Key USP 800 Supplies Quick Checklist

USP 800 regulation addresses requirements for the proper and safe handling and disposal of hazardous drugs, such as drugs found in NIOSH Table 1 and Table 2. We often get asked for a recommendation or checklist of products we recommend you have on hand to make compliance easier.

Compliance centers around handling of drugs on receipt, storage & transportation, active administration of dangerous drugs, as well as deactivation, decontamination, clean-up of and handling of accidental spills, as well as disposal of any drugs that are not used up in patient treatment. You can read about it on our website; or go directly to the source. USP 800

Maxpert Medical offers a range of products that aid in USP 800 compliance, making the process a little easier and – dare we say it – more pleasant. Our simple products are designed to be practical, easy to use, of high quality – therefore enhancing safety -, to protect you and your patients. We pride ourselves on common sense solutions that are easily adaptable to your unique environment. For example, if you are surrounded by glass or plastic windows or barriers, you will want USP 800 safety clings and signage that adheres to glass or plastic. Or you may need hazardous drug magnets that work with metal surfaces such as pharmacy or med room shelving or drawers. We offer options that work for your environment.

Safety when receiving, transporting, and storing hazardous drugs is both required and critical to personnel safety. You will also need to plan for accidental spills and easy drug disposal as these will be important to overall compliance.

There is obviously a lot to consider for USP 800 and your risk assessment. We have organized a short list of our recommended “essentials” into an at-a-glance checklist to help you review and purchase necessary products to help with compliance, based on potential opportunities for exposure by activity. A selection of items is provided by Maxpert Medical.

It goes without saying that the proper PPE (Personal Protection Equipment) must be available to personnel and offer appropriate protection levels. PPE must be worn when handling hazardous drugs during receipt, storage, transport, compounding, administration, deactivation/decontamination, cleaning, disinfection, spill control and waste disposal.

Proper PPE (Personal Protective Equipment)

• Powder-free chemotherapy gloves. Meet ASTM D6978 or successor.

• Disposable, closed back, long sleeve gowns. Shown to resist permeability of HD’s.

• Head, hair, shoe and sleeve covers.

• Eye and face protection. Goggles and face shields.

• Respiratory protection. N95 masks. Elastomeric half-mask with a multi-gas cartridge and P100-filter.

Receipt & Storage

• Signage displaying the hazard prior to entering any HD handling areas. Maxpert Signs

• Labeling or magnets for shelving, cabinets, bins, refrigerators, and any other designated area for hazardous drug storage. Maxpert Magnets and Labeling

• Hazardous Drug Spill Kit

• Signage to easily identify a hazardous drug spill kit. HD Spill Kit Label

• Cleaning and disinfection wipes to wipe down drug packages during receipt.

• 4 mil hazardous and chemo drug transport bags. Maxpert Bags

Labeling, Packaging & Transport

• 4 mil hazardous and chemo drug transport bags. Maxpert Bags

• Cautionary Hazardous or NIOSH Listed drug labeling. Hazardous Drug Labels

• Totes or bins designated for HD’s.

• CSTD’s

• Hazardous Drug Spill Kit

Administering

• Needless and closed systems like CSTDs

• Crushing tablets in a plastic pouch. MAXCRUSH Pouch

• Trace-contaminated HD waste container at administration site.

HD Waste Disposal and Deactivation, Decontamination, Cleaning and Disinfection

• Appropriate HD and trace contaminated waste collection containers.

• Hazardous Drug Disposal System. Rx Destroyer from Maxpert

• Deactivation agents. Such as peroxide formulations, sodium hypochlorite, etc.

• Appropriate decontamination agents validated to be effective for hazardous drugs.

• Germicidal detergent for cleaning.

• Disinfection agent – EPA-registered disinfectant and/or sterile alcohol as appropriate for use.