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Introduction The United States Pharmacopeial Convention (USP) is developing a chapter for the National Formulary (USP-NF) that will establish safety standards for handling hazardous drugs (HDs).1 Although guidelines on hazardous drug handling are available from other organizations, USP has yet to include a specific chapter on this in the USP-NF.2-7 The current USP chapter emphasizes HD containment in order to protect personnel and the environment when handling both sterile and nonsterile HDs.

This chapter will be a resource for healthcare practitioners and staff, occupational health and safety specialists, and human resources.

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Whether you are a Snow White, a Scarlett O’Hara or Rapunzel, (Or Guys, whether you are a Romeo, Prince Charming or Knight in Shining Armor)when you coax your Saboteur into changing her or his mind it is downhill the rest of the way.

She is the author of The Breakup Cleanse: 28 Day Miracle Mind~Body Heart Break Recovery System.In an earlier study of both nurses and pharmacists who had been exposed to antineoplastic drugs (n=2976 women and a total of 7094 pregnancies), the risk of spontaneous abortion was increased by 1.5-fold.A 1.4-fold increase was identified for the combined risk of spontaneous abortion and stillbirth .12 Given these data and risk for immediate adverse effects with exposure to HDs, there is a clear need for preventing exposure of HDs to all involved in handling them.The proposed chapter requires institutions to maintain their own list of HDs, including those on the NIOSH list and any others they determine to be hazardous.Hazardous drugs have been associated with spontaneous abortion and congenital malformations.11,12 In a 2012 retrospective study of nurses who had reported exposure to antineoplastic drugs (n=7482 women who each became pregnant), an associated 2-fold risk for spontaneous abortion was identified.11 The risk was increased to 3.5-fold in nulliparous women.Contribute to the Presidential Campaign Fund on their tax return 9.

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