What competencies are required for personnel compounding medications in the Main Pharmacy or Satellite Pharmacy areas ?

Any examples are for illustrative purposes only.

The following competencies are expected to be completed for all compounding staff:

Media fill testing (representing the highest complexity level of compounding performed)
Gloved fingertip sampling (initial and ongoing testing)
Written didactic testing
Evaluation of hand washing and donning PPE

The listed items are expected with the following time frames:

Low-Risk and Medium-Risk^ Sterile Compounding: Annually for staff performing (defined as every 12 months +/- one month.)
High-Risk Sterile Compounding*: Every 6 months

^NOTE: Sterile compounding risk levels are adapted from USP 797

Last updated on November 05, 2024 with update notes of: Editorial changes only

First Published Date: January 23, 2018

Last Reviewed Date: May 03, 2022