All rights reserved. USP <800> will effect both the supply chain and the clinical environment. The use of chemotherapeutics grew significantly in the 1960s and 1970s, and as a result, reports of traces of chemotherapeutic agents in the urine of oncology nurses and later reports in health care workers of side effects similar to those of chemotherapy patients–nausea, vomiting, hair loss, and mouth sores—began to emerge in the late 1970s. The three categories of engineering controls in <800> are primary, secondary, and supplementary levels. USP 800 compliance is crucial. The Compliance Management Document rolls up all requirements under USP <800> into a project management format for complete documentation to be available for Joint Commission Surveys, state Board of Pharmacy reviews, or other regulatory inquiries. Download this article to learn about best practices for safeguarding your health system when handling NIOSH hazardous drugs.Supply chain will play an important role in helping health systems meet the new USP General Chapter <800> standards. Considering the potential impact on health and safety, the purpose of USP <800> is to define standards for handling HDs and to help promote patient, worker and environmental … HDs that can be considered for an assessment of risk include (1) antineoplastics on the NIOSH Table 1 that only need to be counted or packaged; (2) nonantineoplastic drugs, and (3) reproductive-only hazards. Now, in 2017, we await the next draft of this chapter to be released for public comment. The primary control, C-PEC, is a ventilated device designed to minimize worker and environmental HD exposure when directly handing HDs. Hazardous drugs (HD) are drugs known to cause harm to humans and animals. While USP 800 will still be official on December 1, 2019, it will be informational only and not compendially applicable until the appeals are resolved.USP is an advisory organization that recommends but does not enforce standards. We have robust solutions and resources to help you take control of your non-acute care continuum, now.Unless otherwise noted, the recommendations in this document were obtained from: U.S. Pharmacopeia General Chapter <800>. And because the standards apply to all healthcare personnel who receive, prepare, administer, transport or otherwise come in contact with hazardous drugs, supply chain will have to reach into all areas of the health system – not just pharmacy, but nursing, lab/phlebotomy, specialty clinics (such as urology), EVS, sterile processing, couriers, and more.Official date of USP <800>: affected users should begin meeting the new requirementsMedTrainer, a healthcare compliance training provider for medical practices, offers a USP <800> Toolkit containing a systematic set of processes to conduct an assessment of risk and create the documentation and tracking that is required of the standard.Failure to follow hazardous drug handling standards and regulations may result in accreditation deficiencies, OSHA violations, or even civil liabilities.Global demand is outpacing supply for some personal protective equipment (PPE) and related products due to the coronavirus outbreak. 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