Manual:
Critical Access Hospital
Chapter:
Environment of Care EC
Topic:
Medication - Sterile Compounding - Testing/Certification Remediation Requirements for Primary and Secondary Engineering
If our Primary Engineering Control or Secondary Engineering Control certification/testing reports show a value outside of acceptable limits, what should we do?
Any examples are for illustrative purposes only.
Organizations are required to develop a remediation program to address the identified issue which must include retesting the tested components which were out of range. The remediation process should include an overall review of compliance with procedures including those of compounding staff, cleaning processes and products, and air filtration efficiency. These should be evaluated to identify any potential adverse impact affecting testing results.
Organizations are required to develop a remediation program to address the identified issue which must include retesting the tested components which were out of range. The remediation process should include an overall review of compliance with procedures including those of compounding staff, cleaning processes and products, and air filtration efficiency. These should be evaluated to identify any potential adverse impact affecting testing results.
Last updated on November 05, 2024
with update notes of: Editorial changes only
First Published Date: January 23, 2018
Last Reviewed Date: November 01, 2021