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Comprehensive program for handling hazardous drugs

D M Arrington1, M A McDiarmid

  • 1Department of Pharmacy Services, Johns Hopkins Hospital, Baltimore, MD 21287-6180.

American Journal of Hospital Pharmacy
|June 1, 1993
PubMed
Summary
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A new program for safe handling of hazardous drugs was implemented, improving employee understanding and hospital compliance with Occupational Safety and Health Administration (OSHA) regulations. This initiative enhanced safety protocols for hazardous drug management.

Area of Science:

  • Occupational Health
  • Pharmacy Practice
  • Drug Safety

Background:

  • Hazardous drugs pose risks to healthcare workers.
  • Existing guidelines for handling hazardous drugs require consistent implementation.
  • Tertiary care institutions need robust safety programs for drug handling.

Purpose of the Study:

  • To develop and implement a comprehensive program for safe handling of hazardous drugs.
  • To ensure compliance with Occupational Safety and Health Administration (OSHA) regulations.
  • To enhance employee understanding and practices regarding hazardous drug safety.

Main Methods:

  • A multidisciplinary working group identified hazardous drugs.
  • Guidelines were based on OSHA standards and institutional input.

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  • New systems for receiving, storing, transporting, and labeling hazardous drugs were established.
  • Staff retraining and a voluntary medical surveillance program were implemented.

    • Main Results:

    • The program increased employee understanding of hazardous drug safety needs.
    • Hospital compliance with OSHA regulations improved.
    • Standard operating procedures and daily practices were updated.
    • A system for monitoring exposure to genotoxic drugs was created.

    Conclusions:

    • A comprehensive, multidisciplinary program is effective for safe hazardous drug handling.
    • Implementation requires staff training, clear procedures, and ongoing monitoring.
    • Such programs enhance workplace safety and regulatory compliance.