Usp 797 medium risk beyond use dating speed dating cranbrook bc
Thus, access to pharmacy services 24 hours a day, 7 days a week is essential to providing safe, high-quality patient care.
Additionally, ready-to-use products, which can be quickly transported to the bedside or stocked in an automated dispensing cabinet (ADC), can minimize the time to administration, thereby giving staff timely access to products in emergent situations.
The central pharmacy has quality assurance checks, including pharmacist verification of indication, dose, and patient-specific parameters to ensure safety prior to administration as well as verification of sterility and stability of the products dispensed.
Practices that increase pharmacy presence in patient care areas and decrease time to administration of medications compounded in the pharmacy decrease the need for immediate-use compounding.
The publication of the USP in 2004 represents the first official enforceable standard for sterile compounding in the United States.
While quality and safety programs exist within other health care professions, pharmacy knowledge and involvement in these activities ensures compliance with best practices and also provides an opportunity for pharmacy to take ownership of the complete medication use process.
The risk levels and requirements for each are summarized in Online Table 1.
Table 1: USP BUD = beyond use date; ISO = International Organization for Standardization; TPN = total parenteral nutrition.
Best practice is using pharmacy services when possible to minimize immediate-use compounding.
The use of a central pharmacy offers a number of advantages over immediate-use compounding in a patient area.
While the safety of compounded sterile preparations (CSPs) has been an important topic in the practice of pharmacy for decades, the recent tragic deaths related to fungal contamination of preservative-free methylprednisolone injection have once again put the topic on the national stage.