Standards FAQ Details | Joint Commission
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Wednesday 3:13 CST, February 21, 2018

Standards FAQ Details


Medication - Sterile Compounding - Using Primary and Secondary Engineering Controls with Testing/Certification Failures
Publish | January 01, 0001
Can we still use our Primary Engineering Control if it fails its testing/certification ?

It is up to the organization to determine whether or not the compounding space is acceptable to continue producing sterile compounded medication products.  Factors should include the pathogenicity of the organism grown in the positive growth viable sample; complexity level of the compounded product; any known/potential associated hospital acquired infections; and guidance from the infection control practitioner. 

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