Assuntos
Antivirais/uso terapêutico , Ciclopentanos/uso terapêutico , Drogas em Investigação , Guanidinas/uso terapêutico , Vírus da Influenza A Subtipo H1N1 , Influenza Humana/tratamento farmacológico , Ácidos Carbocíclicos , Adulto , Antivirais/efeitos adversos , Centers for Disease Control and Prevention, U.S. , Criança , Ensaios Clínicos Fase II como Assunto , Ensaios Clínicos Fase III como Assunto , Cuidados Críticos , Ciclopentanos/efeitos adversos , Serviços Médicos de Emergência , Guanidinas/efeitos adversos , Humanos , Estados UnidosRESUMO
PURPOSE: The implementation of a safety program for handling hazardous drugs in a community hospital is described. SUMMARY: A committee of representatives of the departments of pharmacy, nursing, human resources, safety, radiology, performance improvement, employee health, and environmental services and members of the hospital administration was formed to formally address the management of hazardous drugs in a community, not-for-profit, adult hospital in Omaha, Nebraska. Published guidelines and regulations were reviewed to determine the hospital's compliance with the handling of hazardous drugs. A knowledge deficit regarding the risk and severity of occupational exposure to hazardous drugs was identified. A formal education plan was immediately implemented providing inservice education to all staff who may come into contact with hazardous drugs. Each drug was electronically tagged in the hospital computer system. The nitrile gloves used in the pharmacy were switched to a brand tested for resistance to chemotherapy drug permeation. The use of personal protective equipment for all health care workers who may come into contact with hazardous drugs was also instituted. Waste stream management was addressed, and a new waste stream was identifed and implemented to address chemicals regulated by the Resource Conservation Recovery Act. Nursing, pharmacy, and housekeeping personnel were extensively educated on the different waste streams and the importance of segregating waste at the point of use. All gloves for housekeeping and laundry service staff were replaced with hazardous-drug-rated nitrile gloves. CONCLUSION: A gap analysis allowed a multidisciplinary team to establish a safety program for managing hazardous drugs in a community hospital.
Assuntos
Substâncias Perigosas , Recursos Humanos em Hospital/educação , Preparações Farmacêuticas , Desenvolvimento de Programas , Gestão da Segurança , Guias como Assunto , Hospitais Comunitários , Humanos , Capacitação em Serviço , Nebraska , Saúde OcupacionalAssuntos
Formulários de Hospitais como Assunto , Erros de Medicação/prevenção & controle , Avaliação de Processos em Cuidados de Saúde/métodos , Gestão da Segurança/métodos , Tomada de Decisões , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Humanos , Comitê de Farmácia e TerapêuticaRESUMO
PURPOSE: The role of pharmacists in the Metropolitan Medical Response System (MMRS) for Omaha, Nebraska, is described. SUMMARY: Pharmacists have been involved in the Omaha MMRS since its inception in 2000. The Omaha MMRS has a pharmacy committee composed of pharmacists from local hospitals, community pharmacies, and two pharmacy schools. The pharmacy committee oversees the stock of pharmaceuticals available to Omaha in an emergency by continuously monitoring hospital inventories and working with state and federal planners. Pharmacists are responsible for planning for the receiving, staging, storing, distributing, and dispensing of the large quantities of pharmaceuticals that might be required in a disaster. Pharmacists also educate other health care professionals and the public about threats. CONCLUSION: Pharmacists play a major role in emergency preparedness in the Omaha metropolitan area and would be active participants in the community's response to a disaster.