Cytotoxic drugs are used to treat cancer and other conditions. Workers can be exposed by handling them directly or through contact with bodily fluids and waste from patients treated with them, including faeces and urine. They are highly toxic to non-target cells and even at low exposure can cause cancer, affect foetal development and fertility, damage DNA and cause organ toxicity, and are generally identified by a purple symbol. Follow the general risk management process with the additional chemical considerations. Workers who are pregnant, breastfeeding or planning parenthood and involved in preparation, administration or waste must be told of the reproductive risks, may choose not to do the work and must be offered suitable alternative duties. Considerations by setting: for preparation, safe standard procedures, correct labelling, proper facilities and equipment and rotation; for administration, route (for example avoiding crushing capsules by using an alternative form), effects on the patient, procedures and training, facilities, labelling and rotation to reduce fatigue; for contaminated laundry, sources, who handles and moves it, identification and warnings, training and facilities; for contaminated waste, sources, handling, sorting, storage and disposal, facilities and training; and for spills, causes, who might be exposed, reporting and notification and training on containment and decontamination.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.