[MCOH-EH] #ExtMail# Re: USP 800 Hazardous Drugs Medical Surveillance

[Grubbs, Scott]

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
544 protective respirator is sufficient to protect against airborne particles; however, these
545 respirators offer no protection against gases and vapors and little protection against
546 direct liquid splashes (see CDC’s Respirator Trusted-Source Information at
547 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
549 should not be used to compound or administer drugs. A surgical N95 respirator provides
550 the respiratory protection of an N95 respirator and the splash protection provided by a
551 surgical mask.
552 Personnel unpacking HDs that are not contained in plastic should wear an elastomeric
553 half-mask with a multi-gas cartridge and P100-filter. If the type of drug can be better
554 defined, then a more targeted cartridge could be used.
555 Fit test the respirator and train workers to use respiratory protection. Follow all
556 requirements in the OSHA respiratory protection standard (29 CFR 1910.134)
557 (http://www.osha.gov/SLTC/etools/respiratory/index.html). An appropriate full-facepiece,
558 chemical cartridge-type respirator shall be worn when attending to HD spills larger than
559 what can be contained with a spill kit, or when there is known or suspected airborne
560 exposure to powders or vapors.

Hope that helps.

Scott Grubbs, MD
WorkWell Occupational Health
Greenville, SC
From: MCOH-EH [mailto:mcoh-eh-bounces at 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 at 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 at oceanbeachhospital.com<mailto:tdockery at 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 at mylist.net] On Behalf Of Bindu Kumar via MCOH-EH
Sent: Thursday, April 06, 2017 6:55 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Bindu Kumar <bkumar00 at yahoo.com<mailto:bkumar00 at 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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