{"id":685,"date":"2022-07-19T21:10:29","date_gmt":"2022-07-19T21:10:29","guid":{"rendered":"http:\/\/www.akron.duonglam.ca\/?page_id=685"},"modified":"2023-10-27T19:06:39","modified_gmt":"2023-10-27T19:06:39","slug":"akron-pharmacy-compounding-quality-assurance-program","status":"publish","type":"page","link":"https:\/\/www.akron.duonglam.ca\/?page_id=685","title":{"rendered":"Akron Pharmacy Compounding Quality Assurance Program"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Component: Facilities<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Verify compounding area meets level A\nrequirements.<ul><li>Area\nis clean, orderly, and good state of repair<\/li><\/ul><ul><li>Storage\narea is appropriate <\/li><\/ul><ul><li>Space\nfor compounding is adequate <\/li><\/ul><ul><li>Frequency<ul><li>Every\nsix months or<\/li><\/ul><ul><li>Equipment\nis installed, repaired <\/li><\/ul><ul><li>Contamination\nproblem is identified<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Component: Equipment<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Refrigerator temperature verification<ul><li>Verify logs monthly, more often if issue is identified<\/li><\/ul><ul><li>Calibrate temperature probe every 6 month using the Slush test <\/li><\/ul><\/li><li>Verify Balance calibration<ul><li>Balance calibration to be done every six months<\/li><\/ul><\/li><li>Documentation <ul><li>\/Dropbox\/Akron\/Documentation\/Equipment Calibration Log.doc<\/li><\/ul><\/li><li>Slush test<ul><li>Fill a polystyrene or plastic cup two-thirds full with cold water. Place the cup in the freezer until a fine layer of ice forms on top and a small section of ice forms within the fluid (about 2 hours). If ice is present, this ensures that the mixture is at 0\u00b0C (+32\u00b0F).<\/li><li>Place the temperature probe in the middle of the cup (do not touch the sides or bottom).<\/li><li>Observe the temperature after 2 minutes. The temperature should drop to 0\u00b0C (+32\u00b0F) within 2 minute<\/li><li>Most thermometers are calibrated to be accurate to \u00b11\u00b0C or better. If the temperature reading is more than 1\u00b0C (+34\u00b0F) above or below 0\u00b0C (+32\u00b0F) at 2 minutes, replace the battery and test again. If the thermometer is still not within range, contact thermometer manufacturer for instructions regarding recalibration procedures or replace the thermometer. <\/li><li>If the calibrated thermometer indicates an out-of-range temperature and if it is properly positioned, assume that it is accurate and take immediate steps to safeguard the vaccine. Once the vaccine has been safely stored under proper conditions, the accuracy (and batteries) of the thermometer can be checked. However, always check other causes of inappropriate storage temperatures first.<\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Component: Personnel<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Verify compounding personnel\nskill\/training<ul><li>Completion\nof the Skill Assessment found on the Akron SOP website (<a href=\"http:\/\/www.akron.duonglam.ca\/\">Home<\/a>&nbsp;\u203a&nbsp;<a href=\"http:\/\/www.akron.duonglam.ca\/?page_id=566\">Compounding<\/a>&nbsp;\u203a&nbsp;Staff\nSkills Assessment)<\/li><\/ul><ul><li>Frequency<ul><li>When\nnew compounding personnel are hired or returning from extended leave<\/li><\/ul><ul><li>Yearly\nto ensure compliance with policy and procedures<\/li><\/ul><ul><li>If\nnecessary for investigating incidences, accidents, or contamination is identified<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Component: Final Preparation<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Master Formulation Records<ul><li>Verify yearly or when new information\nbecomes available<\/li><\/ul><\/li><li>Final Product<ul><li>Verify final product matches prescription.&nbsp; <\/li><\/ul><ul><li>Verify protocols have been followed. <\/li><\/ul><ul><li>Verify ingredients are verified<\/li><\/ul><ul><li>Verify final product assessed for\nclarity\/color, odor and consistency.&nbsp; <\/li><\/ul><ul><li>Verify labelling and container are\ncorrect.<ul><li>Method:\nReview of documentation every 6 months.<\/li><\/ul><\/li><\/ul><\/li><li>Documentation<ul><li>Verify documentation of procedures<\/li><\/ul><ul><li>Verify necessary initials\/signing are\ncompleted<\/li><\/ul><ul><li>Verify entries are completed in logs<ul><li>Review\ndocumentations every 6 months.<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Component: Documentation<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Policy and Procedure<ul><li>Verify up to date every 3 years<\/li><\/ul><\/li><li>Compounding records<ul><li>Verify records are meet regulatory requirements\nevery 6 months<\/li><\/ul><\/li><li>Safety Data Sheets<ul><li>Verify availability yearly <\/li><\/ul><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Component: Facilities Verify compounding area meets level A requirements. Area is clean, orderly, and good state of repair Storage area is appropriate Space for compounding is adequate Frequency Every six months or Equipment is installed, repaired Contamination problem is identified<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.akron.duonglam.ca\/?page_id=685\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":566,"menu_order":20,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-685","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/685","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=685"}],"version-history":[{"count":3,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/685\/revisions"}],"predecessor-version":[{"id":823,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/685\/revisions\/823"}],"up":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/566"}],"wp:attachment":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}