Tammie Johnson
Cumberland Medical Center, Crossville, Tennessee
Specialist USP800 Waste Disposal Solutions
USP <800> waste containers and services that protect frontline healthcare workers
Where Clinical Specialization Matters
From oncology centers to hospitals, our partnership delivers:
- 100% Daniels. No third parties
- Industry Leading Containers
- Highest standards of Cleanliness
- USP800 Hazardous Drug Security
Clinically-Engineered USP <800> Waste Disposal Solutions
What is USP <800>?
The handling of hazardous drugs in any healthcare facility comes with serious responsibilities. The main purpose of the USP general chapter <800> is to clearly and thoroughly outline these responsibilities.
It describes the engineering and facility controls, spill controls, decontaminating, deactivating and cleaning procedures, and documentation required when handling hazardous drugs.
According to the National Institute for Occupational Safety and Health (NIOSH) guidelines, drugs are considered hazardous if they exhibit the following characteristics in animals or humans:
- Carcinogenicity
- Teratogenicity
- Developmental toxicity
- Reproductive toxicity
- Organ toxicity at low doses
- Genotoxicity
- Toxicity and structure profiles imitating hazardous drugs
Whether they’re receiving, preparing, administering, or transporting hazardous drugs, all healthcare workers handling such substances must adhere to the USP general chapter <800> guidelines.
One of the major components of USP <800> is the Assessment of Risk (AoR). This establishes safe work practices with the best-known containment strategies for controlling hazardous drug contamination. The required AoR elements include risk exposure, manipulation, packaging, documentation of possible containment procedures and work practices, a drug dosage form, and annual review and documentation.
The Main Purpose of USP General Chapter <800>
The main purpose of the USP <800> guidelines is to protect frontline healthcare employees in contact with hazardous drugs. The standard dictates new waste handling requirements for PPE and other items that have come into contact with the hazardous drugs listed in the NIOSH guidelines.
The USP <800> standard is kept at the forefront of Daniels’ containment solutions. These products are clinically engineered to aid training and safety plans around hazardous drugs.
USP <800> Compliance and Hazardous Drug Management
According to the NIOSH guidelines for hazardous drugs, gloves, masks, foot covers, bunny suits, and gowns used in administering any USP <800> classified substance are considered “contaminated”. As a result, they fall into a new disposal and waste containment category.
Ensuring Safety Beyond the Hospital
Daniels has over 35 years of experience as an industry leader in the safe collection, transportation and treatment of all healthcare generated waste streams. The combination of compliance expertise and clinically-engineered waste solutions protects the safety risk exposure and regulatory responsibilities of healthcare facilities managing USP <800> waste.
The USP <800> containment solutions are taken in custom transporters to minimize contamination. They’re sanitized through robotic washing to achieve an unparalleled level of cleanliness and a reduction in bacterial load. Daniels’ CT22 and CT64 containers enable point-of-use segregation of sharps and PPE USP <800> classified waste in a single mobile unit. This is the best practice for handling hazardous drugs.
Daniels has also partnered with multiple healthcare facilities to implement the Chemosmart system. This cost-effective and compliant solution is made for the disposal of exposed PPE, drug packaging, and trace residues of newly classified drugs.
01. LOCATE THE SYSTEM
Nurse locates the hands-free Daniels USP800 waste containment system for use within their department. A Hands-free system is key to eliminating risk of cross contamination when it is time to remove PPE exposed to hazardous drug administration (Including gloves, bunny suits/gowns, masks, foot covers, etc). In circumstances where injections are being made with USP 800 classified drugs, Daniels Health CT64 + CT22 solution is the perfect point-of-use combination for sharps and soft waste. All PPE should be disposed of in the open-lidded CT64 container, and all sharps with trace amount of material can be disposed of in the safety-tray-restricted CT22 container.
02. POSITION THE SYSTEM
The system is moved to the outside of the patient’s room by nurse prior to delivering the hazardous medication to the patient
Positioning details:
A. If isolation is required, it must be contained inside the patient room.
B. In all other cases, the container is to be positioned outside the patient room or patient care area. The nurse can now administer the hazardous medication.
03. HANDS-FREE DISPOSAL
After Hazardous Medications have been administered to patient, a nurse will remove the PPE and place it inside the CT64 container for collection. This action must be performed hands-free to eliminate potential cross-contamination of clean areas and control medication trace residues
04. POST-PROCEDURE
Once PPE has been removed, the Nurse can place the USP800 system back into the holding location until the next use is required. If in isolation the USP800 system will need to be subjected to the internal protocols of equipment disinfection. It would be no different from any other decontamination processes taking place within the patient room.
USP800 Products and Resources
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CT22 | Chemosmart Reusable Chemotherapy Waste Container
5.8 Gallon chemotherapy sharps container fitted with a gravity-balanced safety tray and no-hands access.
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CT64 | Chemosmart Reusable Chemotherapy Waste Container
16.9 Gallon Chemotherapy container designed for trace chemotherapy waste; ideally suited to infusion bays.
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NIOSH Hazardous Drug List
NIOSH’s categorization of hazardous drugs that fall under the USP800 Standard include both Antineoplastic drugs and non-antineoplastic drugs; this helpful resource outlines hazardous drugs that fall into the USP800 drug categorization.
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Cartsmart 1
Constructed of lightweight materials, this mobile cart has long-lasting durability and is easily cleaned.
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Soft Close 64 Series Accessmart
This storage solution enables a hands-free disposal and reduction of odors with its soft close mechanism.
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Safe Disposal of USP800 Trace Hazardous Medication
This simple education poster outlines what is classified as non-sharp Trace hazardous medication waste (USP800).
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CT64 Chemosmart Operating Instructions
This safe operating procedure instructs users on the use of the CT64 Chemosmart chemotherapy waste container.
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USP800 System 4 Easy Steps
How to utilize Daniels’ USP800 waste containment system for isolation units and general wards post-procedure.
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USP800 Personal Protective Equipment
Aligning with USP800, this resource pictorially illustrates when PPE and safety precautions are required for different drug categories.
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Static Floorstand – 64 Series
With an accompanying foot pedal, this mount permits the operation of elevating 64-Series containers to be hands-free.
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S-Series Floorstand
By preventing tipping or spillage, this floor mounting option enhances stability of S-Series Sharpsmart containers.
“Partnership in Sustainability…”
“The Safety of my staff…”
Sr Jonker, Infection Control Sister
La Verna Hospital, South Africa
“Could not be more pleased…”
Jennifer Foster (Manager, Infection Control/Accreditation & Regulatory Services).
Holy Cross Germantown Hospital
“Increased Staff Satisfaction…”
Joseph Rizzo, Environmental Services
Lancaster Regional Medical Center, USA
“I definitely recommend…”
Glenn Canning (EVS Director)
Paul Oliver Hospital
FAQ’s
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