAL PREVENTIVE MEASURES clea
Page 45 and 46: 4. GENERAL PREVENTIVE MEASURES Tabl
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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
Page 60 and 61: 7. PLANNING THE ONCOLOGY PHARMACY 7
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Page 64 and 65: 7. PLANNING THE ONCOLOGY PHARMACY b
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 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
Page 129 and 130: APPENDIX 1 - GLOSSARY APPENDIX 1- G
Page 131 and 132: APPENDIX 1 - GLOSSARY TERMS DEFINIT
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Page 136 and 137: APPENDIX 2 - LIST OF HAZARDOUS DRUG
Page 142 and 143: APPENDIX 3 - SURVEY REGARDING PRACT
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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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