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Medication - Sterile Compounding - Low Volume Hazardous Medication Preparation

Our Organization compounds a small quantity of hazardous medications. Are there any special requirements we should follow ?

Any examples are for illustrative purposes only.

Ideally, hazardous medications would be compounded in a negative pressure environment.  Currently, according to USP 797, if an organization prepares a low volume of hazardous drugs, the use of two tiers of containment is acceptable in a non-negative pressure area.   An example of 2-tier containment would be the use of a closed system transfer device utilized within a biological safety cabinet or compounding aseptic containment isolator. 
Manual: Critical Access Hospital
Chapter: Medication Management MM
First published date: January 23, 2018 This Standards FAQ was first published on this date.
This page was last updated on October 29, 2021

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