Based off her study guide
The most likely source of contamination is what?
operator involved in compounding
Microbial Contamination:
source
consequence
source: microbes/ other pathogens
consequence: infection
Chemical Contamination:
source
consequence
source: chemicals and things that produce chemicals
consequence: immunogenic and toxic effects
Physical Contamination:
source
consequence
source: cores from stoppers, glass, particulate matter
consequence: occlusions of vessels, thrombosis, phlebitis, death
General principles for LAFW are:
Should operate _____________.
All interior surfaces should be ___________ before use.
Nothing should touch the ______________.
Position away from __________________________.
Should operate continuously.
All interior surfaces should be cleaned before use.
Nothing should touch the HEPA filter.
Position away from excess traffic, doors, vents, fans.
General principles for LAFW are:
Coughing/talking should be directed ______________________.
Only objects ___________________________ should enter LAFW.
Test every ___ months, when moved, or if damage suspected.
Coughing/talking should be directed away from critical area.
Only objects essential to compounding should enter LAFW.
Test every 6 months, when moved, or if damage suspected.
People that are experiencing what should not enter the compounding CSP?
rashes
sunburns
weeping sores
respiratory infections
conjunctivitis
Which of the following should not be worn into the compounding area:
SATA:
a. nail polish
b. fake nails
c. cosmetics
d. jewelry
e. coats
ALL SHOULD NOT BE WORN (a,b,c,d)
What is the order for donning PPE?
dirtiest ā> cleanest
ante room ā> buffer area
Order can vary place to place but usually:
shoesā hairā face maskā wash handsā gownā santize handsā gloveā disinfect gloves
Where and when is handwashing performed?
performed in ante area
after jewelry and other objects removed
When washing your hands answer the following?
What temp of water?
Clean up to where?
Clean under what?
Water should run down __________ to ___________.
Dry using what?
warm water
clean up to forearms
clean under fingernails
water should run down fingers to elbows
dry using disposable lint free towel
What is the most common product used to wash hands?
chlorhexidine gluconate
Is IPA used for hand washing?
NO- itās a disinfectant
Is Triclosan recommended for hand washing?
no
What are critical sites?
areas on container/devices with greatest risk of contamination
Critical Sites of a needle:
hub
tip
shaft
(anywhere but the cap)
Critical sites of a syringe:
tip
ribs of plunger
Critical sites of a vial:
rubber closure
Critical sites of an ampule:
neck/opening
Critical sites of a bag:
additive/injection port
All critical sites must be exposed to the path of _________ from the HEPA filter.
1st air
Regarding air flow, the operator must be aware of what?
airflow DIRECTION
All aseptic manipulations should be done at least ___ inches within LAH.
6
How long should the hood be running before entering the LAH?
30 min
Before entering the LAH gloves should be disinfected withā¦.
70% IPA
To disinfect a vial, use an alcohol wipe to wipe the rubber closure how many times?
3
To disinfect an ampule, wrap a wipe where?
neck of the ampule
After disinfecting the ampule with a wipe, use the wipe to do what?
break the ampule
To disinfect a bag, wipe the port how many times?
3
Since a vial is a closed system, what must be done to ensure that the correct volume is drawn up?
draw up volume of air equal to amount of liquid being removed