hazardous drugs

Hazardous Medications in ScriptPro Dispensing Robot

Christopher Duiven's picture

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Background: We are a large government health system that uses ScriptPro dispensing robots in our retail service lines. We are reviewing compliance with placing hazardous medications in these machines.
Questions:
(1) Do you currently place hazardous medications (e.g. phenytoin, spironolactone, fluconazole, carbamazepine, capecitabine, azathioprine, zonisamide) in your ScriptPro robots?

Using MDVs for Chemotherapy

Christopher Duiven's picture

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Hello All
We are assessing our utilization of Multi-Dose Vials for chemotherapy IV compounding in a USP800 fully-compliant hazardous IV cleanroom. We would like to better understand specific practices around the use of MDVs if using the same vial on more than one patient. What has been your risk assessment.

Questions:
(1) Do you use MDVs for chemotherapy compounding?

2014 NIOSH Hazardous Med List

Karen Thompson's picture

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Phenytoin and fosphenytoin are now considered "hazardous" by NIOSH on their 2014 list... It is currently stocked in ADCs in our emergency room and critical care areas. Are people removing phenytoin/fosphenytoin from ADCs and mixing all doses in a chemo hood? Is anyone making an expection in their hazardous drug handling policy for STAT meds?

 

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