Pharmacies – Shoe Inn Machinations

Primer on Types of Disposable Gloves

gloves There are four primary types of disposable gloves: latex, nitrile, neoprene/chloroprene, and vinyl. What are the different materials and characteristics of these gloves? Read on to find out.

Latex

Latex is a natural rubber sap that is secreted by rubber trees; when their bark is cut, the rubber sap is used to repair and heal the bark. Over the years, scientists have created formulas to achieve disposable gloves with premium strength, elasticity, tactile sensitivity, and durability. Due to the variety of proteins found in natural rubber, some users may experience skin irritation and allergic reactions, which can also affect other people these gloves come in contact with during use.

The natural rubber latex gloves are made from gives them their stretchability. Gloves made from latex are comfortable and will conform to the shape of your hands. Latex gloves are an excellent choice for your comfort and protection needs.

Nitrile

Nitrile butadiene rubber (nitrile for short) is a synthetic rubber that does not contain latex proteins and is generally resistant to oil, fuel, and other chemicals.

151-T Nitrile gloves are more puncture resistant and stronger than natural rubber gloves but are not as strong as neoprene. Nitrile gloves are similar to latex gloves and can be a comparable option for those that have latex allergies. Nitrile gloves provide flexible and tactile wear while generally molding well to hands to provide a tight, second skin fit.

Neoprene/Chloroprene

Neoprene/chloroprene is an organic compound and a type of synthetic rubber that, like nitrile, does not contain latex proteins. These gloves alleviate the potential for adverse reactions associated with proteins in natural rubber latex. 152-T

Chloroprene gloves are best known for their resistance to a variety of acids, chemicals, and other harsh substances. Because they are made from neoprene, they maintain their flexibility even when working with a wide range of temperatures.

Vinyl

Vinyl gloves are latex-free gloves that come in both thin and thick sizes. They do not stretch and are less comfortable than latex, but still provide better tactile sensitivity than neoprene. Vinyl gloves are ideal for quick usage but are not great for working with hazardous materials.

Other Considerations

Another option with some disposable gloves is to purchase them with or without powder, which can make it easier to slip gloves on but isn’t the best choice for all applications. For example, powdered gloves should not be used in food preparation.

Though disposable gloves are helpful with many different tasks, they are not suited to all kinds of uses, and the materials they are made from are not always biodegradable. While natural rubber latex does degrade, gloves made from man-made materials like vinyl and nitrile take up space in landfills for a very long time.

Seven Reasons to Utilize Revolutionary Automatic Shoe Cover Dispensers and Removers

There are multiple methods for businesses and organizations to keep their facilities clean and minimize or prevent contamination from the wide variety of contaminants that exist on shoes. The four most prevalent options are shoe covers/booties (disposable or reusable), dedicated/facility shoes, sticky/tacky mats, and chemical baths. The relative pros and cons of these will be discussed in a future blog post. This blog post focuses on shoe covers and a revolutionary technology for putting them on and taking them off.

Shoe covers are essential in many applications for keeping environments clean and free from contamination. In some cases, you want to prevent whatever is on the floor from getting on your shoes. Other times you want or need to prevent contaminants on your shoes from getting on the floors in your environment for maintenance and sanitation, health and safety, infection control and other reasons. In the past people had to apply and remove their shoe covers manually, but this is time-consuming, can be dangerous, and is definitely not clean. Alternatively, many entities are now utilizing automatic shoe cover dispensers and removers to address these issues. Here are seven reasons why:

Speed: it’s faster

No bones about it, putting shoe covers on the old-fashioned way is time-consuming – the entire process, which includes grabbing a pair of shoe covers and finding a place to put them on, easily takes somewhere between 30 and 45 seconds each and every time. Removing them can take even longer, especially in an environment that requires more extensive hygiene practices. With Shoe Inn’s revolutionary automatic shoe cover dispensers and removers, the time is reduced to about five (5) seconds!

Efficiency = productivity = $$$

Applying shoe covers faster and more efficiently means employees can get to work faster. The Shoe Inn system makes the process of applying and removing shoe covers AT LEAST four times (4x) faster. This significantly shorter gowning time equals increased efficiency that translates to increased productivity, meaning you are not wasting money paying your employees to put on shoe covers but instead are paying them in their work environment where they are being productive. Cumulatively, these small time saving increments add up to big savings for your business!

Easy breezy

Putting shoe covers on is easy for some people, a walk in the park. However, for others it can be a real challenge for a variety of legitimate reasons. Many, many times we’ve been told by people at tradeshows (with colorful, choice words) how much they despise, detest, even flat out refuse to put shoe covers on. Employ automatic shoe cover dispensers, which make it so much easier to put booties on, and those challenges and objections will vanish, thereby increasing compliance. Same goes for the remover, just at the back end of the process.

Safety rules

Automatic shoe cover dispensers and removers keep employees and visitors safer by reducing the risk of injuring themselves while putting shoe covers on and taking them off. Instead of bouncing around while attempting to balance on one foot and lifting the other leg, which we have dubbed the “bootie hop” (see The Bootie Hop video), people can safely apply and remove their shoe covers in an ergonomically friendly manner. The handlebars found on the Shoe Inn Stay dispenser and both ASCR removers make it even safer and easier. Say goodbye to those workers’ comp claims!

It’s cleaner

Putting shoe covers on and taking them off by hand is dirty business. Your shoes, particularly the bottoms, are gross – just think about everything you’ve stepped in and on while walking around streets, parking lots, subways, parks, trails, public bathrooms, etc. It is almost inevitable that you’re going to touch your shoes while putting shoe covers on manually and thus contaminate your hands. Depending on the environment, used shoe covers can be soiled as well so automatic shoe cover removers do the dirty work for you.

Save precious space

Oftentimes wherever shoe covers need to be put on and/or taken off, space is at a premium. Gowning benches and chairs take up space and can be obstructions. Shoe cover dispensers and removers take up much less space, especially proportionately when factoring in how much more efficient they are in facilitating people getting through the process. Fewer benches and chairs mean more space for other necessities.

Dressed to impress

Manually putting shoe covers on and taking them off is so old school. While there will always be a place for doing certain things the old-fashioned way, why not look professional and impress your customers, visitors, regulators, inspectors and auditors? In fact, you can customize your Shoe Inn dispensers and removers with your corporate logo, motto/slogan, contact information, etc. to further cement your brand.

As you can see, there are many benefits to implementing an automatic shoe cover dispensing and removal system. Want to know more? Check out our line of shoe cover dispensers, shoe covers and removers or contact us. At Shoe Inn, we make putting shoe covers on and taking them off faster, easier, safer and cleaner!

USP 800 versus 797: New Guide for Handling Hazardous Drugs Includes Shoe Covers

USP <800>, the U.S. Pharmacopeial Convention’s new standard for handling hazardous drugs (HDs) in healthcare settings, includes significant safety standards for all healthcare workers, as well as patients and the general public, who have access to facilities where HDs are prepared. This includes pharmacists, pharmacy technicians, physicians, nurses, physician assistants, home health care workers, veterinarians, and veterinary technicians. Entities that store, transport, prepare, or administer HDs are also affected, including but not limited to pharmacies, hospitals, patient treatment clinics, physicians’ practice facilities, and veterinary clinics.

USP <800> provides facilities with direction on how to set policy and identify what needs to be done for employee safety while compounding and dispensing HDs. These new safety standards expand upon USP <797>, which focused primarily on minimizing the risk of contaminating medicines when compounding sterile IV preparations. USP <800>, on the other hand, is aimed primarily at addressing the entire life cycle of an HD so that all who might come in contact with it are protected.

USP <797> and <800> are related in that each refer to a chapter in the US Pharmacopoeia. USP <800> is not just limited to chemotherapy but also many drugs that now fall under the National Institute for Occupational Safety and Health (NIOSH) list. USP <800> has a minor component that currently falls under USP <797> this year but will become fully enforceable in December 2019 and will require full cleanroom and garbing precautions. USP <797> is under revision; therefore the current version will hold until at least the next year. This is the year the Joint Commission and Center for Medicare and Medicaid Services (CMS) is requiring compliance with USP <797>. Since this is the first year that the CMS plans to enforce the IV compounding regulations, most facilities are scrambling to meet compliance.

Health Effects Resulting from Exposure to Hazardous Drugs

Growing evidence, which has been accumulated over decades by the USP, Hematology/Oncology Pharmacy Association, Oncology Nursing Society, American Society of Clinical Oncology, and the Centers for Disease Control and Prevention indicates that occupational exposure to the more than 200 HDs commonly used in healthcare settings can cause acute and chronic health issues. In addition, over 100 studies have documented evidence of HD contamination in the workplace, including the presence of HDs in workers’ urine. With nearly 8,000,000 healthcare workers exposed to HDs each year, USP <800> aims to prevent associated acute and long-term health effects.

Required Upgrades Under USP <800> Include Shoe Covers

Personal protective equipment (PPE)(gowns; head, hair, and shoe covers; and two pairs of chemotherapy gloves) is required for compounding both sterile and non-sterile HDs, and two pairs of such gloves are required for administering antineoplastic HDs. Facilities also need to develop standard operating procedures regarding appropriate PPE for any workers who otherwise handle HDs.

Both USP <797> and <800> include several references to shoe covers as detailed below.

Compliant Shoe Covers + Automatic Shoe Cover Application and Removal

Shoe Inn’s shoe covers meet USP <797> and <800> guidelines. If you want to take make putting shoe covers on faster, easier, safer and cleaner, go with an automatic shoe cover dispenser like the Shoe Inn Stay. You can even take it a step further by implementing an automatic shoe cover remover. These products help eliminate workplace injuries, prevent contamination, and save precious time (see just how quick and easy in our application and removal videos).

USP <800> became effective on July 1, 2018.

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USP <797> references to shoe covers

Appropriate personnel protective equipment (PPE) shall be worn when compounding in a BSC or CACI and when using CSTD devices. PPE should include gowns, face masks, eye protection, hair covers, shoe covers or dedicated shoes, double gloving with sterile chemo-type gloves, and compliance with manufacturers’ recommendations when using a CACI.

After donning dedicated shoes or shoe covers, head and facial hair covers, and face masks…

When compounding personnel exit the compounding area during a work shift, the exterior gown may be removed and retained in the compounding area if not visibly soiled, to be re-donned during that same work shift only. However, shoe covers, hair and facial hair covers, face masks/eye shields, and gloves shall be replaced with new ones before re-entering the compounding area, and proper hand hygiene shall be performed.

Appendix I: Order of compounding garb and cleansing in ante-area: shoes or shoe covers, head and facial hair covers, face mask, fingernail cleansing, hand and forearm washing and drying; non-shedding gown.

Appendix III: Dons shoe covers or designated clean-area shoes one at a time, placing the covered or designated shoe on clean side of the line of demarcation, as appropriate.

Appendix III: Removes shoe covers or shoes one at a time, ensuring that uncovered foot is placed on the dirty side of the line of demarcation and performs hand hygiene again. (Removes and discards shoe covers every time the compounding area is exited).

USP <800> references to shoe covers

Gowns, head, hair, shoe covers, and two pairs of chemotherapy gloves are required for compounding sterile and non-sterile HDs.

Head and hair covers (including beard and moustache, if applicable), shoe covers, and sleeve covers provide protection from contact with HD residue. When compounding HDs, a second pair of shoe covers must be donned before entering the C-SEC and doffed when exiting the C-SEC. Shoe covers worn in HD handling areas must not be worn to other areas to avoid spreading HD contamination and exposing other healthcare workers.