Equipment and Components USP 800
Sterile Hazardous Compounding <800>
Equipment and Components
Sterile Hazardous Compounding <800>
Purpose/ Applicability: To provide guidelines for proper storage and cleaning of equipment and components within the hazardous side of the cleanroom.
Scope: Applies to all sterile hazardous compounding / preparations.
Definition(s): N/A
Equipment:
Beaker
Procedure:
Dedicated Equipment
- Compounding with hazardous drugs will only be performed with dedicated equipment, including but not limited to:
- Beakers, graduated cylinders, other vessels
- *Currently we only utilize a beaker within the HD room
- Beakers, graduated cylinders, other vessels
- Each piece of equipment (that is reusable) used for HD compounding will be tagged or labeled in a manner that identified it as being dedicated to HD compounding
- Each piece of equipment that is not reusable, will be disposed of properly within the HD room
- Dispose in the blue sharps bin if it is a syringe, vial, adaptor, or anything that may have come into contact with drug
- Dispose in the trash can if it is plastic, paper, or any outer wrapping that has not come into contact with drug
- Any equipment utilized in the HD room must be sprayed down with alcohol before and after each use
Components
- Equipment / medications can be brought in or out through the pass through
- Brought in :
- Item should be sprayed down with alcohol before being placed in the pass through as well as once it is pulled out of the pass through to ensure sterility
- Item must also be sprayed down with alcohol again prior to being introduced into the hood
- Brought out :
- Item from the hood (such as a medication) should be in a chemotherapy bag that is fully sealed prior to being placed in pass through
- Item can be grabbed from anteroom side and brought out of cleanroom for use
- Item from the negative pressure buffer room should be sprayed with alcohol prior to being placed in the pass through
- If there is concern of chemotherapy contamination, item should be handled with non-sterile chemotherapy gloves while taking out of pass through into anteroom and out to where it needs to be handled
- Do not handle items that have been exposed to chemotherapy without chemotherapy gloves
- Item from the hood (such as a medication) should be in a chemotherapy bag that is fully sealed prior to being placed in pass through