[Pharmwaste] NIOSH Update

[Jim Mullowney]

There is no established time weighted average exposure allowed for cytotoxins, OSHA is Zero exposure. The bigger problem is for about 25 of the drugs the patient will excrete a large portion of the drug in the active form, so the guy cleaning the toilet or changing the sheets is heavily exposed. How about a patient on Cyclophosphamide who will get 4 grams of the drug injected and 1 gram will be excreted in 24 hours ( estimated one liter of urine in 24 hours that is 1000 ppm). That is a lot of a chemical made by a guy in a spacesuit to send someone home to his family without even telling him. The story gets worse if the guy is on a septic system and a well. 
Nice work Niosh, OSHA needs to step it up a bit and the EPA should recognize that "drugs are chemicals too". Cyclophosphamide (U058) breaks down into Acrolein (P003). 
What are we thinking.

Jim Mullowney  

-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Matthew C. Mireles
Sent: Monday, July 02, 2012 4:40 PM
To: Jeff Hollar; pharmwaste at lists.dep.state.fl.us
Subject: Re: [Pharmwaste] NIOSH Update

Jeff, many thanks for this info.  Exposure to hazardous materials is measured in time weighted average (TWA), FYI.

Matthew Mireles


-----Original Message-----
>From: Jeff Hollar <jhollar at pwaste.com>
>Sent: Jul 2, 2012 3:22 PM
>To: pharmwaste at lists.dep.state.fl.us
>Subject: [Pharmwaste] NIOSH Update
>
>We have just updated our database to reflect NIOSH's recent additions 
>(Table
>1) and deletions (Table 2) to the NIOSH hazardous drug list. Waste-ID 
>subscribers will notice these changes on their next output.  A direct 
>link to the recent changes can be found:
>http://www.cdc.gov/niosh/docs/2012-150/pdfs/2012-150.pdf
>
>Jeff Hollar
>President
>PharmWaste Technologies, Inc.
>Urbandale, IA 50322
>515-276-5302 (general)
>515-331-7310 (direct)
>515-360-9785 (cell)
>www.pwaste.com
>
>
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