Connect

Connect

with a Cardinal Health representative

877.300.9180 

Thank you for connecting with us.
 
 
 
 
 
   
Please fill out this field

Sterile Compounding Compliance Assessment

Are you confident your sterile compounding preparations are compliant?

Sterile compounding compliance standards reach beyond the hood, or cleanroom. Standards are often overlooked in other areas where sterile compounding may occur, such as anesthesia, ICU, emergency department, other procedural areas, oncology clinics, infusion center and other ambulatory areas. In addition, sterile compounding compliance impacts personnel competency and safety, and how the healthcare facility manages ongoing monitoring. New standards also impact the sterile compounding of hazardous medications.

Many factors impact the integrity of sterile preparations, such as air flow, pressure gradients, temperature, humidity and particle counts.

Our Sterile Compounding Assessment focuses on three major areas:

  • The facility itself: including the IV room and other locations where sterile preparations are mixed
  • Personnel-related areas: including education, training, garbing, and documented competence required; based on facility policy, USP <797> requirements, and observation of operations
  • How the pharmacy conducts ongoing monitoring: including personnel and healthcare facility; assessment of the organization’s certification report, results of environmental monitoring, and reporting to the Infection Control Committee

Sterile Compounding goes beyond the hood

Many health systems mistakenly believe they are compliant by overlooking important areas of USP <797>/<800>. Are you making these compliance errors?

Based on our experience, we find that health systems neglect these key areas:

  • They do not read, or are not sure how to interpret, certification reports on their hood’s performance
  • Focus only on compliance within the four walls of the pharmacy, and not in other areas of the hospital and health system in which sterile compounding occurs
  • They do not realize that a negative pressure room may be required for handling hazardous drugs
  • Microbial monitoring, and interpreting the results, are generally overlooked
  • Environmental sampling of both surfaces and air are often not completed

Expertise to give you peace of mind

Compliance standards for sterile compounding are complex and Cardinal Health is here to provide you with the expertise and resources to rapidly identify areas for improvement and risk deterrence.

Our Sterile Compounding Compliance Assessment focuses on three major areas:

We help ensure the proper monitoring and measures are in place for the IV room and other locations where sterile preparations are mixed.

We guide your health system in personal-related areas including education, training, garbing and documented competence required; based on facility policy, USP <797>/<800> requirements, and observations of operations.

We will support how your pharmacy conducts ongoing monitoring including personnel and facility; assessment of the organization’s certification report, results of environmental monitoring, and reporting to the Infection Control Committee.

Connect

Connect

Connect with a Sterile Compounding Compliance Expert

877.300.9180
Thank you your interest in learning more about Cardinal Health 340B Services.
 
   
Please fill out this field