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HAZARDOUS DRUG EXPOSURES IN HEALTHCARE Photo credit: CriticalPoint, LLC OverviewHealth care workers who prepare or administer hazardous drugs (e.g., those used for cancer therapy, and some antiviral drugs, hormone agents, and bioengineered drugs) or who work in areas where these drugs are used may be exposed to these agents in the workplace. About 8 million U.S. healthcare workers are potentially exposed to hazardous drugs, including pharmacy and nursing personnel, physicians, operating room personnel, environmental services workers, workers in research laboratories, veterinary care workers, and shipping and receiving personnel. Exposure to hazardous drugs can result in adverse health effects in healthcare workers. In fact, published studies have shown that workplace exposures to hazardous drugs can cause both acute and chronic health effects such as skin rashes, adverse reproductive outcomes (including infertility, spontaneous abortions, and congenital malformations), and possibly leukemia and other cancers. The health risk depends on how much exposure a worker has to these drugs and how toxic they are. Workers can be protected from exposures to hazardous drugs through engineering and administrative controls, and proper protective equipment. If you have any questions regarding hazardous drugs please submit them to Email CDC-INFO or call 1-800-CDC-INFO (800-232-4636), TTY: 888-232-6348) NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 The review process for the addition of the new listings is described in a Federal Register Noticepdf icon. What does it mean to dispense a medication? Dispensing includes all of the steps necessary to translate a medication order (prescription) into an individualized medication supply that is both safe and appropriate. Below is a very brief description of what a typical visit to your local pharmacy may look like: Step 1: The pharmacist will ask if you have visited this pharmacy before. If the answer is ‘No’, you will be asked to fill out a consent form. This allows the pharmacist to fill your prescription. If the answer is ‘Yes’, they will ask for an identifier (birthday or home address). This allows for an easy search within the pharmacy's computer system for your prescription records. You will then be asked if you have had this medication before, and what it is being used to treat. This information will allow the pharmacist to personalize your medication counsel when the medication is picked up. Step 2: A member of the pharmacy team will enter the prescription into your profile, checking the: doctor’s information, medication/dose, indications from the prescriber, and quantity of the script. The pharmacy system will check for possible interactions or other potential issues through the Nova Scotia Drug Information System. Step 3: The medication bottle will be scanned and packaged with the Lot and Expiry. The medication is then counted for the designated quantity, labelled and handed off to the pharmacist to be checked. Step 4: The pharmacist will perform a clinical check of your medication, which includes an assessment for drug interactions, allergies, as well as reviewing previous medications for the same use and ensuring it is the most appropriate drug, dose and duration for your condition. A pharmacist or pharmacy technician will perform a technical check on the accuracy of the information entered into the pharmacy software system, the label and the contents of the vial or package. They will also print off counselling documents to provide the patient with more information on the medication. Step 5: The patient will pick up their medication and the pharmacist will provide counseling to the patient on the medication. If it is a refill, this may include an assessment regarding how well the medication is working for you, and whether you are experiencing any side effects. A detailed description of the dispensing process can be viewed below:
1. Input & Initial Check (Do we have all of the information we need?)
2. Therapeutic Check (Is the prescription right for you?)
3. Preparation
4. Technical Check (Is the prescription filled accurately?)
5. Supply and Educate
Never be afraid to ask your pharmacist a question. Your safety is your pharmacist’s number one concern. What can make a drug be classified as a hazardous drug select all that apply?The National Institute for Occupational Safety and Health (NIOSH) considers a drug to be hazardous if it exhibits one or more of the following characteristics in humans or animals: carcinogenicity, teratogenicity or developmental toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, or structure ...
Which medication is classified as a hazardous drug quizlet?Hazardous drugs include drugs that are: teratogenic, carcinogenic, genotoxic (damage the DNA and can cause cancer), have reproductive toxicity, and cause organ toxicity at low doses.
Where would you find warnings and special handling for hazardous drugs quizlet?Where would you find warnings and special handling for Hazardous Drugs? On the manufacture's Safety Data Sheet.
Where do you find warnings and special handling for hazardous drugs?The Pharmacy and Clinic Facility will: Provide access to SDSs for hazardous drugs that it distributes. These SDSs are available by calling the pharmacy that distributed the drug. Provide a warning on the label of hazardous drugs that it distributes, indicating that special handling precautions are necessary.
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In our pharmacy which of the following activities are allowed select all that apply
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