[Pharmwaste] NIOSH Update

john Anderson jcanderson27 at comcast.net
Mon Jul 2 19:59:51 EDT 2012


Why has OSHA's message regarding these risks been falling on deaf ears?  OSHA has been speaking about this since 1986.  

Who is responsible for the Hospital Employees' Work Health?  

Where are the insurers ... as nobody else seems to be doing anything about this!  

John



-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jim Mullowney
Sent: Monday, July 02, 2012 7:37 PM
To: 'Matthew C. Mireles'; 'Jeff Hollar'; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] NIOSH Update

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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