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Air Quality Checks



Manual: Compounded Sterile Preparation - USP 797 Compliance Manual (Ver 2)
External Reference: "(TJC EC.02.05.01, IC.02.01.01)"

As the health care industry's most comprehensive library of customizable policy and procedure templates, MCN Healthcare's Compounded Sterile Preparation - USP 797 Compliance Manual includes this customizable template, Air Quality Checks. MCN's policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

Health care organizations around the world utilize MCN's compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Air Quality Checks:

     POLICY: Air sampling shall be obtained using volumetric collection methods. Air quality testing will be completed for LAFWs, barrier isolators, clean room and ante-areas on a scheduled basis. Air quality checks for LAFWs and barrier isolators: Monthly for compounding areas used for low-risk and medium-risk preparations Weekly for compounding areas used for high-risk preparations Air quality checks for clean room and ante-area particulate air sampling: Test every six 6 months by a qualified operator Air quality check records will be maintained by the Pharmacy Director. Air quality...
Second excerpt:
     ...to the environment for one 1 hour or more. Collect the agar plates after exposure time has been completed. Cover the malt extract agar plates and incubate at the temperature and time period specified by the manufacturer of the agar plates usually 26 to 30 degrees C for at least five to seven 5-7] days. Colonies of microorganisms are counted after incubation and reported as colony forming units CFUs. The Pharmacy Director will determine a normal baseline CFU count over a specified time...


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