Healthcare Design - October 2017 - 43

IN FO C U S
S T R A T E G I C A P P R O A C H E S to D E S I G N C H A L L E N G E S

H E A LT H CA R E WO R K E R S who handle hazardous
drugs, such as those used to treat cancer, are exposed to harmful chemicals that can pose some serious health risks: infertility, spontaneous abortions,
congenital malformations, cancer, immune disorders-and the list goes on.
Since 1994, more than 100 studies related to hazardous drug handling from organizations including the Oncology Nurses Society, American Society
of Clinical Oncology, and Occupational Safety and
Health Administration have documented evidence
that the work environment can become contaminated with hazardous drugs when these materials are
handled without adequate precautions. Until now,
there hasn't been an authoritative standard for how
spaces that store, prepare, transport, or administer
hazardous drugs, including pharmacies, hospitals,
patient treatment clinics, and physician's practice facilities, should be designed to minimize this risk.
The United States Pharmacopeial (USP) Convention's Chapter 800, "Hazardous Drugs-Handling in
Healthcare Settings," changes all of that. Released
in February 2016, USP 800 provides guidance for
personnel handling hazardous drugs, including the
use of personal protective equipment and proper
communication, training, transport, package labeling, and disposal. It also offers specifications for the
built environment, including engineering controls.
The national standard will become effective July 1,
2018, and many pharmacies in the U.S. will need to
modify their spaces prior to that date to meet these
new guidelines.
W H AT ' S N E W ?

O P E R AT I O N S

DAVID SENIOR

U N P A C K I N G U S P 8 0 0 

A new national standard for hazardous drug handling will
impact the space planning needs of compounding pharmacies
By Kim Cowman 

Before USP 800, pharmaceutical compounding was
regulated by two standards, USP 795 and USP 797,
which provide guidelines for nonsterile preparations and sterile preparations but don't distinguish
between hazardous and nonhazardous drugs.
USP 800 provides recommendations for hazardous drugs, specifically, and will have several implications for the space planning of new pharmacies. For
example, the new guidelines require that hazardous
drugs be unpacked, stored, and prepared in separate areas from nonhazardous drugs, which could
require more square footage to accommodate these
two workspaces. There are also new
HVAC requirements that, depending on the type of drugs being compounded, will affect space planning.

OCTOBER 2017

43



Table of Contents for the Digital Edition of Healthcare Design - October 2017

Healthcare Design - October 2017
Contents
Editorial
Show Talk
Photo Tour
Wise Words
Start Here
Fitting In
Operations Unpacking Usp 800
Product Spotlight Lighting
AIA-AAH
Face Time
HCD Expo 2017
Healthcare Design - October 2017 - Intro
Healthcare Design - October 2017 - Healthcare Design - October 2017
Healthcare Design - October 2017 - Cover2
Healthcare Design - October 2017 - 1
Healthcare Design - October 2017 - 2
Healthcare Design - October 2017 - Contents
Healthcare Design - October 2017 - 4
Healthcare Design - October 2017 - 5
Healthcare Design - October 2017 - 6
Healthcare Design - October 2017 - Editorial
Healthcare Design - October 2017 - Show Talk
Healthcare Design - October 2017 - 9
Healthcare Design - October 2017 - 10
Healthcare Design - October 2017 - 11
Healthcare Design - October 2017 - Photo Tour
Healthcare Design - October 2017 - 13
Healthcare Design - October 2017 - 14
Healthcare Design - October 2017 - 15
Healthcare Design - October 2017 - 16
Healthcare Design - October 2017 - 17
Healthcare Design - October 2017 - 18
Healthcare Design - October 2017 - Wise Words
Healthcare Design - October 2017 - 20
Healthcare Design - October 2017 - 21
Healthcare Design - October 2017 - 22
Healthcare Design - October 2017 - 23
Healthcare Design - October 2017 - 24
Healthcare Design - October 2017 - 25
Healthcare Design - October 2017 - Start Here
Healthcare Design - October 2017 - 27
Healthcare Design - October 2017 - 28
Healthcare Design - October 2017 - 29
Healthcare Design - October 2017 - 30
Healthcare Design - October 2017 - 31
Healthcare Design - October 2017 - 32
Healthcare Design - October 2017 - 33
Healthcare Design - October 2017 - Fitting In
Healthcare Design - October 2017 - 35
Healthcare Design - October 2017 - 36
Healthcare Design - October 2017 - 37
Healthcare Design - October 2017 - 38
Healthcare Design - October 2017 - 39
Healthcare Design - October 2017 - 40
Healthcare Design - October 2017 - 41
Healthcare Design - October 2017 - 42
Healthcare Design - October 2017 - Operations Unpacking Usp 800
Healthcare Design - October 2017 - 44
Healthcare Design - October 2017 - 45
Healthcare Design - October 2017 - 46
Healthcare Design - October 2017 - 47
Healthcare Design - October 2017 - 48
Healthcare Design - October 2017 - Product Spotlight Lighting
Healthcare Design - October 2017 - 50
Healthcare Design - October 2017 - 51
Healthcare Design - October 2017 - 52
Healthcare Design - October 2017 - AIA-AAH
Healthcare Design - October 2017 - 54
Healthcare Design - October 2017 - 55
Healthcare Design - October 2017 - Face Time
Healthcare Design - October 2017 - Cover3
Healthcare Design - October 2017 - Cover4
Healthcare Design - October 2017 - HCD Expo 2017
Healthcare Design - October 2017 - Expo2
Healthcare Design - October 2017 - Expo3
Healthcare Design - October 2017 - Expo4
Healthcare Design - October 2017 - Expo5
Healthcare Design - October 2017 - Expo6
Healthcare Design - October 2017 - Expo7
Healthcare Design - October 2017 - Expo8
Healthcare Design - October 2017 - Expo9
Healthcare Design - October 2017 - Expo10
Healthcare Design - October 2017 - Expo11
Healthcare Design - October 2017 - Expo12
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