Medication - Sterile Compounding - Compounding Staff Competency Requirements (USP 797 2008 Version Only)
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:
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
Manual:
Home Care
Chapter:
Human Resources HR
Last reviewed by Standards Interpretation: May 03, 2022
Represents the most recent date that the FAQ was reviewed (e.g. annual review).
First published date: January 23, 2018
This Standards FAQ was first published on this date.
This page was last updated on November 05, 2024
with update notes of: Editorial changes only
Types of changes and an explanation of change type:
Editorial changes only: Format changes only. No changes to content. |
Review only, FAQ is current: Periodic review completed, no changes to content. |
Reflects new or updated requirements: Changes represent new or revised requirements.
Get Extra Help with Books and E-books
Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.
Stay Informed with Online Education
Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.
Reach Your Safety Goals with eProducts
Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.
Joint Commission Virtual Assistant