IV ROOM

Deactivation, Decontamination, Cleaning, and Disinfection of sterile HD compounding areas

USP <800> has an entire section dedicated to deactivation, decontamination, cleaning, and disinfecting areas that are used for compounding sterile hazardous drugs (HDs). The chapter calls for: Establishing written procedures Training personnel Using appropriate personal protective equipment (PPE) resistant to cleaning agents. This includes the use of two pairs of chemo gloves and impermeable disposable gowns […]

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Cool technology for pharmacy – Formulary Toolkit

Omnicell has been busy developing the IV automation and technology that they acquired from Aeysnt. Honestly, a couple of years ago I was ready to write off Aesynt’s presence in the IV room because of their tiny market share. This is when their current IV room products were still part of Health Robotics. With that […]

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Increased IV production means increased automation…and data

Interesting timing on this article at Healthcare IT News: “With an eye on improving safety, increasing compliance and reducing waste, an increasing number of hospitals and health systems are looking to insource and automate their IV compounding processes… Campbell said that the transition to robotic sterile compounding has resulted in a cost savings of $100,000…At […]

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Surface sampling for equipment used for preparing sterile HDs

USP Chapter <800> HAZARDOUS DRUGS—HANDLING IN HEALTHCARE SETTINGS is organized into the following main sections: Introduction and Scope List of Hazardous Drugs Types of Exposure Responsibilities of Personnel Handling Hazardous Drugs Facilities and Engineering Controls Environmental Quality and Control Personal Protective Equipment Hazard Communication Program Personnel Training Receiving Labeling, Packaging, Transport, and Disposal Dispensing Final […]

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The scope of IV room errors

There’s an interesting article in Pharmacy Practice News this month (In the IV Room, Robots Come to the Rescue). While the title of the article is a bit misleading – I think ‘rescue’ is a bit strong – it does contain quite a bit of good information. The article discusses some of the technology being […]

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USP Chapter <800> Terminology

USP <800> Hazardous Drugs – Handling In Healthcare Settings introduces not only new rules around hazardous drug compounding, but some new terminology/vocabulary as well. Most of the terminology doesn’t address unique items, but rather how items are described when handling hazardous drugs (HDs). USP Chapter <800> refers to “containment” primary and secondary engineering controls (C-PECs […]

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Cool technology for pharmacy – ProteXsure Safety Capsule System

Needle sticks happen. I’ve actually stuck myself a few times during my career while compounding in the IV room. Fortunately for me, it never involved anything hazardous. Still, it was a pain. No pun intended. Over the years a lot of attention has been given to methods for preventing needle sticks in healthcare, ranging from things […]

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JerryFahrni.com Podcast | Episode 12: Pharmacy IV room discussion with Ray Vrabel, PharmD

Show Notes: Host: Jerry Fahnri, Pharm.D. Jerry and Ray talk about the pharmacy IV room, specifically where we’ve been, where we’re at, and where we’re headed. Topics include workflow, the impact of USP <797> on pharmacy iv room operations, and thoughts on currently available iv workflow management system technologies. You can learn more about Ray […]

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JerryFahrni.com Podcast | Episode 11: Look at MD Anderson’s implementation of BD Cato [Article]

Show Notes: Host: Jerry Fahnri, Pharm.D. A short discussion of an article in the February 1, 2016, issue of AJHP on the implementation of BD Cato at MD Anderson hospital. Items discussed in podcast: [Article discussed]: Reece, K. M. et al. “Implementation And Evaluation Of A Gravimetric I.V. Workflow Software System In An Oncology Ambulatory Care […]

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CPhA releases statement on USP <800> and pending California regulation

CPhA recently sent out an alert notifying members of upcoming California State Board of Pharmacy adoption of USP <800> guidelines. You can read about it here. California isn’t planning to adopt the entirety of USP <800>, but what they have decided to adopt will become enforceable on January 1, 2017. “The proposed California BOP regulations […]

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