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15-Jul-2020 22:24

Despite the 9-year tenure of USP some of these practices persist as a result of their past success, convenience, and the comfort level of health care personnel.As owners of the medication use process, pharmacists should continue to work with their colleagues in other professions involved in the preparation and administration of sterile products to ensure that immediate-use practices are not only compliant with the national standard, but also that they are accurate, cost-effective, and safe for the specific patient population in question.Best practice is using pharmacy services when possible to minimize immediate-use compounding.The use of a central pharmacy offers a number of advantages over immediate-use compounding in a patient area.This guideline identified areas of injection practice that posed the greatest risk for infection transmission.The recommendations are listed in Online Table 2 and focus mainly on preventing the reuse of syringes/cannulas/needles and the primary use of single-dose and single-patient vials.into state legislation and adoption of a policy of enforcement by the Joint Commission encouraged swift action and compliance on the part of hospitals and pharmacies across the country.

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· Do not administer medications from a syringe to multiple patients, even if the needle or cannula on the syringe is changed.

The authors reviewed 19 studies representing 7277 doses and found overall contamination rates in individual versus batched doses of 5.0% and 2.0% in ward environments, and 1.9% and 0.0% in pharmaceutical environments.

The authors concluded that contamination risk still exists in both environments, but appears to be higher in ward environments and when doses are prepared individually rather than as part of a batch procedure. Given this established risk of contamination, as well as the absence of quality assurance measures to address compatibility and stability, it is imperative that pharmacy departments describe and utilize practices to minimize immediate-use compounding when possible.

It is not for everyone and can only be accomplished by using an analytical approach.

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This article discusses the unique skill set required by pharmacists to accomplish and maintain these processes.

, the long-standing concept of drug stability (beyond-use dates and expiration dates) came to the forefront of pharmacy compounding practice.