Week 5 Flashcards
Low risk MAX
48 hr room
14 d refrige
Medium Risk MAX
30 hrs room
9 days refrige
Cleaning occurs
prior to each batch
every 30 minutes
during heavy contamination
Mopped in what order?
Cleanest to dirtiest: buffer > ante
Cleaning supplies must be
non-shedding and disposal
Deep cleaning occurs
Monthly
Proper documentation and freq:
data and time
type of cleaning
name
Training Requirements
ACPE Accredited Training
Site based: didactic, written assessment, practical skills assessment
Media-fill testing: annually for low/medium and biannually for high risk
Fingertip sampling
Glove fingertip sampling for ALL CSP risk levels
Most common source of contamination?
Touch
All personnel must pass ___ glove fingertip sampling before compounding.
3
Sterility testing in High Risk
Signle dose packages > 25 preps
Multi-dose vials
Exposed >12 hrs before sterilized
Exposed >6 hrs warmer than 8 C before sterilized
Preferred mechanisms of aqueous sterilization?
Steam/autoclave (121C for 20-60 minutes)
When is dry heat used?
When moisture will damage
Higher temp for longer exposure
***Sterile Compounding in TX
20 hr for pharmacists 40 hr for tech Annual validation Biannual validation for HR 6 hr ACPE approved CE every 2 yrs Pass written test and a skills test on-the-job AND an ACPE approved program