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Managing hazardous drug exposures : information for healthcare settings
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April 2023
[PDF-2.42 MB]
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Alternative Title:NIOSH list of antineoplastic and other hazardous drugs
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Description:This document contains risk management information and a Table of Control Approaches describing some of the possible scenarios that workers may encounter in healthcare settings when handling hazardous drugs. The potential exposure of workers from handling a hazardous drug depends on several factors unique to each work setting. Such factors include (1 the dosage form of the drug, (2 the routes of exposure, (3 the frequency, duration, and magnitude of exposure, (4 work practices, and (5 the presence or absence of any exposure controls such as engineering controls, administrative controls, or personal protective equipment (PPE). The National Institute for Occupational Safety and Health (NIOSH encourages healthcare settings to conduct a facility-specific assessment to determine the most effective exposure control strategies for controlling the risks identified in the assessment. Healthcare facilities should repeat these assessments when operating procedures are modified, new controls are put in place, the volume of patients or drug-handling activities increase compared to the baseline, new drugs enter the workplace, hazardous-drug-related injuries occur, illnesses or near-miss incidents are reported, or when deviations from assigned control practices are identified.
In Chapter 8 of this document, there is a Table of Control Approaches for Safer Handling of Hazardous Drugs, which was derived from the table Personal Protective Equipment and Engineering Controls for Working with Hazardous Drugs in Healthcare Settings (often referred to as Table 5), published in previous iterations of the The NIOSH List of Antineoplastic and Other Hazardous Drugs. That table, referred to here as the Table of Control Approaches, provides information for some of the possible scenarios that workers may encounter in healthcare settings when handling hazardous drugs.
Suggested citation: NIOSH [2023]. Managing hazardous drug exposures: information for healthcare settings. By Hodson L, Ovesen J, Couch J, Hirst D, Lawson C, Lentz TJ, MacKenzie B, Mead K. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2023-130, https://doi.org/10.26616/NIOSHPUB2023130
2023-130.pdf?id=10.26616/NIOSHPUB2023130
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