Staff who work with hazardous medications must be educated about the identification of hazardous medications, their possible health effects, safety data sheets (SDS), proper procedures for handling, preparation (as appropriate) and administration, transport, spill management, and disposal.

The United States Pharmacopeia (USP) General Chapter <800> Hazardous Drugs – Handling in Healthcare Settings outlines safe handling practices to promote patient safety, worker safety, and environmental protection. The VUMC Hazardous Medication List (HML) aligns with the National Institute for Occupational Safety and Health (NIOSH) List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings and includes charts that define appropriate PPE based on activity.


Affected staff must complete training by 12/1/2019, as required by USP <800>.  To access training, log in to the Learning Exchange and search for “FY20 Hazardous Medications Update.”  This training is required annually.

What's New

  • The hazardous medication list now includes many commonly ordered medications which were not previously listed (e.g., phenytoin, warfarin).
  • eStar files are being updated with information related to required use of personal protective equipment (PPE) and pneumatic tube restrictions.
  • Staff education is being assigned to provide information on safe handling of medications which are potentially hazardous.
  • Leaders are assessing their areas for proper equipment and supplies to support safety for staff when handling hazardous medications.

VUMC Resources

Additional Resources


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