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Hazardous Drugs and USP : Implications for Nurses.
1Seattle Cancer Care Alliance.
Clinical Journal of Oncology Nursing
|March 19, 2017
Summary
New USP <800> guidelines mandate stricter handling of hazardous drugs (HDs) for nurses. Compliance with these enforceable standards, including the use of closed-system transfer devices, is crucial for healthcare facilities.
Area of Science:
- Pharmaceutical Sciences
- Nursing Practice
- Public Health
Background:
- Decades-old guidelines for hazardous drug (HD) handling lacked enforceability.
- The U.S. Pharmacopeial Convention's USP <800> chapter introduces expanded, detailed guidelines for HD compounding and administration.
- Unlike previous recommendations, USP <800> will be enforced by state boards of pharmacy.
Purpose of the Study:
- To outline the risks associated with hazardous drugs (HDs).
- To explain the implications of USP <800> for nursing practice.
- To highlight key requirements for nurses under the new USP <800> standards.
Main Methods:
- Review of nursing-specific requirements within USP <800>.
- Discussion of closed-system transfer devices (CSTDs) mandated by USP <800>.
- Analysis of the impact of USP <800> on healthcare facility protocols.
Main Results:
- Healthcare organizations face varying degrees of change to achieve USP <800> compliance.
- Some facilities may already meet USP <800> standards, while others require substantial modifications.
- Implementation of specific safety measures, like CSTDs, is necessary.
Conclusions:
- USP <800> represents a significant advancement in the enforceable safety standards for handling hazardous drugs.
- Nurses must be aware of and adhere to the new requirements to ensure patient and provider safety.
- Proactive adaptation to USP <800> is essential for all healthcare settings managing hazardous drugs.
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