M19.5 Sterile Compounding

Multiple Choice

What are the safety precautions to take when handling hazardous medications?

• Wear protective gear

• Use a ventilated area

• Avoid direct contact

• All of the options

Multiple Choice

What are the potential effects of exposure to hazardous medications?

• Acute effects

• Chronic effects

• Both acute and chronic effects

• No effects

Multiple Choice

What does the term "hazardous medications" imply in the context of patient safety?

• They are always harmful to patients

• They can be life-saving but dangerous to handle

• They are safe for all handlers

• They are only dangerous to patients

Multiple Select

What are the roles of OSHA and NIOSH as established by the Occupational Safety Act of 1970? (select all that apply)

• Developing workplace safety standards

• Conducting research on health

• Providing education and training

• Enforcing workplace safety standards

Multiple Choice

What type of PPE is recommended when handling hazardous medications?

• Single gloves

• Double gloves

• No gloves

• Only masks

Multiple Choice

What are the criteria that make a drug hazardous according to NIOSH?

• Carcinogenic

• Teratogenic

• Reproductive toxins

• All of the options

Multiple Choice

Which of the following is NOT an antineoplastic chemotherapy drug?

• Methotrexate

• Cyclophosphamide

• Fluorouracil (5-FU)

• Sulfamethoxazole

Open Ended

You’re compounding a chemotherapy agent when a small amount spills onto your glove.

What should you do next?

Why is it important to follow exposure procedures immediately?

How might this policy protect both the technician and the pharmacy?

(hint: the answer may be found in the speaker notes of the regular slides)

Multiple Choice

What precautions should be taken when handling hazardous medications?

• Wear regular gloves

• Follow USP <800> procedures

• Ignore safety protocols

• Use any type of gloves

Multiple Choice

What precautions should be taken when receiving and unpacking hazardous medications?

• Wear regular gloves

• Inspect for contamination

• Segregate medications immediately

• Handle containers as if residue may be present

Reorder

What is the correct order of PPE to wear when preparing hazardous medications?

• Shoe covers

• Hair Cover

• Mask

• Gown

• Gloves

1

2

3

4

5

• 1
• 2
• 3
• 4
• 5

Multiple Choice

What are the safe compounding techniques to protect yourself and the product?

• Use only the materials needed

• Attach IV sets after adding medication

• Use regular syringes

• Maintain high positive pressure when reconstituting vials

Multiple Choice

What is the goal of reconstituting and withdrawing medication?

• Prevent leaks

• Increase pressure

• Reduce volume

• Enhance flavor

Multiple Choice

What are the key storage requirements for hazardous medications?

• Store separately from non-hazardous stock

• Store on the floor

• Use ISO Class 5 areas

• Maintain temperature and humidity per medication requirements

Multiple Choice

Which medication is acutely hazardous (P-Listed)? You may have to use the Google...

• Epinephrine

• Albuterol INH

• Cytoxine

• Lindane

Multiple Choice

What are the key components that all personnel must complete in their annual hazardous medications training?

• Aseptic technique & negative-pressure handling

• Environmental sampling & contamination testing

• Spill response & decontamination

• Exposure procedures

Open Ended

THINK LIKE A TECH:

You’re restocking chemo vials when one box arrives with a slight chemical odor and residue on the plastic wrap.

What immediate steps should you take?

Which agencies (OSHA, NIOSH, EPA, DOT) relate to this incident?

How could the pharmacy prevent this in the future?

(hint: the answer may be found in the speaker notes of the regular slides)

Multiple Choice

What does USP <797> + <800> represent in terms of safety standards?

• Safety protocols for handling chemicals

• Safety standards for compounding and handling

• Guidelines for personal protective equipment

• Training protocols for medical staff