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Cytotoxic Drug Reconstitution (CDR)
CDR Services Policy:
Pharmaceutical Services Division, Ministry of Health has developed the policy for CDR service which is intended to safeguard patients and staff by defining standards of CDR practice from pharmacists perspective. It is worth noting that all the local policies involving prescribing, handling, and administering the cytotoxic drugs must be developed by a multi-professional team and complies with the scope of the service:
- The pharmacy department of the hospital will operate the CDR service providing customised chemotherapy regimen suits to every patient's needs.
- Preparation, reconstitution, administration and disposal of hazardous drugs should be performed by trained personnel to protect the handler, the drug and the environment.
- The reconstitution should take place in the pharmacy aseptic unit (qualified clean room).
- However for those hospitals without the CDR facility on site, preparation may be outsourced to any nearby hospitals with qualified clean rooms or opt for the closed-system-drug-transfer device.
Hospitals that offer CDR service:
- Hospital Tuanku Fauziah Kangar, Perlis
- Hospital Sultanah Bahiyah Alor Setar, Kedah
- Hospital Sultan Abdul Halim Sg Petani, Kedah
- Hospital Kulim, Kedah
- Hospital Pulau Pinang
- Hospital Seberang Jaya, Pulau Pinang
- Hospital Raja Permaisuri Bainun Ipoh, Perak
- Hospital Taiping, Perak
- Hospital Teluk Intan, Perak
- Hospital Seri Manjung, Perak
- Hospital Slim River, Perak
- Hospital Tengku Ampuan Rahimah Klang, Selangor
- Hospital Selayang, Selangor
- Hospital Serdang, Selangor
- Hospital Sg Buloh, Selangor
- Hospital Ampang, Selangor
- Hospital Kajang, Selangor
- Institut Kanser Negara, Putrajaya
- Hospital Kuala Lumpur
- Hospital Tuanku Ja'afar Seremban, Negeri Sembilan
- Hospital Melaka
- Hospital Sultanah Aminah, Johor
- Hospital Pakar Sultanah Fatimah Muar, Johor
- Hospital Sultanah Nora Ismail Batu Pahat, Johor
- Hospital Enche' Besar Hajjah Khalsom Kluang, Johor
- Hospital Sultan Ismail, Johor
- Hospital Tengku Ampuan Afzan Kuantan, Pahang
- Hospital Sultan Haji Ahmad Shah Temerloh, Pahang
- Hospital Raja Perempuan Zainab II, Kelantan
- Hospital Kuala Krai, Kelantan
- Hospital Tanah Merah, Kelantan
- Hospital Machang, Kelantan
- Hospital Tumpat, Kelantan
- Hospital Pasir Mas, Kelantan
- Hospital Sultanah Nur Zahirah, Terengganu
- Hospital Kemaman, Terengganu
- Hospital Umum Sarawak
- Hospital Sibu, Sarawak
- Hospital Bintulu, Sarawak
- Hospital Miri, Sarawak
- Hospital Sri Aman, Sarawak
- Hospital Limbang, Sarawak
- Hospital Sarikei, Sarawak
- Hospital Kapit, Sarawak
- Hospital Sentosa, Sarawak
- Hospital Bau, Sarawak
- Hospital Lundu, Sarawak
- Hospital Serian, Sarawak
- Hospital Saratok, Sarawak
- Hospital Betong, Sarawak
- Hospital Kanowit, Sarawak
- Hospital Mukah, Sarawak
- Hospital Queen Elizabeth Kota Kinabalu, Sabah
- Hospital Wanita & Kanak-kanak Likas, Sabah
- Hospital Duchess of Kent Sandakan, Sabah
- Hospital Tawau, Sabah
- Hospital Keningau, Sabah
- Hospital Lahad Datu, Sabah
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