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> USP 795 COMPETENCY ASSESSMENT HAND HYGIENE
USP 795 COMPETENCY ASSESSMENT HAND HYGIENE
Introduction
Review USP 795 guidelines for compounding
Hand Hygiene
Wash hands with soap and water for at least 20 seconds
Use hand sanitizer with at least 60% alcohol if soap and water are not available
Ensure nails are clean and trimmed
Remove jewelry before compounding
Use nail brush to clean under nails
Apply lotion to hands to prevent dryness
Use paper towels to dry hands thoroughly
Avoid touching face or other surfaces after washing hands
Follow proper hand hygiene techniques as outlined in training
Personal Protective Equipment (PPE)
Wear gloves when handling chemicals or medications
Wear a mask and eye protection when compounding hazardous drugs
Change gloves between each step of compounding
Wear a gown to protect clothing from contamination
Use a face shield when handling hazardous drugs that may splash
Ensure all PPE is properly fitted and in good condition before beginning compounding
Remove and properly dispose of all PPE before leaving the compounding area
Wash hands thoroughly after removing PPE
Compounding Procedures
Label all containers with appropriate information
Use aseptic technique when compounding sterile medications
Store compounded medications in appropriate containers
Clean and disinfect compounding area regularly
Verify accuracy of ingredients before compounding
Follow proper calculations and measurements when compounding medications
Dispose of any expired or unused medications properly
Check for any signs of contamination during compounding process
Follow proper hand hygiene before, during, and after compounding medications
Documentation
Document all compounding activities
Record any deviations from compounding procedures
Keep records of all medications compounded
Training
Ensure all staff members are trained on proper hand hygiene and compounding procedures
Provide ongoing education and training on USP 795 guidelines
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