Chapter <800>: Time to Move Forward!
December 2016 : USP <800> - Vol. 13 No. 12 - Page #1

USP Chapter <800> was finalized and published on February 1, 2016 with an extended official implementation date of July 1, 2018 (although some states have elected to require earlier compliance). Unlike Chapter <797>’s focus on enhancing patient safety, Chapter <800> is intended primarily to protect healthcare workers and environments from exposure to hazardous drugs (HDs) in the healthcare settings where they are handled. It is important to note that many of the requirements and recommendations in Chapter <800> are not new, and a wide variety of professional sources such as the American Society of Health-System Pharmacists, American Society of Clinical Oncology, National Institute for Occupational Safety and Health, and the Oncology Nursing Society have provided similar recommendations since the 1980s.1-5 Since much of this information has long been available, we must ask why it has taken so long to commit to implementing these sensible recommendations—some of which are now requirements. While there are many reasons (and excuses) for previous delays, Chapter <800> now mandates enforcement of these regulations, which will lead to many overdue physical plant modifications and work practice alterations.

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