#UNITED STATES PHARMACOPEIA DOWNLOAD DOWNLOAD#

For compounding, USP 800 states the facility MUST now have an externally vented biological safety cabinet (BSC) or containment primary engineering control (C-PEC). Compounding (sterile vs non-sterile) loosely interpreted, refers to all drug preparations. One of the major areas of change in USP 800 relates directly to HD compounding. These new guidelines cover HD handling from shipment to disposal. Although the specifics of enforcement are not fully understood at this time, OSHA (Occupational Safety and Health Administration) and State Veterinary Boards (VMB) will most likely be the groups enforcing these new guidelines. The new guidelines set in USP 800 become enforceable as of Dec 2019. The 2018 list should be published within the first quarter of 2019. The NIOSH HD list is updated every two years. Traditionally the HD list has consisted of human health care medications, but with increasing numbers of veterinary specific drugs, even if a drug is not listed, employees should always refer to the SDS for complete information. Group three lists drugs that pose a reproductive hazard. Group two consists of drugs that have one or more HD criteria set forth by NIOSH. Group one lists drugs that are chemotherapeutic/cytotoxic drugs. The NIOSH hazardous drug list consists of three groups. The National Institute for Occupational Safety and Health (NIOSH) hazardous drug list (2016) identifies drugs based upon hazard, which is further classified by group. These new guidelines discuss new required engineering controls, PPE, closed system transfer devices (CSTD), employee medical monitoring and even environmental contamination testing.

#UNITED STATES PHARMACOPEIA DOWNLOAD DOWNLOAD#

These new guidelines are outlined in USP 800 (click here to download the document). In recent years, new guidelines have been announced, published and will go into effect later this year. Hazardous drug handling safety is often a topic that is under-discussed in veterinary medicine. For many veterinary hospitals, these changes have been confusing and have sparked numerous conversations about proper implementation of these changes. Many of the new updates revolve around supplemental and engineering controls. It is imperative that facilities understand the risks (click here to download the document) associated with handling of HD and the controls available to protect the staff and the public. These new regulations will affect any facility housing or administering chemotherapeutics or any other hazardous drug (NIOSH HD list 2016 - click here to download the list). Recent updates to hazardous drug (HD) handling guidelines were published in 2014 then updated in 2016, by USP. The United States Pharmacopeia (USP) is a nonprofit organization that sets purity and safety standards for medications and foods.

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