Managing Pharmacy Clean Rooms – A Multidisciplinary Approach

Speakers: Tyler Greenwood, Dennis Ford

Due to recurring issues pertaining to the certification process for Pharmacy Sterile Compounding Clean rooms, The Joint Commission posted a blog and issued a letter in 2018 informing sites that this would be a focus of the survey. Atrium Health, Central Division, with over 1,000 patient beds and just under 20 pharmacy clean rooms, conducted a multidisciplinary review of requirements, roles and responsibilities around clean rooms. Through this webinar, they will provide a roadmap for developing a program for continual certification and share lessons learned from going through The Joint Commission survey in 2018.

Learning Objectives: 

• Identify the Pharmacy Sterile Compounding Clean Room environmental certification requirements per USP <797>, USP <800> and CAG-003-2006 (Certification Guide for Sterile Compounding Facilities)
• Develop a roles and responsibility matrix and flow chart
• Define when certification is required, beyond every 6-months, i.e., “whenever the device or room is relocated or altered or major service to the facility is performed.”
• Provide requirements to the agency performing the required certifications

This webinar is worth 1 CEC and 1 AIA LU|HSW

ASHE is an approved AIA Continuing Education Provider. If you’d like us to report your attendance to this webinar to AIA, please have your 8 digit AIA membership number ready for input at the end of the webinar. We cannot submit to AIA without this number.