usp 800: drugs of concern in the community pharmacy handouts/usp 8… · brenda’s pharmacy...
TRANSCRIPT
![Page 1: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/1.jpg)
USP 800: DRUGS OF CONCERN IN THE COMMUNITY
PHARMACY
SATURDAY/11:30AM-12:30PM
ACPE UAN: 0107-9999-18-302-L07-P 0.1 CEU/1.0 hr
0107-9999-18-302-L07-T 0.1 CEU/1.0 hr
Activity Type: Knowledge-Based
Learning Objectives for Pharmacists & Pharmacy Technicians:
Upon completion of this CPE activity participants should be able to:
1. Identify drugs that must be handled as hazardous.
2. Describe the responsibilities of the designated person.
3. Determine when an assessment of risk approach may be used.
4. List required policies and procedures.
5. Describe staff training and competency requirements.
Speaker: Brenda Jensen, CPhT, CNMT, MBA
Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air
Force, and she has been involved in pharmacy one way or another since then (including
community and hospital pharmacy, nonsterile and sterile compounding, oncology and
nuclear pharmacy). She is an owner at Compounding Consultants, LLC located in Sioux
Falls, SD. Brenda has helped over 250 pharmacies in 45 states improve compounding
quality and safety. She assists with PCAB accreditation, NABP VPP or UCAP credentialing,
development of standard operating procedures, USP and/or state law compliance, and
provides onsite training to compounding personnel. She is a member of multiple
pharmacy-related organizations and is currently the vice-chair of the APhA Compounding Special Interest Group
and serves on the International Academy of Compounding Pharmacists Foundation Board of Directors and
American College of Veterinary Pharmacists Board of Directors.
Speaker Disclosure: Brenda Jensen reports no actual or potential conflicts of interest in relation to this CPE
activity. Off-label use of medications will not be discussed during this presentation.
![Page 2: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/2.jpg)
1/23/2019
1
Presented by:
USP 800: Drugs of Concern in the Community Pharmacy
Brenda Jensen CPhT, CNMT, MBA
Learning Objectives
Upon successful completion of this activity, participants should be able to:
• Identify drugs that must be handled as hazardous.
• Describe the responsibilities of the designated person.
• Determine when an assessment of risk approach may be used.
• List required policies and procedures.
• Describe staff training and competency requirements.
1
2
![Page 3: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/3.jpg)
1/23/2019
2
Disclosure
Brenda Jensen reports no actual or potential conflicts of interest associated with this presentation. The views and opinions expressed are those of the speaker and are not endorsed by or affiliated with USP.
3
4
![Page 4: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/4.jpg)
1/23/2019
3
5
6
![Page 5: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/5.jpg)
1/23/2019
4
7
8
![Page 6: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/6.jpg)
1/23/2019
5
9
10
![Page 7: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/7.jpg)
1/23/2019
6
11
12
![Page 8: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/8.jpg)
1/23/2019
7
13
14
![Page 9: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/9.jpg)
1/23/2019
8
15
16
![Page 10: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/10.jpg)
1/23/2019
9
17
18
![Page 11: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/11.jpg)
1/23/2019
10
19
20
![Page 12: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/12.jpg)
1/23/2019
11
21
22
![Page 13: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/13.jpg)
1/23/2019
12
23
24
![Page 14: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/14.jpg)
1/23/2019
13
25
26
![Page 15: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/15.jpg)
1/23/2019
14
27
28
![Page 16: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/16.jpg)
1/23/2019
15
The NIOSH list is divided into categories that include all of the following except
A. Antineoplastic
B. Reproductive hazard
C. Poison
D. Non-antineoplastic HD
29
30
![Page 17: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/17.jpg)
1/23/2019
16
The NIOSH list is divided into categories that include all of the following except
A. Antineoplastic
B. Reproductive hazard
C. Poison
D. Non-antineoplastic HD
The designated person must perform wipe sampling to ensure environmental control of the storage and dispensing areas.
A. True
B. False
C.
D
31
32
![Page 18: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/18.jpg)
1/23/2019
17
The designated person must perform wipe sampling to ensure environmental control of the storage and dispensing areas.
A. True
B. False
C.
D
Drugs on the NIOSH list that do not have to follow all the containment requirements of <800> if an assessment of risk is performed and implemented include:
A. Any HD API
B. Any antineoplastic - manipulation
C. Final dosage forms - no manipulation
D. All of the above
33
34
![Page 19: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/19.jpg)
1/23/2019
18
Drugs on the NIOSH list that do not have to follow all the containment requirements of <800> if an assessment of risk is performed and implemented include:
A. Any HD API
B. Any antineoplastic - manipulation
C. Final dosage forms - no manipulation
D. All of the above
The hazardous drug receiving area must have
A. Negative pressure
B. Positive pressure
C. Neutral pressure
D. A or C
35
36
![Page 20: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/20.jpg)
1/23/2019
19
The hazardous drug receiving area must have
A. Negative pressure
B. Positive pressure
C. Neutral pressure
D. A or C
70% IPA is used to clean countertops
A. True
B. False
C.
D.
37
38
![Page 21: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/21.jpg)
1/23/2019
20
70% IPA is used to clean countertops
A. True
B. False
C.
D.
Take Home Points
• Identify a designated person.
• Create a list of HDs.
• Perform Assessments of Risk.
• Write policies and procedures
• Train staff and assess competency.
39
40
![Page 22: USP 800: DRUGS OF CONCERN IN THE COMMUNITY PHARMACY Handouts/USP 8… · Brenda’s pharmacy experience began in 1984 as a pharmacy specialist in the US Air Force, and she has been](https://reader036.vdocument.in/reader036/viewer/2022081614/5fc3b1a9f6069b4be32dec7d/html5/thumbnails/22.jpg)
1/23/2019
21
Questions?
41