Mainly intended for the health care industry, this book provides an overview of current knowledge on hazardous drugs, describes how to perform a risk. Usp expands these protections by providing a formal set of standards and guidelines for the safe handling and use of hds in healthcare settings. The nine sections of this program explain the correct methods for working within engineering controls to maintain safety, the use of personal protective equipment to reduce exposure, and aseptic technique to ensure proper and safe compounding of preparations. Many of these workers treat small companion animals primarily cats and dogs, but also larger animals such as horses, with antineoplastic and. Ashp published its first guidance on hazardous drugs hds in 1983 as part of the 198384 ashp practice spotlight. Build your oncology nursing library with our evidencebased books. Supplemental materials are not guaranteed with any used book purchases. These standards offer new protocols for the safe handling of hazardous drugs. Determine appropriate precautions for safe handling of potentially cytotoxic and noncytotoxic hazardous medications and associated waste. Safe handling of oral chemotherapeutic agents in clinical. The key safe handling is to protect the health care worker throughout the three phases of contact with the hazardous drugs. Adherence to these recommendations is imperative as research continues to identify traces of hazardous agents on surfaces and hcws gloves and gowns, indicating that the risk for exposure is present. The purpose of the current study was to examine the hd safehandling practices of oncology nurses working on inpatient units at the national institutes of health clinical center nih cc in bethesda, maryland, using the factors predicting use of hazardous drug safehandling precautions model.
The authors advocate that safe handling of hazardous drugs should be built in to the teaching plans for patients and relatives and ensure this is both verbal and in writing this will then ensure effective and safe patient information and may assist staff in the community also. Safe handling of hazardous drugs workbook and a great selection of related books. Workers may be exposed during transportation, distribution, preparation and disposal of hazardous drugs or waste containing hazardous drugs in either the healthcare or home setting 8. Osha has identified worker exposure to hazardous drugs as a problem of increasing health concern. Information about safe handling of hazardous drugs is not always available in drug resource books commonly used by nurses. Preparation, administration, manufacturing, and disposal of hazardous medications may expose hundreds of thousands of workers, principally in healthcare facilities and the pharmaceutical industry, to potentially significant workplace levels of these chemicals. Responsibilities of personnel who handle hazardous drugs. States like washington and california, for example, have passed laws to enforce proper handling of chemotherapeutic drugs. The new requirements imposed by chapter will require pharmacies, oncology infusion centers, and other health care settings to significantly adjust their processes for handling hazardous drugs, said kienle, author of the book. It covers risks of exposure, controls used to prevent exposure including appropriate use of ppe, spill cleanup, and appropriate waste disposal.
Safe handling of hazardous drugs provides nurses with the latest details and procedures needed to keep safe in the workplace. Safe handling of hazardous drugs r2 digital library. Some of these practices include but are not limited to, donning of personal protective equipment such as a disposable gown, gloves, masks and the utilization of a closedsystem drug transfer device. United states pharmacopeia uspgeneral chapter hazardous drugs handling in healthcare settings describes standards for the safe handling of hazardous drugs hds, including the use of engineering controls, personal protective equipment ppe.
Buy safe handling of hazardous drugs workbook by luci powers, luci power editor, james jorgenson editor online at alibris. Continual or frequent exposures to low levels of hazardous drugs, or a single exposure to a larger amount, can put workers at risk of negative health effects. These are important but increased legislative regulation of hazardous drug handling is necessary to limit toxic exposure to nurses and other health care workers. These substances are used in a variety of care settings, ranging from hospitals to ambulatory surgery centers.
The third edition of safe handling of hazardous drugs provides nurses with the latest details and procedures needed to keep safe in the workplace. It is important that employees involved in the handling of hazardous drugs understand the risks that these drugs pose and what precautions to take to avoid exposure. Safe handling of hazardous drugs is based on the recommendations of niosh, osha, ons, the american society of healthsystem pharmacists ashp, and usp. Best practices for the safe handling of hazardous drugs. For patients with cancer, the benefits of treatment generally outweigh the risks, but as a healthcare worker, you should take every precaution to avoid exposure to these hazardous drugs you handle. It was created in response to a need, identified through our medicines information service, and reflects current best practice in the australian context. In addition to these new sections, each chapter includes key points to. Factors influencing nurses use of hazardous drug safe. Safe handling of hazardous drugs by oncology nursing society. Safe handling of hazardous drugs in healthcare public services. What was surprising according to the author many staff are not aware of all sources of exposure to hazardous drugs. First, our recommendations are relevant to multiple stakeholders, beginning with the manufacturer.
Safety and health topics hazardous drugs occupational. Youll find new chapters on postadministration issues, linen handling, disposal of hazardous drugs and hazardous drug waste, and the hazardous drug handling. In addition to these new sections, each chapter includes key points. Personal protective equipment use and hazardous drug spills among ambulatory oncology nurses. Niosh list of antineoplastic and other hazardous drugs in healthcare settings, 2016 dhhs niosh publication no. Legislative and regulatory efforts to improve safe handling. Ashp guidelines on handling hazardous drugs ashp published its first guidance on hazardous drugs hds in 1983 as part of the 198384 ashp practice spotlight. What are the standards for the safe handling of hazardous drugs. Mainly intended for the health care industry, this book provides an overview of current knowledge on hazardous drugs, describes how to perform a risk assessment and gives examples of best practices for each stage of handling hazardous drugs. Onss safe handling of hazardous drugs walks practitioners and administrators through various research and practice recommendations. Health care workers who prepare or administer hazardous drugs e. Factors influencing nurses use of hazardous drug safe handling precautions. Veterinary healthcare employees working where hazardous drugs are handled may face health risks.
Purpose to provide 2019 asco standards on the safe handling of hazardous drugs. Safe handling of hazardous drugs third edition oncology. In the past, there have been recommended guidelines for the handling of hazardous drugs, but there have been no enforceable legal standards in most states. Youll find new chapters on postadministration issues, linen handling, disposal of hazardous drugs and hazardous drug waste, and the hazardous drug handling policy landscape. The safe handling basics course is an introductory course that discusses hazardous drugs and how to handle them safely. The national institute for occupational safety and health niosh in the united states is taking the lead in classifying hazardous drugs. Gloves are required during handling of hazardous drugs e. Best practices for the safe handling of hazardous drugs 5 hazardous drugs are specific drugs with the potential to harm workers who are exposed to them. This is a text book for oncology nurses, and many of them will prepare and administer cancer treatments and medications that will treat various cancers. Ons recommendations for safe handling of hazardous drugs. Safe handling of hazardous drugs workbook 97815852898 and a great selection of similar new, used and collectible books available now at great prices. The national institute for occupational safety and health defines hazardous drugs as any drugs that can cause physical. While there is a thorough discussion of the topic in oncologyrelated publications, the typical drug handbook focuses on patient safety and does not even recommend that nurses wear gloves.
Safe handling of hazardous drugs third edition safe handling of hazardous drugs third edition pages 5371 environmental decontamination, management of spills, disposal of hazardous drugs and hazardous drug waste, medical surveillance of healthcare workers handling hazardous drugs. Safe handling of hazardous drugs third edition ons. A list of hazardous drugs is maintained by the national institute for occupational safety and health. The third edition of safe handling of hazardous drugs provides nurses with the latest. Learn about the dangers of hazardous drug exposure. Limiting nursing exposure with a hazardous drug control program. In addition to these new sections, each chapter includes key points to help highlight the most important information for nurses dealing with hazardous drugs. In addition, although the panel was composed solely of pharmacists, this group has significant experience with safe handling of hazardous agents coupled with managing oral agents for all disease types. The national institute for occupational safety and health defines hazardous drugs as any drugs that can cause physical changes to the human body1. Contains some markings such as highlighting and writing. Safe handling of hazardous drugs workbook by luci powers.
Randomized controlled trial of an intervention to improve nurses hazardous drug handling. This essential guide is designed to help you translate safe handling recommendations into your daily practice as you handle hds in the delivery of care to patients. Gaining compliance through implementation of a hazardous drug control program. Ashp guidelines on handling hazardous drugs american. Safe handling of hazardous drugs 3rd edition nursing times.
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