Preparing several intravenous doses of an antineoplastic drug typically poses a higher potential risk to the worker. In addition to double gloving and a protective gown, an engineering control such as a BSC or CACI, possibly supplemented with a CSTD (closed system drug transfer device), is necessary to protect the drug, environment, and healthcare worker.

- NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016

ENGINEERING CONTROLS

• • Environmental and ventilation measures for controlling particulate or hazardous drug contamination when compounding drug as sterile products
• • Utilize advanced technology to maintain sterility and to avoid spread of contamination.
• • Required to protect the preparation from cross-contamination and microbial contamination.

HIERARCHY OF CONTROLS