June 02, 2016
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The upcoming USP <797> revision
Pharmacy Purchasing & Products
The USP Compounding Expert Committee published the proposed revisions to USP <797> on September 25, 2015 and the public comment period closed on January 31, 2016. Once the chapter is finalized, the changes likely will require more resources and focus devoted to quality assurance and control activities to ensure pharmacies are achieving and maintaining a proper state of control and can prove it. Knowledgeable staff will be needed to perform additional activities, such as more frequent personnel and environmental testing. Improved dedication to effective employee training and meaningful competency measurement will be required.  READ MORE

USP <800>: Compliance or complacency?
Pharmacy Practice News
2018 deadline may seem far off, but now is time to prepare, experts say. Hospitals that have invested heavily to bring their sterile compounding facilities into compliance with U.S. Pharmacopeial Convention (USP) General Chapter <797> should be in relatively good shape to meet the more far-reaching demands of USP Chapter <800> for protecting workers against the dangers of hazardous drug exposure. Others still grappling with <797> may face a tougher challenge—even with the deadline for complying with the federally enforceable chapter more than two years away.  READ MORE

Hazardous drug handling in light of USP <800>
Pharmacy Purchasing & Products
It is important to understand that while pharmacy curricula include HD handling education, nursing curricula may not. Many nurses gain most of their HD training from mentors, colleagues, educational courses, and lectures, and are significantly influenced by the culture in which we practice. Each organization supports its own safety culture; depending on the hospital, HD safety practices may be emphasized, downplayed, or even ignored. With the support of pharmacy leadership, nursing managers can gain insight into acceptable practice at the bedside and ensure that nurses are practicing safely.  READ MORE

Regulation update: 2 pharmacy rules to prevent drug contamination in 2016
Infection Control Today
Since the passage of the Affordable Care Act, the healthcare industry has introduced a number of regulatory changes to improve patient care. In the past year, following a string of deadly compounding errors, such as a New England meningitis outbreak that resulted in 64 patient deaths, many such changes have focused on standardized guidelines for handling, preparing, and storing drugs in a hospital environment.  READ MORE

Update on proposed USP Chapter <800>
Pharmacy Purchasing & Products
Based on public comments received for the originally proposed USP General Chapter <800> Hazardous Drugs—Handling in Healthcare Settings published in Pharmacopeial Forum (PF40[3] May-Jun 2014), the USP Compounding Expert Committee developed a revised chapter (available online at http://www.usp.org/sites/default/files/usp_pdf/EN/m7808_pre-post.pdf). The expert committee incorporated changes resulting from the previous public comment period and is seeking another round of feedback. The revised chapter was posted in December 2014 on the USP Web site and also will be published in the March-April 2015 issue of the Pharmacopeial Forum. The new public comment period for the revised chapter is open until May 31, 2015.  READ MORE

3 options to meet USP 797 requirements for combination ophthalmic dilating drops
Becker's ASC Review
Dilating patients' eyes before ophthalmic procedures is quite possibly the most time-consuming part of the eye exam/surgery. Many facilities choose to combine various medications to ensure a more efficient pre-operative process. While this practice creates efficiencies for nursing staff and perhaps is less burdensome for patients, the risk of contamination during mixing of these medications is a major concern.  READ MORE

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