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WorksheetsSterile IV Compounding Processing Lecture 1-2 Theory
Total questions: 74
Worksheet time: 1hrs 9mins
Using multiple sterile ampules to be transferred into one final sterile container
immediate use risk level
low risk level
medium-risk level
high-risk level
Pharmacy Personnel are required to perform garbing according to the USP/NF 797 in a correct order & will be tested on this technique?
True
False
Which is not an area addressed by USP 797?
beyond use dates
avoiding drug interactions
environmental quality and control
contamination risk levels
Which ISO class represents the lowest airborne particulate counts?
ISO Class 5
ISO Class 6
ISO Class 7
ISO Class 8
The area where hand hygiene is performed is:
prior to entering the controlled environment
ISO 8 area
ISO 7 area
ISO 5 area
Which of the following would be a medium risk product?
a single vial of diphenhydramine drawn up in a syringe for IM injection
a large volume bag with potassium and magnesium added
a Total Parenteral Nutrition (TPN) mixture
A solution made from a non-sterile powder
Which of the following factors determine the beyond use date (expiration date)
compound's risk-level
storage conditions
product stability
all of the above
Low-risk products remain stable under refrigeration for up to how many days?
3
9
14
45
Until proposed changes take place, there are _____ current compounding risk levels which may change in the future.
4
5
6
none of the above
Which of the following options details the proper order of garbing?
Shoe covers, hand hygiene, head/facial covers, gowning, gloving, hand sanitizing
Hand hygiene, head/facial covers, shoe covers, gloving, hand sanitizing, gowning
Shoe covers, head/facial covers, hand hygiene, gowning, hand sanitizing, gloving
Shoe covers, hand hygiene, hand sanitizing, gowning, gloving
The floors of the buffer or clean are should be cleaned
before each shift
daily
weekly
monthy
Which of the following cleaning has both microbicidal and bacteriostatic properties?
4% chlorhexidine gluconate
3% sodium hypochlorite
4% hydrogen peroxide
70% isopropyl alcohol
Positive air pressure in a controlled clean room will move airborne particles _______ from IV hoods.
away from
toward
Positive air pressure creates an "air barrier" when opening the clean room door, forcing clean air _______.
out of the room
into the room
Compounding "Risk" is defined by the likelihood of contamination based on the number of ingredients & fluid transfers during admixture.
True
False
How often should gloves be changed?
daily
if damaged or after 2 hours of continued use
at the end of every shift
after each change in product
Standards, like processes & procedures, during admixture training to ensure that compounding personal possess the knowledge, skills, & attitudes to safely perform IV admixture.
Quality Control
Quality Assurance
Sterilization
None of the above
What is the process of determining whether procedures are still effective?
Quality Control
Sterilization
Quality Assurance
Risk Assessment
How often should media fill testing be performed to verify the competence & skill of IV drug preparers?
Monthly
Bi-anually
Every 3-4 months based on product risk-level
Yearly
How often must ISO Flow-Hoods be re-certified?
Monthly
Bi-anually
Every 3-4 months based on usage
Yearly
The appropriate temperature range for the storage of drugs requiring refrigeration is between ______ and ______ Fahrenheit.
22-46
30-40
36-46
36-66
If _______ are worn in a clean room they must be covered with a lab coat or gown at all times even when they are not in the clean room.
gloves
mask
scrubs
shoe covers
Whenever ____ agents are stored in the same refrigerator as other drugs, they must be labeled and physically separated:
chemotherapy drugs
hazardous drugs
cytotoxic drugs
all of the above
Under what conditions may an outside hospital staff member be allowed in the pharmacy?
With temporary access authorization, hospital staff may gain access to all areas
Outside employees are never allowed in the pharmacy
all hospital staff with badges may access all areas of the hospital, including the pharmacy
With temporary access authorization, hospital staff may gain access to the pharmacy as long as accompanied by a pharmacy staff escort
Which of the following options details the proper order of garbing?
Shoe covers, hand hygiene, head/facial covers, gowning, gloving, hand sanitizing
Hand hygiene, head/facial covers, shoe covers, gloving, hand sanitizing, gowning
Shoe covers, head/facial covers, hand hygiene, gowning, hand sanitizing, gloving
Shoe covers, hand hygiene, hand sanitizing, gowning gloving
The floors of the buffer or clean area should be cleaned
before each shift
daily
weekly
monthly
Based on readings, an appropriate room temperature range for general pharmacy storage of a drug is:
59-77 F
68 F or cooler
68-79 F
86 F or cooler
Pharmacy environmentally controlled areas have been constructed in a way that will:
Blanket the area with dry heat at all times
Create and sustain specific physical and environmental conditions
Create and sustain refrigerated temperatures
Ensure that all recyclable materials are gathered in a timely manner
Who is responsible for the monitoring of refrigerator temperatures anywhere in the hospital where medications are stored?
Environmental Services Department
Pharmacy Department
Nursing Department
Hospital Monitoring Department
Which of the following hand cleansers has both microbicidal and bacteriostatic properties?
4% Chlorhexidine Gluconate
3% Sodium Hypochlorite
4% Hydrogen Peroxide
70% Isopropyl Alcohol
What two factors determine beyond use dating?
Product Storage
Dosage Form
Compound Category (Risk Level)
Route of Administration
Limiting the access of personnel inside a pharmacy is one way to control the environment?
True
False
______ is the absence of contaminants, both microbial and particulate in nature.
Clean
Asepsis
Aesthetic
None of the above
The word sterile is defined as being free from contamination
True
False
The room where Laminar flow hoods are kept
Ante Area
Buffer Area
SPA
None of the above
The area where aseptic admixture is performed?
Ante Area
Buffer Area
Clean Area
Laminar Flow Hood/Bench
Area where compounding drugs & supplies are gather from outside area?
Ante Area
Buffer Area
Flow Hood/Bench
None of the above
Other names for Flow Hood/Bench
SPA
Primary Engineering Control (PEC)
Isolator (Glove Box)
Which ISO class allows for the greatest number of particles?
ISO 3
ISO 5
ISO 8
ISO 7
Immediate use medications typically have a beyond use date (expiration) of ___________.
1 hour
48 hours
30 hours
12 hours
Low-Medium Risk with 12 hour BUD medications typically have a beyond use date (expiration) of ___________.
1 hour
6 hours
12 hours
24 hours.
What is the risk level of a compound with non-sterile ingredients with the goal to make a sterile product?
Low Risk
Medium Risk
High Risk
Medium Risk with 12 hour BUD
An emergency drug preparation outside of an ISO 5 hood presents what risk level?
Low Risk
Medium Risk
High Risk
Immediate Use
How does elevated temperature in an ISO 7 space increase compounding risk?
it has no effect (negative or positive)
creates a more ideal environment for bacterial growth & survival
creates a less ideal environment for bacterial growth & survival
One of the most effective ways to lower particulate contamination risk is to cover as many skin surfaces as possible w/ PPE
True
False
How often should ISO 7 work surfaces be cleaned?
every shift
daily
weekly
monthly
How often should ISO 7 walls and ceilings be cleaned?
daily
monthly
weekly
bi-annually
How often should media fill testing be performed to verify the competence and skill of IV drug preparers?
Daily
Monthly
Weekly
Biannually (every 6 months)
Yearly
How often must ISO 5 hoods be recertified?
weekly
monthly
biannually
yearly
A defined space in which the concentration of airborne particles is controlled to meet a specified airborne particulate cleanliness class
clean zone
buffer zone
cleanroom
ante-area
Oral and injectable antibiotics may be stored together in a hospital setting?
True
False
