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Safe Handling of Hazardous Drugs

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In the Regulation<br />

Where preparation<br />

activities involving<br />

cytotoxic drugs take<br />

place at the facility, an<br />

approved BSC must<br />

be provided and used.<br />

See section 6.53 <strong>of</strong><br />

the Regulation.<br />

Where a BSC is used,<br />

it must be equipped<br />

with a continuous<br />

airflow monitoring<br />

device where<br />

cytotoxic drugs are<br />

present. See section<br />

6.53(1)(c) <strong>of</strong> the<br />

Regulation.<br />

17.2 Equipment<br />

Appropriate equipment for using hazardous drugs in veterinary<br />

practice may include:<br />

••<br />

An approved BSC, if any preparation activities take place at the<br />

facility.<br />

••<br />

<strong>Safe</strong>ty-engineered sharps or needleless systems for the<br />

administration <strong>of</strong> hazardous drugs. Although not a regulatory<br />

requirement in veterinary practice, these reduce the risk <strong>of</strong><br />

exposure to workers.<br />

••<br />

Equipment dedicated for use with animals receiving hazardous<br />

drugs.<br />

Refer to Appendix 6 for information on how to select equipment<br />

that is appropriate for use with hazardous drugs.<br />

17.3 Guidelines for safe work practice<br />

Best practices for the use <strong>of</strong> hazardous drugs in veterinary settings<br />

include:<br />

••<br />

Where possible, purchasing hazardous drugs in a form that is ready<br />

to administer, to avoid preparation activities at the practice facility<br />

••<br />

Where possible, referring animals to specialized treatment centres<br />

••<br />

Identifying animals who have received hazardous drugs, such as<br />

by placing signs on cages or kennels<br />

••<br />

Prohibiting the use <strong>of</strong> pressure washers to clean cages, kennels,<br />

and stalls <strong>of</strong> animals being treated with hazardous drugs to<br />

minimize the spread <strong>of</strong> aerosolized contamination<br />

••<br />

Supplying disposable towels for cleaning cages, kennels, and<br />

animals, where practicable<br />

Animals who have received hazardous drugs should also be cared<br />

for with safe handling precautions after their treatment (see Chapter<br />

18, “Patient Care”).<br />

17.4 Cleaning<br />

Cleaning and decontamination <strong>of</strong> the veterinary practice facility<br />

should take place regularly to reduce contamination with hazardous<br />

drug residues. This includes:<br />

••<br />

Regular cleaning <strong>of</strong> animal excreta<br />

••<br />

Regular cleaning and decontamination <strong>of</strong> the treatment area<br />

••<br />

Gently hosing down cages and kennels to avoid producing<br />

aerosolized contamination<br />

Best Practices for the <strong>Safe</strong> <strong>Handling</strong> <strong>of</strong> <strong>Hazardous</strong> <strong>Drugs</strong> 43

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