Wash. Admin. Code § 296-62-50030 - Personal protective equipment (PPE)
(1) When there is reasonably anticipated
exposure to hazardous drugs each health care facility must conduct a PPE
assessment and provide and ensure use of appropriate PPE in accordance with WAC
296-800-160, personal protective
equipment (PPE), and chapter 296-842 WAC, Respirators.
(2) Use appropriate PPE whenever handling
body fluids and contaminated laundry.
(3) Gloves.
(a) Use powder-free chemotherapy gloves when
handling chemotherapy drugs or when there is potential contact with
chemotherapy contaminated items or surfaces.
(b) Provide latex-free gloves to employees
with latex sensitivities.
(c) Wear
two pairs of gloves when there is a significant risk of breakage or
contamination or permeation, e.g., during compounding, extended handling
periods, and cleaning up large hazardous drug spills.
(d) Change gloves per glove manufacturer's
instruction, type of occupational exposure, or when torn, punctured, or
contaminated.
(4)
Protective clothing.
(a) Wear gowns whenever
there is a reasonable possibility of a hazardous drug splash or spill such as
in compounding, preparing and administering hazardous drugs.
(b) Wear gowns made of polyethylene-coated
polypropylene or other nonabsorbent, nonlinting protective material as
determined by the PPE hazard assessment. Make sure the gown has a closed front,
long sleeves, and elastic or knit cuffs.
(c) Remove and dispose of gowns at the end of
hazardous drug handling activities, when leaving the hazardous drug handling
area and as soon as possible when damaged or contaminated.
(d) If no permeation information is
available, change gowns every two to three hours or when contaminated after a
splash or spill.
(5)
Face protection. Wear a full-face shield or a mask and eye protection as
appropriate when splashes to the eyes, nose, or mouth may occur; examples
include cleaning a spill, or performing a procedure such as bladder
instillation.
(6) Respiratory
protection.
(a) Use appropriate respiratory
protection or equivalent respiratory protection during spill clean up and
whenever there is a significant risk of inhalation exposure to hazardous drug
particulates.
(b) Use an
appropriate chemical cartridge-type respirator for events such as large spills
of volatile hazardous drugs, e.g., when an intravenous (IV) bag breaks or a
line disconnects.
(7)
Disposable PPE must be discarded into appropriate containers immediately after
use or as soon as feasible after contamination. Reusable PPE must be properly
cleaned and decontaminated after use or contamination.
Notes
Statutory Authority: RCW 49.17.010, 49.17.040, 49.17.050, 49.17.060, and 2011 c 39. 12-02-053, § 296-62-50030, filed 1/3/12, effective 1/1/14.
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