Where can you find additional PPE recommendations for handling hazardous drugs (HDs)?

The correct choice for finding additional personal protective equipment (PPE) recommendations for handling hazardous drugs (HDs) is the National Institute for Occupational Safety and Health (NIOSH) list, specifically Table 5. This table provides a detailed list of hazardous drugs, including recommendations for the appropriate types of PPE required for handling different drugs based on their risk assessment.

In particular, NIOSH is recognized for its focus on worker safety and health, providing comprehensive guidelines that are evidence-based and specifically tailored for various hazardous substances, making it an excellent resource for healthcare and pharmacy professionals working with HDs.

While manufacturer instructions may provide some PPE recommendations, they might not be as extensive or applicable to all situations as the guidelines laid out by NIOSH. USP General Chapter 800 focuses on standards for safe handling of hazardous drugs but does not provide a comprehensive list specific to PPE like NIOSH does. Local health department regulations can vary widely and may not be as specific or detailed regarding PPE as NIOSH's established tables. Thus, Table 5 of the NIOSH list is the most authoritative source for detailed guidance on PPE for hazardous drug handling.