February USP 797 Tip of the Day: Never mix hazardous drugs in a LAFW (laminar airflow workbench).

Never mix hazardous drugs in a LAFW (laminar airflow workbench).

Working in a LAFW does not provide any protection to the person using it. Hazardous drugs must be prepared in an appropriate ISO Class 5 EC.

Daily tips in February are from a document Eric S. Kastango produced in 2006.
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February USP 797 Tip of the Day: Weigh bulk ingredients on an electronic scale with a printer.

Weigh bulk ingredients on an electronic scale with a printer.

When improperly performed, this activity has led to patient harm and death. Having documentation (the printout) to support the weight of the ingredients is an important verification step in the compounding process. There have been several sentinel events involving overdoses of medications when bulk ingredients were weighed out incorrectly.

Daily tips in February are from a document Eric S. Kastango produced in 2006.

February USP 797 Tip of the Day: Calibrate Automated Compounding Devices daily, and document the calibration.

Calibrate Automated Compounding Devices daily, and document the calibration.

These devices can greatly improve the accuracy of delivered medication solutions and efficiency of the pharmacy, but only if they work correctly. Calibrating critical equipment on a daily basis ensure that equipment is functioning properly.

Daily tips in February are from a document Eric S. Kastango produced in 2006.

February USP 797 Tip of the Day: Discard all clean room garb immediately upon exiting compounding area.

Discard all clean room garb (masks, shoe and face cover) immediately upon exiting compounding area.

If garb is taken outside of the cleanroom or anteroom, they are effectively contaminated. Although other hospital personnel can be observed walking around in their garb (hair net, masks around the neck, shoe covers, gowns), this practice is not acceptable.

Daily tips in February are from a document Eric S. Kastango produced in 2006.

February USP 797 Tip of the Day: Compounding personnel are our best assets, as well as our greatest liability.

All staff need to perform aseptic technique media qualification procedures on a regular basis.

Compounding personnel are our best assets, as well as our greatest liability. Aseptic technique media fill procedures are an objective way to evaluate an employee’s aseptic compounding skills.

Daily tips in February are from a document Eric S. Kastango produced in 2006.

February USP 797 Tip of the Day: Document the temperature of refrigerators and freezers daily.

Document the temperature of refrigerators and freezers daily.

Proper storage of medications or CSPs require proper storage temperatures to be maintained. Documenting temperatures daily creates evidence that storage conditions are being properly maintained.

Daily tips in February are from a document Eric S. Kastango produced in 2006.

February USP 797 Tip of the Day: No makeup, jewelry or artificial nails in compounding area.

No makeup, jewelry or artificial nails in compounding area.

Makeup is a source of particles (millions of particles and chemical contaminates released per application) and artificial nails can harbor fungus, which can be introduced to patients. Also, fingernails longer than ¼” are sources of contamination according to the CDC. Work in the pharmacy is not a fashion show. It’s about the patient and their health — not how you look.

Daily tips in February are from a document Eric S. Kastango produced in 2006.