Prior to Compounding

Remove rings, watches, bracelets (ideal for bacteria (fomites))

Wash hands and forearms to the elbows w/ germicidal agent (at least 30 sec)

Laminar Air Flow Hood Recommendation

Recommended by most policies/procedures that the Laminar flow hood have been running at least 30 min. prior to use

LAFH Disinfection

Should be done at least at the beginning and end of each shift, hourly during use, and after spills or known contamination

*Use parallel sweeping motions from back to front; not circular movements*

Placement of Items in LAFH

Avoid working over open containers or preparations to prevent contaminates falling into prep area

Non-Essential Items (LAFH)

Do not introduce items unessentail to preparation procces into the hood

Ex: papers, pens, pencils, etc.

Utilization of Work Area

Work AT LEAST 6" w/in hood for max benefit

Avoid working close to hood's outer edge to avoid product contamination

Waste Disposal (LAFH)

Hazardous Waste buckets should be accessible

Needles used in IV prep disposed in Sharps Container

Shadowing Prevention

Block areas of prep. that must reamine sterile from airflow

Avoid placing hands, equip., vials, &c., in front of critical areas of prep products

"Dead Spaces" created behind objects in airflow; areas that must remain sterile should never be placed in dead spaces

Location of Sterile Room

Sterile product prep room should be free of dust, esp. cardboard as a source of particles

Should be kept away from common routes of personnel traffic

Personnel Precautions

LAFHs do NOT guarantee a sterile product

Use precautions to minimize contamination in product prep area

Use strict aseptic technique to avoid intro of contaminatnts into hood

Withdrawing Liquid from a Vial

-Remove vial cover and wipe rubber surface w/ alcohol swab

-Withdraw same volume of air into syringe as volume of drug needed

-Uncap needle & insert bevel side up @ 45 degrees (*Note; once rubber surface penetrated, syringe may then go the rest of the way in straight on; prevent coring (cutting out a piece of the rubber)

-Inject sterile air in syringe into vial (creates pressure inside vial forcing liquid out)

-Invert vial and hold w/ one hand to control syringe

-Pull back plunger of syinge to withdraw liquid