• Stored separately in pharmacy. • Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
cytotoxic agents (chemotherapy) IV Push, IV Infusion (chemotherapy) Key: certified RN and 1N designated staff only
Y (CCU only)
N
N
Y (1N only)
N
N
Y
N
Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)
Waste Requirements
erlotinib (Tarceva)
If > 3% by weight of drug remains ⇒ BLACK BUCKET Trace amounts/uncontaminated PPE ⇒ YELLOW BUCKET
USP <800> Hazardous Drug Assessment of Risk (AOR)
Per policy, these drugs are exempt from USP <800> handling requirements under normal circumstances. The following outlines must be followed.
• Handling/preparation PPE Requirements: Double CX gloves , gown
• Receiving from Distributor: Designated area/ CX gloves
• Pharmacy Storage Area: Hazardous
• Packaging/Reconstitution Location: Repackaging area
• Compounding (Non-Sterile/Sterile) Location: n/a
• Omnicell Load: No
Transport
• Transport (dose is placed inside a plastic sealable bag): Standard
Nursing: Storage / Admin.
Exposure Risk: low
• Handling/administration PPE Requirements: Single CX gloves , wash hands after handling
• Storage of Finished dose in Nursing Area/Procedural Area: Patient Med Drawer
• Signage on Patient Door Required: Yes
• Manipulation of Dosage Form: Done in Pharmacy
• Special Manipulation for Administration: do not crush tablet
Disposal / Spills
• Disposal of Drug Waste: Full- black bin , trace- yellow bin
• Disposol of Used PPE: yellow bin
• Spill management: n/a
Reason for exemption of USP<800> Containment Requirements: Does not require additional manipulation for administration; will comply with USP 800 recommendation for preparation
Last updated: Jun. 12, 2024
Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug / Assessment of Risk
• Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Push, IV Infusion (chemotherapy) Key: certified RN and 1N designated staff only
(CCU only)
(1N only)
Trace amounts/uncontaminated PPE ⇒ YELLOW BUCKET
The following outlines must be followed.
Receiving /
Storage /
Preparation
low
Storage /
Admin.
low
Spills