TABLE VIII.
Health and Safety Guidelines for Selected Chemical Hazards
| Chemical agent | Health and safety guidelines |
|---|---|
| Aerosolized medications | OSHA Technical Manual (OTM) Section VI: Chapter 2: Controlling occupational exposure to hazardous drugs https://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_2.html |
| NIOSH alert on preventing occupational exposures to antineoplastic and other hazardous drugs. www.cdc.gov/niosh/docs/2004-165/pdfs/2004-165.pdf | |
| Antineoplastic drugs | American Society of Health-System Pharmacists (ASHP) guidelines for handling hazardous drugs. www.ashp.org/doclibrary/bestpractices/prepgdlhazdrugs.aspx |
| NIOSH alert on preventing occupational exposures to antineoplastic and other hazardous drugs. http://www.cdc.gov/niosh/docs/2004-165/pdfs/2004-165.pdf | |
| OSHA Technical Manual (OTM) Section VI: Chapter 2: Controlling occupational exposure to hazardous drugs https://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_2.html | |
| Occupational Safety and Health Administration (OSHA) safety and health topic page: Hazardous drugs. https://www.osha.gov/SLTC/index.html | |
| Chemical sterilants | OSHA Standard 1910.1047 ethylene oxide. http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=10070 |
| OSHA. Ethylene Oxide (EtO): Understanding OSHA's exposure monitoring requirements. https://www.osha.gov/Publications/OSHA_ethylene_oxide.pdf | |
| NIOSH. Current intelligence bulletin no. 52: Ethylene oxide sterilizers health care facilities-engineering controls and work practices. http://www.cdc.gov/niosh/docs/89-115/ | |
| High level disinfectants | NIOSH. Glutaraldehyde: Occupational hazards in hospitals. http://www.cdc.gov/niosh/docs/2001-115/ |
| OSHA. Best practices for the safe use of glutaraldehyde in health care. https://www.osha.gov/Publications/3258-08N-2006-English.html | |
| NIOSH Evaluation of worker exposures to peracetic acid-based sterilant during endoscope reprocessing. www.cdc.gov/niosh/hhe/reports/pdfs/2006-0298-3090.pdf | |
| Surgical smoke | NIOSH hazard controls: Control of smoke from laser/electric surgical procedures http://www.cdc.gov/niosh/docs/hazardcontrol/hc11.html |
| OSHA surgical suite eTool. https://www.osha.gov/SLTC/etools/hospital/surgical/surgical.html | |
| AORN management of surgical smoke tool kit. http://www.aorn.org/smoketoolkit/ | |
| Information alert: Laser plume in surgical procedures. http://www.ccohs.ca/otherhsinfo/alerts/alert61.txt | |
| OSHA safety and health topics: Laser/electrosurgery plume. https://www.osha.gov/SLTC/laserelectrosurgeryplume/ | |
| Information Alert: Laser plume in surgical procedures. http://www.ccohs.ca/otherhsinfo/alerts/alert61.txt | |
| Anesthetic gases | OSHA Technical Manual (OTM) Section VI: Chapter 1: Hospital investigations: Health hazards. https://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_1.html |
| OSHA. Anesthetic gases: Guidelines for workplace exposures. 2000. https://www.osha.gov/dts/osta/anestheticgases/index.html | |
| NIOSH. Controlling exposures to nitrous oxide during anesthetic administration. http://www.cdc.gov/niosh/docs/94-100/ | |
| NIOSH. Control of nitrous oxide in dental operatories. http://www.cdc.gov/niosh/docs/hazardcontrol/hc3.html | |
| NIOSH. Waste anesthetic gases—Occupational hazards in hospitals. http://www.cdc.gov/niosh/docs/2007-151/pdfs/2007-151.pdf |