Surveyor Newsletter 2025 | Quality Review, RX HIT

Volume 2025 | No. 2

SURVEYOR

PCAB (COMPOUNDING PHARMACY)

NOTES

Compliance tips continued:

■ Develop a program that both ensures and documents fit-testing for respiratory protection. ■ Implement a process for reassessing when fit-testing needs to be reperformed (e.g. significant weight gain or loss or facial surgery affecting mask performance). ■ Evaluate HD competency assessments. Do they include all required elements of the standard? Assess the need for checklists and additional education. ■ Train all staff who handle HDs based on their job functions (receipt, storage, compounding, repackaging, dispensing, and disposal) on the correct process for spill prevention and management (including use of spill kits) and response to known or suspected HD exposure (including the use of eyewashes). ■ Simulate a HD spill, and ensure the spill kit has everything you need to contain and clean up the spill without having to secure additional components. Does your kit have the right supplies (e.g., glove sizes, gowns, wipes, etc.)?

Nerd Trailblazers (prepare the path for others)

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