What are the acceptable limits for HD surface contamination?

The correct answer regarding acceptable limits for hazardous drug (HD) surface contamination is that no standard currently exists. While various recommendations and guidelines have been proposed by organizations like the National Institute for Occupational Safety and Health (NIOSH) and USP Chapter <800>, they do not establish a definitive, universally accepted quantitative limit for surface contamination.

In practice, the standards for HD contamination levels may vary based on the specific context, such as the type of hazardous drug, the environment in which they are handled, and the methods used for monitoring. This variability highlights the ongoing need for healthcare facilities to implement appropriate contamination control procedures while also using the best available practices to mitigate risks associated with HD exposure.

The absence of a concrete standard underscores the importance of institutions establishing their own monitoring protocols based on recognized best practices and available literature, ultimately aiming to enhance worker safety and minimize the potential for contamination.