Issue link: https://beckershealthcare.uberflip.com/i/1191144
678-990-8001 tel. | www.workingbuildings.com STANDARD OPERATING PROCEDURES STAFF TRAINING CLEANING/DISPOSAL HD ENVIRONMENTAL MONITORING USP Chapter <800> requires that entities establish policies and procedures to ensure worker safety during hazardous drug handling. These policies and procedures must include receiving, compounding, labeling, transporting, administration, storage, and disposal. Safety Data Sheets (SDS) are a critical component of a facility HD SOP plan, and each hazardous chemical must have a readily accessible SDS. We will work with your team to review, edit, and develop your HD SOP plan. USP <800> recommends performing environmental wipe sampling be performed at least every 6 months to assess the effectiveness. Environ- mental wipe sampling for HD residue should be performed in pharmacy, mixing and patient administration areas. There are no current standards to certify wipe testing kits,but sampling marker HD kits are available for common HDs. Our team will work with your pharmacy, nursing, and environmental services leadership to develop a robust HD environmental sampling program. Trace amounts of HDs have been recovered on a wide variety of surfaces in healthcare facilities including medication storage rooms, patient rooms and bathrooms, nursing stations, elevators, and hallways. OSHA requires that personnel handling patient excreta (including urine, feces, or emesis) from patients that have received HDs in the last 48 hours wear PPE appropriate garb to prevent the risk of exposure. Cleaning HD contaminated areas requires a 4-step process using deactivating, decontaminating, clean- ing, and disinfecting agents. We will work with Environmental Services to assess cleaning practices and develop compliant workflows. USP <800> requires that HD education be performed on a yearly basis. Additionally, staff who regularly handle HDs should also be enrolled in a medical surveillance program. While not required by USP <800>, medical surveillance is a tool that may provide early detection of HD exposure if a staff member develops health prob- lems. Assessment and documentation of symptom complaints, physical findings, and lab work are performed. We work with your leadership team, human resources, and the employee health department to develop an initial medical surveillance program. IN PATIENT CARE AREAS HD EXPOSURE + RISK MANAGEMENT GAP ANALYSIS