Which practice helps minimize occupational exposure when delivering hazardous drugs to patient rooms?

• A. Use CSTDs, closed carts or dedicated HD carts with sealed bags, and minimize open handling
• B. Delivering without sealed bags
• C. Use open handling
• D. Rely on staff training only

Answer: (A)

Minimizing occupational exposure during delivery hinges on containing the drug and preventing release into the surrounding environment. Using closed-system transfer devices, along with closed carts or dedicated hazardous-drug carts that carry sealed bags, creates a physical and procedural barrier that keeps hazardous drugs contained as they move from preparation areas to patient rooms. Coupled with minimizing any open handling, this approach greatly reduces the chances of leaks, spills, or aerosolization that could expose staff.

Delivering hazardous drugs without sealed bags removes the containment barrier, increasing the risk of exposure during transport. Open handling further elevates exposure risk by creating opportunities for spills or contact with contaminated surfaces or equipment. Relying on staff training alone, while important, does not provide the necessary physical containment to prevent exposure if a spill or leak occurs or if a new staff member forgets a step; training complements containment but cannot substitute for it.