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Designing a Verification and
Monitoring Program
1. Identify Your Sterile Compounding Activities
In addition to your IV Admixtures program, also consider compounded sterile preparation (CSP) activities conducted in other departments such as anesthesiology, radiology, and oncology. Include all CSP activities, such as aqueous bronchial and nasal inhalations, baths and soaks for live organs and tissues, injections, irrigations for wounds and body cavities, ophthalmic drops and ointments, and tissue implants.
2. Determine the Risk-Level(s)
For each area or compounding group, determine the appropriate USP <797> Risk Level for the CSPs. This will be based upon several considerations, including the complexity of the compounding procedure, storage time and conditions, and the number of patients who might be adversely impacted by a single error.
View guidelines for determining immediate use or risk level of CSPs.
Remember that compounding hazardous drugs has special training and skill-set verification requirements and is not the same as 'High-Risk' compounding.
3. Identify the Most Complex Processes and Equipment
Encountered
by each Group of Compounding Personnel
Media-fill exercises given in USP <797> are examples, and are not prescriptive. Your verification procedures must match your processes and equipment. VALITEQ offers several kits that are designed to meet the needs of most institutions for various categories of compounding. We also provide sterile growth-medium in a variety of package forms to facilitate customized verification procedures.
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View a low-risk video demonstration using the ATTACK II Kit.