The following additional requirements are necessary for those
retail pharmacies providing home health care services that routinely prepare
chemotherapy agents to insure the protection of the personnel involved:
(a) All chemotherapy agents should be
compounded in a vertical flow, Class II, biological safety cabinet. If
possible, other products should not be compounded in this cabinet.
(b) Protective apparel shall be worn by
personnel compounding chemotherapy drugs. This shall include disposable masks,
gloves, and gowns with tight cuffs.
(c) Proper aseptic and safety techniques
shall be used by personnel compounding chemotherapy agents. This shall include,
at a minimum, utilizing syringes and sets with luer-lock fittings, and wrapping
alcohol swabs around needle and neck of vials when withdrawing cytotoxic
solutions from a vial.
Appropriate disposal procedures for cytotoxic waste must be developed that
comply with applicable state and federal regulations.
(e) Written policies and procedures for
handling both major and minor spills of cytotoxic agents must be
(f) Prepared doses of
chemotherapy must be dispensed and shipped or delivered in a manner to minimize
the risk of accidental rupture of the primary container.
Ga. Comp. R. & Regs.
Original Rule entitled
"Cytotoxic Agents" was filed on August 30,
1985; effective September 19, 1985.
Repealed: New Rule of same title adopted. F.
Feb. 20, 2002; eff.
Mar. 12, 2002.