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This document outlines the standards and guidelines for compounding sterile products (CSPs) to ensure safety and compliance with regulatory requirements, particularly in New Mexico.
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How to fill out usp - rld state

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How to fill out USP <797>

01
Understand the purpose of USP <797> and its focus on compounding sterile preparations.
02
Familiarize yourself with the terminology used in the guidelines.
03
Identify the facility where compounding will take place and assess the risk level for compounding processes.
04
Implement a cleanroom or designated compounding area that meets the required standards.
05
Establish appropriate policies and procedures for personnel training and hygiene.
06
Ensure proper equipment and supply management, including sterile gloves, gowns, and disinfectants.
07
Develop a quality assurance plan that includes regular testing and monitoring of environmental conditions.
08
Maintain documentation of all compounding activities, including batch records and deviations.
09
Review and update procedures regularly to comply with any changes in regulations.

Who needs USP <797>?

01
Pharmacies that compound sterile preparations.
02
Hospitals and healthcare facilities involved in compounding.
03
Pharmaceutical manufacturers that engage in compounding.
04
Any organization that prepares or dispenses compounded sterile medications.
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Single-dose containers must not be used for more than 1 patient. Administration must begin within 4 hours following the start of preparation. If administration has not begun within 4 hours, the medication must be promptly, appropriately, and safely discarded.
Simplified compounded sterile preparation (CSP) microbial risk levels from three (low, medium, and high) to two — Category 1 CSPs and Category 2 CSPs.
The approved labeling or supplemental materials provided by the product's manufacturer, including information for the diluent, the resultant strength, the container closure system, and storage time.
USP Chapter 797, Pharmaceutical Compounding: Sterile Preparations, delineates the standards for compounding sterile preparations in all pharmacy settings.
USP 797 requires regular checks of air and surfaces with air sampling, surface sampling, and particle counting to keep the compounding area clean. USP 800, using similar methods, emphasizes monitoring for hazardous drug contamination.
USP 797 requires training in aseptic techniques, use of PPE, and how to maintain a clean environment. USP 800, on the other hand, adds specialized training for handling hazardous drugs, including the use of additional protective equipment and safety procedures to prevent exposure.
Drugs and biologics recognized in USP must comply with identity standards; and must also comply with standards for strength, quality, and purity, unless labeled to show all respects in which the drug differs (FDCA 501(b); 21 CFR 299.5(c)).
There are four steps to USP <800> compliant cleaning procedures for Primary Engineering Controls: Deactivating, Decontaminating, Cleaning and Disinfecting.

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USP <797> is a set of standards established by the United States Pharmacopeia to ensure the sterility, quality, and accuracy of compounded sterile preparations.
Pharmacies, healthcare facilities, and any entities that prepare compounded sterile preparations are required to comply with USP <797> standards.
Filling out USP <797> involves documenting the processes and procedures for compounding sterile preparations, including details such as the ingredients used, batch numbers, expiration dates, and sterilization methods.
The purpose of USP <797> is to protect patients from harm caused by contaminated or improperly prepared sterile products, ensuring safe compounding practices.
The information that must be reported on USP <797> includes the name and concentration of drug substances, compounding methods, equipment used, and personnel involved in the compounding process, along with quality control measures implemented.
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