USP General Chapter requires closed system drug-transfer devices (CSTDs) for hazardous drug (HD) administration where the dosage form allows, but only recommends CSTD use for compounding. Yet, recent data shows a higher percentage of usage for pharmacy than for nursing: while 91% of hospital pharmacies utilize CSTDs for HD preparation, only 75% of nursing units use CSTDs for HD asministration. This begs the question: Are nurses not using the device, or does nursing not have a device at all ?
Typically, CSTDs are selected by the pharmacy department to protect personnel during HD compounding. But now pharmacy must endeavor to support nursing’s use of CSTDs during HD administration.
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