“You can’t value patient safety more than employee safety because the employees are the ones taking care of the patients.”
Nursing can’t do it alone. Pharmacy can’t do it alone. It takes an entire organization working together as an interdisciplinary team to provide the safest environment for health care workers handling hazardous drugs. Nothing says you care more about your people than making USP <800> a priority, because regardless of the compliance issue, it’s just the right thing to do.
What are the risks for facility administrators?
Use this video to:
- Understand the risks to those managing healthcare facilities.
- Educate a peer who may not recognize the risks.
- Help other departments understand why the risk is real and important to address.
“Whoever is running the organization, whether it’s a CEO of a health care setting or whether it’s an independent physician in their own private practice, they’re in charge, and they need to set the tone.”
“You’ve got to help them to be part of the solution. I find that if you take your biggest skeptics and make them part of the solution, converts become zealots. So if you can get them to believe and can get them to understand, you can find your champions.”
“To get C Suite to buy in here, they need to know that it’s a regulatory and a compliance issue. No administrator wants to put their employees at risk, so they have to understand that there are risks to these hazardous drugs. I think the enforcement piece from that perspective comes largely from the fact that there are organizations out there surveying and inspecting and requiring compliance. This is a federal standard. This is not something we can pick and choose. It’s not something we can identify that, ‘Well, I’m going to do this part of it but I’m not going to do the other.’ It’s a symbiotic sort of thing. It needs to work in concert with everything and whoever is controlling those funds needs to recognize that it’s an employee safety risk, and a requirement from a federal perspective, and will trickle down into the state and accreditation perspectives.”
Getting Started. People and Processes.
Infrastructure for Compounding.
OSHA: Controlling Occupational Exposure to Hazardous Drugs
NIOSH: 2004 Alert. Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings
ASHP: Guidelines on Handling Hazardous Drugs
ONS: Joint position statement from the Oncology Nursing Society, the American Society of Clinical Oncology, and the Hematology/Oncology Pharmacy Association
Get Ready for <800>
A useful approach to help conceptualize USP <800> is to think about the journey of an HD through your organization and the HD interaction points. Chapter <800> contains handling requirements from receipt through disposal.