(Learning about USP Chapter <800> in 10 minutes a week.)
4. Responsibilities of Personnel Handling Hazardous Drugs
Each facility must have a qualified and trained DESIGNATED PERSON responsible for:
- Developing and implementing appropriate procedures.
- Overseeing entity compliance with this chapter and other applicable laws, regulations, and standards.
- Ensuring competency of personnel.
- Ensuring environmental control of the storage and compounding areas.
The DESIGNATED PERSON must thoroughly understand the:
- Rational for risk-prevention policies.
- Risks to themselves and others.
- Risks of noncompliance compromising safety.
- Responsibility to report hazardous situations to management.
The DESIGNATED PERSON is also responsible for:
- Oversight of monitoring the facility.
- Maintaining reports of testing/sampling and acting on the results.
ALL PERSONNEL must understand fundamental practices and precautions involved in handling and ensuring the quality of final HDs to:
- Prevent harm to patients.
- Minimize exposure to personnel.
- Minimize contamination of the work and patient-care environment.
Questions:
- Where does the DESIGNATED PERSON obtain the necessary training for this job?
- How much training is "sufficient" for a DESIGNATED PERSON?
- How much time will be required for the DESIGNATED PERSON to do these activities each week?
- How many "support personnel" will be required to maintain records, etc.?
- How will the "action limits" be set for establishing "risks"?
Editorial Comment: It appears that the necessary training for a DESIGNATED PERSON could be quite extensive and involved, depending upon the type of compounding facility involved. It is important to comply with "what the chapter says" as that is the standard, not what someone "thinks" it says.
NEXT WEEK:
5. Facilities and Engineering Controls (5.1 and 5.2)
DON'T FORGET TO OBTAIN:
1. NEW!!! [FREE to Subscribers] New SOPs containing each of the 3 NIOSH LISTs as well as a composite LIST in Microsoft Word form are available for downloading. SOPs 14.004, 14.005, 14.006, and 14.008. New SOP 14.007 contains NIOSH LIST Table 5 "Personal Protective Equipment and Engineering Controls for Working With Hazardous Drugs in Healthcare Settings," also in Microsoft Word.
Also, a new 14.003 Hazardous Drugs List is now available.
2. A copy of a USP <800> Gap Analysis [FREE to all] available for downloading.
Both available at: http://www.CompoundingToday.com
4. COMING!!! A LOT more Standard Operating Procedures for USP <800>.
Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief
International Journal of Pharmaceutical Compounding
Remington: The Science and Practice of Pharmacy Twenty-second edition
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