Hazardous Compound Flashcards
Where is the list of hazardous drugs found?
NIOSH
What are characteristics of hazardous?
Carcinogenic
Teratogenic
Reproductive toxicity
Genotoxic
Toxic to organs
What is required to fill out for all employees working with hazardous drugs?
Safety Data sheets
How to limit staff exposure
- Separate HD from other drugs
- Chemo gloves
- Dedicated counting trays and spatulas
- Sealing drugs
How often is assessment of risk be reviewed?
Q12M
Type of pressure for hazards
Negative
Air in C-PEC
ISO 5
Type of hood for hazards
Vertical lamir
Air in C-SEC
ISO 7
Air in anteroom
ISO 7
Air change for non sterile HDs
12 ACPH
Air change for sterile C-SEC
30 ACPH
Air change for C-SCA
12 ACPH
Can air be recirculated
No
PPE for hazards
Donned in anteroom dirtiest to cleanest
Don for HD compounding
- Head cover
- Eye protection
- Face mask
- Respiraort (N95)
- 2 pairs of shoe covers
- Chemo gown Q2-3H
- Powder free gloves (two pairs under and over cuff) Q30M
When is N95 required?
Cleaning large HD spills
Sanitizing under tray of C-PEC
Garbing for admin
2 pairs of chemo gloves
Single pair for tablets or caps
Gown required for injectables HDh
What goes in yellow bin
Trace HD:
- Empty syringes
- IV bags
- PPE
- HD sharps
What goes in red bin
NonHD sharps
What goes in black bin
Bulk HD from spills and supplies used to clean up spill
Steps of santization and agents used?
Deactivation: make compound inactive (Peroxide or bleach)
Decontamination: remove HD residue (alcohol, water, peroxide, bleach)
Cleaning: remove dirt and microbial contamination (germicidal detergent)
Disinfection: sterile only to destroy microbes (EPA disinfectant or 70% IPA)
How often is surface sampling for HDs
Q6M
Contents of spill kit?
Protective gown, N95 mask, googles, gloves
HD waste bags and chemo pads
HD spill report
