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Lecture-Related Topics and Scope:
I. Introduction to the Hospital Environment.
A. Professional staffing and personnel policies
B. Formularies
C. Standard operation procedure
1. The Joint Commission (TJC) on Accreditation of Healthcare Organizations
2. Pharmacy & Therapeutics Committee
3. Retail pharmacy vs hospital pharmacy
D. Purchasing, central supply
E. Reading medication orders and terminology used on hospital orders
II. Hospital Medication Delivery Systems and Vocabulary
A. Physician's order
B. Medication administration record, fill lists, unit dose, automated drug delivery systems.
C. Floor stock
1. Medication carts
2. Crash carts
D. Urgent (Stat) orders vs. standing orders
E. Inventory control
F. Transfer medications
G. Recapture of unused medications
H. Billing
III. Needles and Syringes*
A. Small and large volume parenterals
B. Vials, ampules
C. IV administration sets
1. Filter needles
2. Flow rates
3. Aseptic technique of IV medication
4. Sterile preparation of IV medication
D. Personal Protective Equipment (PPE)
E. High Efficiency Particulate Air (HEPA) filters
F. Biological safety cabinet: working in the laminar and vertical flow hoods
IV. IV Solution/Medication Compatibility*
A. Choosing the correct tools to prepare IV solutions
B. Labeling IV preparations
1. Inpatient use
2. Outpatient use
C. Calculating
1. Flow rates
2. Powder volume
3. Expiration dates
V. Preparing Total Parenteral Nutrition (TPN)*
A. Gravity method vs. auto-mix compounding
B. Preparing TPN admixture report
C. Creating a medication pool
VI. Single Dose and Multi-Dose Vials*
A. Preparation and storage
B. Working with ampules
C. Reconstituting powders
VII. Chemotherapy Agents*
A. Safety issues
B. Use of chemo spill kit
C. Safety equipment
D. Correct selection of equipment
E. Labeling and packaging of chemotherapy preparations
F. Disposal of biohazard materials
VIII United States Pharmacopeia (USP)
A. USP 795 Pharmaceutical compounding nonsterile preparations
B. USP 797 Pharmaceutical compounding sterile preparations
C. USP 800 Hazardous drugs handling
D. USP 825 Radiopharmaceuticals
Lab-Related Topics & Scope:
I. Preparing Unit Doses
II. Restocking Medications and Crash Carts
*These topics are also included in the lab
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Sterile Compounding. Moini, Jahangir and Enabulele, Obehi and Scott, Anthony. Cengage. 2024.
Sterile Compounding and Aseptic Technique: Concepts, Training, and Assessment for Pharmacy Technicians. McCartney, Lisa. Paradigm Publishing. 2012 (classic).
Instructor prepared materials