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:
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:
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.