The USP 800 text answers the question, it seems to me:
1
800 HAZARDOUS DRUGS—2
HANDLING IN HEALTHCARE SETTINGS
6.5 Respiratory Protection
543
For most activities requiring respiratory protection, an NIOSH-certified N95 or more
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protective respirator is sufficient to protect against airborne particles; however, these
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respirators offer no protection against gases and vapors and little protection against
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direct liquid splashes (see CDC’s Respirator Trusted-Source Information at
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http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/RespSource3healthcare.html
548
#e). Surgical masks do not provide respiratory protection from drug exposure and
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should not be used to compound or administer drugs. A surgical N95 respirator provides
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the respiratory protection of an N95 respirator and the splash protection provided by a
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surgical mask.
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Personnel unpacking HDs that are not contained in plastic should wear an elastomeric
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half-mask with a multi-gas cartridge and P100-filter. If the type of drug can be better
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defined, then a more targeted cartridge could be used.
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Fit test the respirator and train workers to use respiratory protection. Follow all
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requirements in the OSHA respiratory protection standard (29 CFR 1910.134)
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(http://www.osha.gov/SLTC/etools/respiratory/index.html).
An appropriate full-facepiece,
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chemical cartridge-type respirator shall be worn when attending to HD spills larger than
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what can be contained with a spill kit, or when there is known or suspected airborne
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exposure to powders or vapors.
Hope that helps.
Scott Grubbs, MD
WorkWell Occupational Health
Greenville, SC
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Kumar, Bindu, MD
Sent: Tuesday, April 11, 2017 1:53 PM
To: MCOH/EH
Subject: #ExtMail# Re: [MCOH-EH] USP 800 Hazardous Drugs Medical Surveillance
No oddly I didn’t hear back from anyone.
From: MCOH-EH [mailto:mcoh-eh-bounces+kumarb=mlhs.org@mylist.net]
On Behalf Of Tara Dockery
Sent: Tuesday, April 11, 2017 1:51 PM
To: MCOH/EH
Subject: [EXTERNAL] [MCOH-EH] USP 800 Hazardous Drugs Medical Surveillance
HI Bindu – had asked this question a while ago. Did you receive any feedback on this? If so, would you mind forwarding it to me? Thank you!
Tara
Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health
Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624
tdockery@oceanbeachhospital.com
Office Phone 360 – 642 - 6307
Cell Phone 509-760-7397
Fax 360-642-6309
From: MCOH-EH [mailto:mcoh-eh-bounces+tdockery=oceanbeachhospital.com@mylist.net]
On Behalf Of Bindu Kumar via MCOH-EH
Sent: Thursday, April 06, 2017 6:55 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: Bindu Kumar <bkumar00@yahoo.com>
Subject: Re: [MCOH-EH] USP 800 Hazardous Drugs Medical Surveillance
Anyone able to share their specific respirator requirements and fit testing plans under USP 800?
Thank you,
Bindu Kumar MD
Main Line Health
Sent from my iPhone
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