Business Solutions

Business Solutions

Meets USP <800> & <797>Safe for C-SEC & ISO 7 RoomsASTM D6978 Verified (Incl. Carmustine & Thiotepa)FDA 510(k) Cleared (K222907)Nelson Labs Tested

Oncology Protection Guide:Beyond USP <800> Compliance

Visualize the Invisible Threat. Standard personal protective equipment fails against Carmustine in <27 mins. Medtecs CoverU™ polyethylene-coated polypropylene gowns provide a >480 min barrier against 19 NIOSH hazardous drugs.

Verified protection for healthcare personnel handling antineoplastic drugs including Cyclophosphamide, Thiotepa, and Cisplatin. Meets Occupational Safety and Health (OSHA) and Centers for Disease Control and Prevention (CDC) guidelines.

Resilient Supply Chain:PhilippinesCambodiaChina

The Hidden Danger: Pathology Risks & Invisible Permeation

In Healthcare Settings, 'waterproof' does not mean 'chemical-proof'. Permeation is a molecular process where hazardous drugs diffuse through standard personal protective equipment—invisible to the naked eye, but devastating to long-term health per Occupational Safety and Health (OSHA) guidelines.

Carcinogenicity

Increased leukemia risk from cumulative exposure. Meta-analysis shows 1.7x increased risk in oncology nurses.

Lawson et al., Am J Ind Med, 2012

Teratogenicity

2.3x higher spontaneous abortion rate documented in healthcare workers handling antineoplastic drugs.

Dranitsaris et al., J Oncol Pharm Practice, 2005

Chromosomal Aberrations

Genetic damage observed in 75% of nurses handling cyclophosphamide without proper PPE.

NIOSH Publication 2004-165

Organ Toxicity

Liver/Kidney damage from dermal absorption. HD contamination detected on 100% of pharmacy surfaces.

Connor TH, AJHP 1999

Synergistic Risk Alert: Combination Regimens

In complex regimens (e.g., CHOP or FOLFIRINOX), the synergistic toxicity of combined agents on healthcare workers remains understudied. Our permeation data (tested per ASTM protocols) covers both individual agents and common combination protocols, providing verified protection when multiple antineoplastic drugs are handled simultaneously.

Aerosolization: The Invisible Migration Path

Micro-aerosols generated during vial spiking or needle withdrawal can remain suspended in the air for hours. Without proper gowning, these invisible particles settle on skin and scrubs, migrating home to families. Standard respiratory protection alone cannot prevent dermal contamination from settled aerosols.

Vial Spiking

Generates aerosols during reconstitution

Needle Withdrawal

Creates micro-droplets at needle tip

Priming IV Lines

Releases drug into ambient air

Emerging Risks: ADCs, CAR-T & Precision Medicine

Future-proofing for next-generation therapies

Antibody-Drug Conjugates (ADCs)

ADC Ready

ADCs targeting HER2/TROP2 combine monoclonal antibodies with extremely potent cytotoxic payloads that require next-generation protection exceeding standard chemo ratings.

Viral Vector Protection (CAR-T)

Viral Vector Ready

For CAR-T cell therapy preparation involving viral vectors, our gowns provide a dual barrier: preventing viral escape (ASTM F1671) while maintaining a sterile field.

Biologic Integrity & mRNA Protection

Low-linting materials protect mRNA Vaccines from human DNA contamination per USP <797>. Critical for emerging biologic therapies.

Pharmacogenomics & Targeted Dosing

As biomarker testing enables more potent dosing regimens, chemotherapy-tested gowns (per ASTM permeation standards) become the only safe baseline for personalized oncology.

Chemical Barrier

Permeation Tested

Tested against 19 chemotherapy drugs per ASTM standards

Viral Barrier

ASTM F1671

Blood-borne pathogen penetration resistance

Comparative Breakthrough Time Test

ASTM D6978 permeation data for Carmustine at 35°C (body temperature simulation)

Standard Poly-Coated
00:27:00
BREAKTHROUGH - FAILED
Medtecs CoverU™
08:00:00+
NO BREAKTHROUGH - PASS ✓

"Don't trust generic labels. Standard gowns fail against Carmustine in <27 minutes. Medtecs CoverU™ ensures worker protection for >480 minutes, covering the entire shift from admixture to Decontaminating."

The Hierarchy of Controls: Integrating PPE with C-PECs

Effective safety is a system. Engineering controls are the first line of defense—from the Biological Safety Cabinet to the patient bedside. Each layer must work in harmony to protect healthcare personnel per USP General Chapter <800> requirements.

Static Dissipation (ESD) Properties

Our proprietary fabric incorporates static-dissipative properties, reducing the risk of particulate attraction and Electrostatic Discharge (ESD) events that could compromise sensitive electronic lab equipment in cleanroom supplies environments.

Standard: Attracts dust
Medtecs: Repels particles

Laminar Airflow Optimization

Bulky, loose-fitting cotton gowns create turbulence in the laminar airflow of a Class II BSC. Medtecs' streamlined fit minimizes air disturbance, maintaining the ISO 5 environment critical for sterile compounding in C-PEC environments.

Cotton: Creates vortices
Medtecs: Smooth flow
ISO 7 Room (C-SEC)
HEPA Filtered Airflow (≥30 ACPH)
Class II BSC (C-PEC)
PPE (Final Barrier)

Healthcare Worker

Protected by ASTM D6978 certified personal protective equipment

Air Gap Risk

Primary (C-PEC)

Primary Engineering Control
Class II Biological Safety Cabinet (BSC) & Containment Aseptic Compounding Isolators (CACI)
Work inside a Class II BSC or CACI is mandatory for HD handling. HEPA filters must maintain ISO 5 air quality within the cabinet.
Risk: Hand transfer & Air Gap during material movement

Secondary (C-SEC)

Compounding Secondary Engineering Control
ISO Classified Rooms (ISO 7 minimum)
ISO 7 classified rooms require: Negative pressure relative to adjacent spaces, 12 air changes per hour (ACPH) minimum, low-linting cleanroom supplies to protect HEPA filter integrity.
Requirement: Low-linting materials for HEPA filter protection

Final Barrier (PPE)

Personal Protective Equipment
Medtecs Chemotherapy-Tested Gowns, ASTM D6978 Gloves, Respiratory Protection
PPE is the last line of defense. When engineering controls are breached or during decontaminating procedures, personal protective equipment is the ONLY barrier between healthcare workers and hazardous drugs.
Role: The only shield during Decontamination & transport

ISO Classification & HEPA Requirements

LocationISO ClassificationAir Changes/HourPressure Differential
C-PEC InteriorISO 5N/A (unidirectional)Negative to room
C-SEC / Buffer RoomISO 7≥30 ACPHNegative to adjacent
AnteroomISO 7 or 8≥20 ACPHPositive to C-SEC

Per USP Chapter <800> and USP Chapters <797> and <800> requirements. Low-linting cleanroom supplies are essential to protect HEPA filters and maintain ISO classified rooms integrity.

Chemical Compatibility: Decontamination Agents

Tested against rigorous disinfectants per the ‘Deactivate, Decontaminate, Clean, Disinfect’ cycle:

Cleaning AgentFormulaStatusUse Case
Sodium Hypochlorite (Bleach)NaClO✓ CompatiblePrimary decontaminant
Quaternary AmmoniumQAC✓ CompatibleSurface disinfection
Hydrogen PeroxideH₂O₂✓ CompatibleVapor decontamination
Isopropyl AlcoholIPA✓ CompatibleEquipment wipe-down

Medtecs gowns maintain integrity during rigorous decontaminating procedures, ensuring protection throughout the entire cleaning cycle in Hospital Environments.

FDA 510(k) K222907 Cleared | Tested for Use with Chemotherapy Drugs

USP <800> Compliant Hand Protection Solutions

Chemotherapy-tested gloves are the most frequently contacted PPE in hazardous drug handling. USP <800> mandates Double Gloving for all compounding and administration tasks. Medtecs N1000 Nitrile Series provides ASTM D6978 tested protection as the foundation of your hand protection protocol.

⚠️ Procurement Warning: Not All "Exam Gloves" Are Equal

Many facilities mistakenly use standard ASTM D6319 exam gloves for chemotherapy handling. This is non-compliant with USP <800>. Only gloves tested to ASTM D6978(chemotherapy-specific permeation standard at 35°C body temperature) are acceptable for antineoplastic drugs.

Medtecs N1000 Series Specifications

Technical Specifications

  • 100% Nitrile (NBR)— Superior chemical resistance vs. latex
  • FDA 510(k) K222907— Specifically labeled 'Use with Chemotherapy Drugs'
  • ASTM D6978 Tested— 35°C body temperature simulation (not 23°C room temp)
  • 9 Chemotherapy Agents— Including Carmustine & Thiotepa (hardest to block)
  • 4-5 mil Thickness— Balance of protection and tactile sensitivity
  • AQL 1.5 (EU) / 2.5 (US)— Pinhole defect rate per ISO 2859-1
  • Size Range— XS-XL (N1000-1 to N1000-5)
  • Finger-Textured Design

    Precision grip on glass vials and syringes without compromising the chemical barrier. Critical for Containment Aseptic Compounding Isolators where tactile feedback is essential.

    Micro-Textured

    Fingertip Pattern

    4-5 mil

    Optimal Thickness

    ASTM D6978 Breakthrough Times

    Tested at 35°C (body temperature simulation)

    DrugBreakthroughStatus
    Carmustine

    Highest permeation challenge

    > 30 minPass
    Thiotepa

    High lipophilicity

    > 30 minPass
    Cyclophosphamide

    Common alkylating agent

    > 240 minPass
    Cisplatin

    Nephrotoxic platinum compound

    > 240 minPass
    Doxorubicin

    Anthracycline cardiotoxin

    > 240 minPass
    Paclitaxel

    Taxane microtubule inhibitor

    > 240 minPass
    5-Fluorouracil

    Antimetabolite

    > 240 minPass
    Methotrexate

    Folate antagonist

    > 240 minPass
    Etoposide

    Topoisomerase inhibitor

    > 240 minPass

    Note: Carmustine and Thiotepa are the most challenging due to their small molecular size and high lipophilicity. > 30 min is the minimum ASTM D6978 requirement; Medtecs N1000 exceeds this threshold.

    USP <800> Double Gloving Protocol by Scenario

    Recommended chemotherapy gloves configuration for healthcare personnel

    ScenarioInner GloveOuter GloveChange Frequency
    Sterile Compounding (USP <797>/<800>)N1000 (Chemotherapy-tested) under gown cuffASTM D6978 compliant glove over cuff (sterile-ready options available)Every 30 min or immediately if compromised
    Non-Sterile CompoundingN1000 (Size M) under gown cuffN1000 (Size L) over gown cuffEvery 30 min or between patients
    Administration (Infusion Nurses)N1000 tucked under gownN1000 extending over gown cuffBetween each patient
    Spill Response (>5ml)N1000 Nitrile (chemical barrier)Utility-grade Chemical Resistant GloveAfter spill cleanup complete

    Pro Tip: Using a larger size for the outer glove (e.g., inner M + outer L) reduces hand fatigue during extended compounding sessions—a practice endorsed by experienced oncology pharmacists.

    Medtecs Solution Matrix: Tiered Protection for Every Role

    Pharmacy Directors need a tiered approach. From pharmacy techs compounding daily to spill response teams handling waste containment systems—choose the right protection level based on drug categories and workflow requirements.

    Tier 1

    Compounding

    Tier 2

    Surgery/HIPEC

    Tier 3

    Spill/Waste

    Tier 1: Compounding

    IL-4036YKTP (Yellow)

    Oncology Pharmacists, Pharmacy Techs

    Specifications

    Engineered PPSB+PE Laminate: Moisture-Vapor Breathable Technology (MVTR) optimizes thermal comfort while maintaining full barrier protection against oral chemo and routine admixtures.

    Use Case

    Daily Admixture in C-SCA, Handling Oral Chemotherapy, Virtual Hybrid IV Certification.

    Key Features

  • 36gsm PPSB+PE fabric
  • >480 min breakthrough (19 drugs)
  • Heat-sealed seams with tape
  • Knit cuff for glove tuck
  • Low-linting for cleanroom supplies
  • Permeation Test Results*

    carmustine:>480 min
    cyclophosphamide:>480 min
    thiotepa:>480 min

    🧤 The Perfect Pair: Gown + N1000 Gloves

    Double Gloving (Non-Sterile)
    Inner:N1000 (Size M) under gown cuff
    Outer:N1000 (Size L) over gown cuff

    Under-and-Over Technique: Larger outer size reduces hand fatigue

    Tier 2: Surgery/HIPEC

    IL-4063WKTP (White)

    Surgeons, OR Nurses

    Specifications

    63gsm Heavy Duty, AAMI Level 4, ASTM F1671 Viral Barrier.

    Use Case

    HIPEC Surgery, Trauma with Chemo Patients, High-fluid procedures.

    Key Features

  • 63gsm heavy-duty construction
  • ASTM F1671 viral barrier
  • AAMI Level 4 certified
  • Reinforced critical zones
  • Dual chemical + biological protection
  • Permeation Test Results*

    carmustine:>480 min
    viral Barrier:ASTM F1671 Pass
    blood Barrier:ASTM F1670 Pass

    🧤 The Perfect Pair: Gown + N1000 Gloves

    Chemotherapy-Tested Protocol
    Inner:N1000 (ASTM D6978 tested) under gown
    Outer:ASTM D6978 compliant glove (sterile-ready configurations available)

    Under-and-Over Technique: Maintains sterile field + chemo protection

    Tier 3: Spill/Waste

    IL-3063WEHTP (Coverall)

    EVS Staff, Spill Response Teams

    Specifications

    Type 5-B/6-B, Hooded, Taped Seams, Full body coverage. Compatible with Daniels' Sharpsmart protocols.

    Use Case

    Cytotoxic Drug Spills (>5ml), Waste Disposal, Disposing of HD. 100% Polyolefin material ensures Eco-Friendly Incineration (No toxic fumes).

    Key Features

  • Type 5-B/6-B certified
  • Full hood coverage
  • Taped seams throughout
  • Elastic wrists & ankles
  • EN 14126 biological protection
  • Permeation Test Results*

    carmustine:>480 min
    particle Protection:Type 5-B Pass
    spray Protection:Type 6-B Pass

    🧤 The Perfect Pair: Gown + N1000 Gloves

    Heavy Duty Protection
    Inner:N1000 Nitrile (chemical barrier)
    Outer:Utility-grade Chemical Resistant Glove

    Under-and-Over Technique: Outer protects against sharps (broken glass)

    Mandatory Add-ons (USP <800>)

  • Double shoe covers (2 pairs) per USP <800>
  • Chemical-resistant gloves (double gloving)
  • Elastomeric half-mask with multi-gas cartridge
  • Product Specification Comparison Table

    SpecificationIL-4036YKTPIL-4063WKTPIL-3063WEHTP
    Product TypeIsolation GownIsolation GownCoverall
    Weight (gsm)366363
    MaterialPPSB+PEPPSB+PESMS+PE
    AAMI LevelLevel 3Level 4N/A
    Permeation Resistance (19 drugs)*>480 min>480 min>480 min
    ASTM F1671 (Viral)✓ Pass✓ Pass
    Type 5-B/6-B✓ Yes
    Heat-Sealed Seams✓ Yes✓ Yes✓ Yes
    Primary Use CaseCompounding, AdministrationHIPEC, Surgery, TraumaSpill Control, Waste Disposal
    * Permeation resistance tested per ASTM protocols against 19 chemotherapy drugs including Carmustine and Thiotepa. Contact Medtecs for detailed test reports and testing conditions.
    RED ZONE: COMPOUNDING PHARMACISTS
    Scene:Compounding high-concentration stock solutions inside BSC, reconstituting powder vials, prolonged exposure to aerosol environments. Highest probability of direct contact with undiluted Carmustine/Thiotepa.

    Pharmacy Zone: Compounding Personnel

    The highest risk environment — Carmustine breakthrough time determines your protection choice

    Maximum Exposure Risk

    Compounding personnel face the highest exposure risk in the chemotherapy supply chain. Work shifts often exceed 4 continuous hours with direct contact to undiluted cytotoxic drug concentrates. Standard gown breakthrough time is only 27 minutes — far below a single shift duration.

    Exposure Time vs Breakthrough Time

    Standard Gown Breakthrough< 27 min
    Medtecs CoverU™ Breakthrough> 480 min
    Average Compounding Shift4-8 hours

    Conclusion: Standard gowns fail within 27 minutes, leaving 3.5-7.5 hours of unprotected exposure.

    HEAD-TO-TOE GEAR

    Isolation Gown: IL-4036YKTP-CM

    AAMI Level 4, Taped Seams, Yellow

    Carmustine breakthrough > 480 minutes

    Double Chemotherapy-Tested Gloves

    Inner: N1000 under cuff | Outer: ASTM D6978 compliant over cuff

    Shingle Effect layered protection | Sterile-ready configurations available

    NIOSH-Compliant Respiratory Protection

    Per facility protocol for aerosol protection during compounding

    Compatible with all major respirator brands

    Double Shoe Covers

    Inner + Outer for contamination control

    Recommended Product Model

    IL-4036YKTP-CMYellowLevel 4 Taped
    REQUEST TECHNICAL DATA
    YELLOW ZONE: ONCOLOGY NURSES
    Scene:Connecting/disconnecting IV lines, managing accidental leaks during administration, contact with patient body fluids (vomit, excreta).

    Nursing Zone: Oncology Administration

    Dual-threat protection against chemical hazards and biological hazards

    Chemical Hazard

    Lower drug concentration than compounding, but protection still required for IV connection/disconnection leaks

    Biological Hazard

    Patient vomit, excreta, and blood contain active drug metabolites for 48 hours post-treatment

    Why Nurses Need AAMI Level 4

    ASTM F1671

    Viral barrier certification — protects against blood-borne pathogens (HIV, HBV, HCV)

    Chemotherapy Drug Permeation

    Tested against 19 chemotherapy drugs per ASTM permeation standards

    Full-Back Design

    Prevents back contamination when moving or turning in patient care areas

    Daily Exposure Scenarios for Nurses

    IV Line Operations

    Micro-droplet splashes when connecting/disconnecting IV lines, especially accidental leaks from Closed-System Transfer Devices (CSTD)

    Patient Care

    Handling post-chemo patient vomit, changing diapers, cleaning excreta — these body fluids remain cytotoxic for 48 hours

    Accidental Leak Response

    Extravasation during administration requires immediate response and PPE change

    Comorbidity Management

    Oncology patients often present with COPD, require Insulin Use, or need Continuous Glucose Monitoring alongside chemo protocols

    HEAD-TO-TOE GEAR

    Isolation Gown: IL-4063WKTP or IL-4036YKTP-CM

    AAMI Level 4, Full-Back Coverage

    Tested against 19 chemotherapy drugs | ASTM F1671 viral barrier

    Double Gloves

    N1000 tucked under + over gown cuff

    Change every 30 minutes or when visibly contaminated

    Eye Protection Goggles

    Splash protection during IV manipulation

    Home Infusion: Portable Compliance

    Emerging Market

    For Home Infusion Nurses visiting patients, our lightweight packaging and easy donning design ensure USP <800> compliance even in uncontrolled home environments. The portable kit fits in a standard medical bag, enabling proper protection outside traditional Hospital Environments.

    Compact Packaging

    Single-use sealed pouches

    Easy Donning

    5-minute self-gowning procedure

    Waste Protocol

    Includes disposal bag

    >480

    min breakthrough

    Dual

    barrier certified

    Cross-Contamination Alert: Insulin Injection Risk

    When transitioning from chemo administration to insulin injection, a contaminated gown cuff can transfer HD contamination residue to the diabetic patient's injection site. Our Elastic Thumb Loops and strict cuff protocols prevent this cross-contact, protecting patients with Continuous Glucose Monitoring needs.

    Cuff must be secured under gloves
    Thumb loops ensure secure seal
    Recommended Product Models
    IL-4063WKTP
    White
    or
    IL-4036YKTP-CM
    Yellow
    ORANGE ZONE: EVS STAFF
    Scene:Cleaning drug spills (Spill Kits), handling medical waste, cleaning contaminated restrooms.

    EVS Zone: Spill & Waste Response

    The unpredictable risk of “unknown dose” exposure

    Unknown Dose Risk

    Environmental services personnel often face the highest "unknown dose" risk. They may not know the specific composition, concentration, or exposure duration of spills. Cleanup may require kneeling or contact with large volumes of liquid, placing higher demands on PPE hydrostatic pressure resistance.

    Why EVS Needs Taped Coveralls

    Kneeling Work

    Floor spill cleanup requires kneeling — knees under pressure, standard seams will permeate

    Taped Seams

    Taped seams provide higher hydrostatic pressure resistance, preventing wet-through penetration

    Coverall Design

    Coveralls have no waist seam, ensuring full-body gap-free protection

    High-Risk EVS Work Scenarios

    Highest Risk

    Large Spill Cleanup (>30mL)

    Drug spills exceeding 30mL require Spill Kit use, may require kneeling to absorb large liquid volumes

    High Risk

    Contaminated Restroom Cleaning

    Restrooms used by chemo patients — toilets and floors may have drug metabolite contamination

    Medium-High Risk

    Medical Waste Handling

    Collecting and transporting chemo waste containers — packaging damage may expose contents

    HEAD-TO-TOE GEAR

    Coverall: IL-3063WEHTP

    Coverall, Level 4, Taped Seams

    Full-body design with no waist gaps

    Face Shield

    Full face splash protection

    Required for spill cleanup

    Heavy-Duty Chemical Gloves

    Utility-grade chemical resistant over N1000

    Double layer: Inner N1000 + Outer heavy-duty gloves

    Impervious Boot Covers

    Impervious boot covers

    Must extend to mid-calf

    Waste Management & Disposal Protocol

    Trace Contaminated (Yellow)

    • Worn PPE (gowns, gloves, shoe covers)
    • Empty vials (<5ml residue)
    • Sharps (needles, syringes)
    • IV tubing and bags

    Bulk Hazardous (Black)

    • Spill cleanup materials
    • Vials with >5ml residue
    • Large volume drug waste
    • Heavily contaminated PPE

    Spill Response: Equipment Selection Guide

    For Cytotoxic Drug Spills, select appropriate PPE based on spill volume per USP <800> safety precautions:

    Minor Spill (<5ml)

    Primary PPE:

    IL-4036YKTP (Yellow Gown)

    Gloves:

    Double N1000 gloves

    Additional:

    Eye protection goggles, NIOSH-approved respirator

    Action:

    Absorb with approved kit, double-bag waste

    Major Spill (>5ml)MANDATORY COVERALL

    Primary PPE:

    IL-3063WEHTP (Coverall)

    Gloves:

    Double N1000 + chemical outer gloves

    Additional:

    Face shield, NIOSH-approved respirator or PAPR, shoe covers (2 pairs)

    Action:

    Evacuate area, use full spill kit, contact EVS

    Minor Spill ProtocolMajor Spill Protocol (with shoe covers, 2 pairs)

    Eco-Friendly Disposal: Clean Incineration

    ESG Compliant

    Constructed from 100% polyolefins (PE/PP), our gowns incinerate cleanly, releasing only water vapor (H₂O) and carbon dioxide (CO₂)—no dioxins or furans. This reduces the environmental footprint of your hazardous waste stream while meeting EPA incineration requirements.

    No chlorinated compounds
    No PVC materials
    No heavy metal residues

    Recommended Product Model

    IL-3063WEHTPWhite CoverallLevel 4 Taped
    REQUEST TECHNICAL DATA
    USP <800> Mandatory

    Comprehensive Shield: Respiratory Protection & Critical Protocols

    A gown is not enough. Hazard Communication standards require full mucosal protection— eyes, nose, and mouth must be shielded from aerosols and splashes. Per Occupational Safety and Health (OSHA) and USP Chapter <800> requirements, respiratory protection is mandatory when handling hazardous drugs outside of a C-PEC.

    NIOSH 42 CFR Part 84

    NIOSH-Approved Surgical Respirator

    Routine Compounding (Particulates)
    Compatible with facility-specified respirator brands
    • NIOSH-approved (N95/P100 class)
    • Fluid resistant
    • Adjustable nose clip
    • Protects against airborne particles
    Does NOT protect against vapors or gases. For particulate protection only.
    NIOSH OV/AG Certified

    Elastomeric Half-Mask + Multi-Gas Cartridge

    Spill Control (Vapors/Gases)
    MANDATORY for spill response per USP <800>
    • Reusable design
    • Multi-gas cartridge (OV/AG)
    • Silicone face seal
    • Protects against vapors AND gases
    Requires proper fit testing and cartridge change schedule.
    ANSI Z87.1

    Face Shield + Eye Protection Goggles

    Splash Protection during Administration
    Must be worn IN CONJUNCTION with goggles—shield alone is insufficient
    • Full face coverage
    • Anti-fog coating
    • Over-glasses compatible
    • Impact resistant

    Safe Donning & Doffing Procedure

    Proper Safe-Handling Adherence during PPE donning and doffing is critical. Doffing is the highest contamination risk phase per Hospital Policies and training courses requirements.

    The Critical Glove-Cuff Interface

    The USP <800> "Shingle Effect": Ensuring liquids flow OVER, not INTO, your protection

    Proper "Under & Over" Technique: Inner blue glove tucked under yellow cuff, outer glove overlapping cuff

    1
    Inner Glove

    Blue N1000 on skin, wrist exposed

    2
    Gown Cuff

    Yellow knit cuff pulled OVER blue glove

    3
    Thumb Loop

    Optional loop secures cuff position

    4
    Outer Glove

    Blue N1000 pulled OVER yellow cuff completely

    The "Under & Over" Principle

    Inner glove UNDER gown cuffOuter glove OVER gown cuff. This creates a “shingle” pattern where any liquid contamination flows down and away, never reaching skin through gaps.

    ✓ CORRECT

    Outer glove overlaps gown cuff by 2+ inches

    ✗ WRONG

    Gap between glove and cuff exposes wrist

    Donning (Putting On)

    1

    Hand Hygiene

    Perform thorough hand washing before donning PPE

    2

    First Gloves (N1000)

    CRITICAL

    Don inner chemotherapy gloves - tuck under gown cuffs

    3

    Gown (IL-4036YKTP)

    CRITICAL

    Don isolation gown - ensure knit cuffs cover inner gloves

    4

    Secure Ties

    Fasten neck and waist ties for full back closure

    5

    Second Gloves

    CRITICAL

    Don outer gloves OVER gown cuffs (overlap method)

    6

    Respirator/Face Shield

    Don NIOSH-approved respirator or elastomeric mask + eye protection

    Doffing (Removing) - HIGH RISK

    Doffing accounts for 70% of contamination incidents
    1

    Remove Outer Gloves

    HIGH RISK

    Peel off and invert to contain contamination

    2

    Remove Gown

    HIGH RISK

    Untie, roll contaminated side inward, dispose

    3

    Remove Face Protection

    Carefully remove shield/goggles from behind

    4

    Remove Respirator

    Remove by straps only - do not touch front

    5

    Remove Inner Gloves

    HIGH RISK

    Final barrier removal - invert and dispose

    6

    Hand Hygiene

    Immediate hand washing post-doffing

    Critical Safety Note

    Particulate respirators (N95 class) do NOT protect against vapors or gases. When handling spills or working with volatile hazardous drugs, an Elastomeric half-mask with appropriate multi-gas cartridge is MANDATORY per NIOSH and USP <800> guidelines.

    Building a Culture of Compliance: Training & Documentation

    Compliance isn’t a checkbox—it’s a culture. Whether your facility manages documentation via manual logs or software like Simplifi 797, Medtecs supports your audit readiness for Occupational Safety and Health (OSHA) and State Board of Pharmacy requirements.

    Thermal Mapping: Comfort → Reduced Compounding Errors

    Heat stress in the cleanroom is a primary driver of protocol fatigue and compounding errors. Our breathable back panel design reduces core temperature retention by up to 40%, directly linking Comfort to Reduced Compounding Errors.

    Standard PE Gown

    High heat retention → Fatigue

    Medtecs Breathable

    Heat dissipation → Vigilance

    Performance Dashboard

    Track Compliance Rates across departments with real-time analytics per Hospital Policies

    Observation Tool

    Monitor Donning/Doffing procedures and identify training gaps for Safe-Handling Adherence

    Audit Readiness

    CoC & Test Reports ready for State Board of Pharmacy, JCI, and OSHA inspections with full compliance documentation

    Training Alignment

    Aligned with Medisca / PCCA Standards, Virtual Hybrid IV Certification, and training courses requirements

    Aligned with Professional Standards

    Compounding Compendium

    Best practices for hazardous drug handling aligned with industry standards

    American College of Apothecaries

    Professional pharmacy standards and Expert Panel Discussion guidelines

    Simplifi 797

    Documentation management and compliance tracking software integration

    Pharmacy Law Compliance

    State Board of Pharmacy requirements and regulatory compliance documentation

    Full Lot Traceability via QR Code

    Every Medtecs gown features a QR code linking to its specific Lot Certificate of Compliance (CoC), ensuring full traceability from raw material to end-user for JCI Audit requirements. Scan → Verify → Document in seconds.

    Raw Material BatchProduction DateTest Report Link
    Compliance Dashboard
    98.5%
    Compliance Rate
    147
    Staff Trained
    12
    Audits Passed
    Recent Activity
    Quarterly audit completed – All areas compliant
    15 new staff certified in HD handling
    PPE inventory restocked – 30 day supply
    State Board of Pharmacy inspection passed
    JCI Ready
    OSHA Compliant
    BACK OFFICE: PROCUREMENT & COMPLIANCE
    Scene:Evaluating suppliers, ensuring regulatory compliance, managing supply chain risks, controlling total cost of ownership.

    Procurement Zone: Decision Makers

    Your decisions impact the entire organization’s safety and legal liability

    The Chain Impact of Procurement Decisions

    As procurement decision makers, your choices directly impact the organization's compliance status, employee safety, and legal liability. A few dollars difference in gown price may seem minor, but a single occupational exposure lawsuit can cost hundreds of thousands of dollars.

    Five Core Considerations for Procurement

    Compliance Risk

    Regulatory Exposure

    Common Problem

    USP <800> audit failures, fines, license revocation risk

    Medtecs Solution

    Complete ASTM D6978 test reports, Nelson Labs third-party verification documents

    Supply Chain Stability

    Geopolitical Resilience

    Common Problem

    Single-source disruption risk, geopolitical impact

    Medtecs Solution

    Medtecs 3-country production base (Philippines/Cambodia/China), TAA compliant

    Total Cost of Ownership

    TCO Analysis

    Common Problem

    Low-cost products tear requiring replacement, employee compensation costs

    Medtecs Solution

    >480 min breakthrough = single-gown full-shift use, reduced legal risk costs

    Lot Traceability

    Audit Documentation

    Common Problem

    JCI audit requirements, supplier documentation management difficulties

    Medtecs Solution

    QR Code traceability system, batch CoC online verification

    Employee Health Protection

    Workforce Safety

    Common Problem

    Occupational exposure claims, employee turnover rate

    Medtecs Solution

    Breathable design reduces heat stress, improves wear compliance rate

    Total Cost of Ownership (TCO) Comparison

    Hidden Costs of Low-Price Products

  • Breakthrough time <30 min, need 8-16 changes per shift
  • High tear rate, emergency replacements interrupt workflow
  • Post-exposure medical monitoring costs
  • Potential litigation risk ($50K-$500K+ per case)
  • Medtecs CoverU™ TCO Advantages

  • Breakthrough time >480 min, single gown per full shift
  • High-quality materials, extremely low tear rate
  • Complete third-party test reports, audit-ready
  • Reduced exposure risk = lower legal costs
  • Ready to Evaluate Your PPE Supplier?

    Request complete product specifications, test reports, and pricing proposals

    Procurement & USP <800> Checklist

    Prepare for your next JCI Audit or Centers for Disease Control and Prevention inspection. Before your next PPE purchase, ensure your supplier meets these critical requirements for USP800 Standard compliance.

    Pre-Purchase Verification Checklist

    Use this checklist when evaluating PPE suppliers for Hazardous Drugs Handling compliance

    1
    ASTM D6978 Verified (Lag Time + Breakthrough)Critical

    Does the report show both 'Breakthrough Time' AND 'Lag Time'?

    Medtecs discloses BOTH metrics for full transparency on permeation curves. Many competitors only report Breakthrough Time, hiding the early detection phase. Carmustine breakthrough must be > 30 min.

    2
    Cleanroom CompatibleCritical

    Is the gown material low-linting for ISO 7 classified rooms?

    Low-linting cleanroom supplies protect HEPA filter integrity in C-SEC environments. Request particle shedding test data.

    3
    Waste Containment Protocol

    Are Yellow bins (trace) and Black bins (bulk) correctly specified for disposal of worn PPE?

    Ensure compliance with Daniels' Sharpsmart protocols and EPA hazardous waste requirements for Disposing of HD.

    4
    Supply Chain Resilience

    Does the supplier have multi-regional production capacity?

    Diversified manufacturing reduces supply disruption risk for critical lab supplies. Medtecs: 3 countries (Philippines, Cambodia, China).

    5
    Chemotherapy Gloves CompatibilityCritical

    Are chemotherapy gloves tested for compatibility with lab equipment cleaning agents?

    Verify ASTM D6978 certification and disinfectants compatibility for double-gloving protocols per safety precautions.

    6
    Compliance Documentation

    Can the supplier provide CoC, test reports, and audit documentation?

    Essential for JCI Audit, State Board of Pharmacy inspections, and OSHA compliance. Request QR-linked lot traceability.

    Resilient Supply Chain: 3-Country Redundancy

    Production redundant across 3 countries to immunize your hospital against geopolitical disruptions and ensure uninterrupted supply of lab supplies and cleanroom supplies:

    Philippines

    Primary Manufacturing

    Cambodia

    Glove Production (RMKH)

    China

    Backup Capacity

    🌏 Redundant Logistics = Continuous Supply for Healthcare Personnel

    Understanding Test Data: Lag Time vs. Breakthrough Time

    Lag Time (Detection Time)

    The time from initial chemical contact until the first detectable permeation occurs. Medtecs reports this for full transparency.

    Breakthrough Time

    The time until permeation rate reaches 0.01 µg/cm²/min (ASTM D6978 threshold). This is the critical safety metric.

    Medtecs reports BOTH metrics — providing a transparent view of the material’s true barrier performance curve.

    USP <800> Implementation Guide

    Complete guide for Hazardous Drugs Handling compliance

    PDF

    ASTM Test Report Summary

    19-drug permeation test results with Lag Time & Breakthrough data

    PDF

    Donning/Doffing Procedure Poster

    Visual guide for Safe-Handling Adherence training

    PDF

    Audit Checklist Template

    Ready-to-use checklist for JCI and OSHA inspections

    XLSX

    Includes CoC templates, ASTM test reports, compliance documentation, and audit checklists

    Regulatory & Professional References

    Designed in alignment with Oncology Nursing Society (ONS) guidelines for PPE usage during administration and disposal, and Expert Panel Discussion recommendations.

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