Best Practices Compounding technique for hazardous drugs

Best Practices for Sterile and Hazardous Drugs Compounding

Covering the latest on USP <797> and <800> requirements led by CriticalPoint's sterile compounding experts Latousha (Tasha) P. Jackson, BS, PharmD, BCSCP and Adam West, RCP-SCF, NSF-49 accreditation.

$5,345 / year

Virtual Training

Earn up to 37.75  hours of ACPE-accredited CE

Group Purchases

Request more information about our enterprise solutions and clinical resources from TRC Healthcare.

Program Overview

This training program includes high-quality, education covering the latest USP sterile compounding requirements and CriticalPoint’s best practices supporting compliance and regulatory standards regarding nonhazardous sterile-to-sterile compounding and handling hazardous drugs (HDs). 

Participants can complete content at their own pace over 12 months and can choose from multiple dates to attend the live sessions. 

Participants will earn up to 37.75 hours of ACPE-accredited CE, including 5 live credits, 19.75 hours of on-demand webinars, and 13 hours of interactive CE. Content includes lively discussions as well as practical learning exercises that simulate real-life work scenarios

Course Curriculum

History of Sterile Compounding (1 hr ACPE credit) 

Learn about the evolution of pharmacy compounding and the development of national standards of practice. 

Determining USP 797 Beyond-Use Dating (1 hr ACPE credit) 

Review USP requirements around beyond-use dating (BUD) and recognize the risk of microbiological contamination in compounded sterile products. 

Quality Releases and Final Checks for Sterile Compounding (1 hr ACPE credit) 

Learn about the requirements set out by USP 797 for release inspections and testing, including visual inspection, sterility testing, and bacterial endotoxins testing. 

USP 797 CSP Handling: Staging through Transport (1 hr ACPE credit) 

Consider unique factors when advancing a CSP from staging to transport, including numerous opportunities where mistakes can be made, and how robust procedures can help prevent errors. 

Master Formulation and Compounding Records for Sterile Compounding (1 hr ACPE credit) 

Use compounding documentation to provide evidence of procedures or activities performed during compounding, such as compounding instructions, equipment required, and calculations. 

Standard Operating Procedures for Sterile Compounding (1 hr ACPE credit) 

Recognize the importance of standard operating procedures (SOPs) to ensure the preparation of medication is reproducible and reduce preventable errors and patient injuries. 

General Elements of Documentation for Sterile Compounding (1 hr ACPE credit) 

Review key elements of good documentation, including USP 797 requirements, and why it’s important to maintain good documentation at your compounding facility. 

Use of Equipment and Integrating Technology for Sterile Compounding (1 hr ACPE credit) 

Recognize how to utilize automated compounding devices (ACDs) for sterile compounding and the techniques and work practices that must be implemented to minimize microbiological contamination of compounded sterile preparations. 

Hazardous Drug Overview (1 hr ACPE credit) 

Learn about health and occupational risks of exposure to hazardous drugs and strategies to implement for safe handling of hazardous drugs. 

Containment Primary and Secondary Engineering Controls (USP 795 and 797) (1 hr ACPE credit) 

Learn how containment engineering controls operate and function to protect you from hazardous drugs and their potentially damaging effects. 

Personal Protective Equipment for HD Handling for USP 795 and 797 Compounding (1 hr ACPE credit) 

Review the more complex garbing required for handling and compounding hazardous drugs. 

HD Work Practice: Receiving through Transport to Patients (1 hr ACPE credit) 

Review required and best practices for handling hazardous drugs, including containment of residue, packaging, and transporting compounded preparations. 

HD Work Practice: Decontamination and Spill Management (USP 795 and 797) (1 hr ACPE credit) 

Learn about decontamination in hazardous drug handling environments, managing spills and disposing of hazardous drugs, and documentation requirements. 

Sterile Compounding Contamination Control Principles (0.75 hr ACPE credit) 

Achieve a practical understanding of the importance of contamination control principles and how workflow activity challenges the microbial state of control in sterile compounding environments. 

Sterile-to-Sterile Compounding (1.25 hr ACPE credit) 

Gain knowledge about newly required components of sterile compounding practices, including beyond-use dating, drug testing, and stability and quality release testing. 

Sterile Compounding Documentation (0.5 hr ACPE credit) 

Learn about the importance of documentation and the required components of successfully documenting compounding processes. 

Secondary Engineering Controls for Nonhazardous Sterile Compounding (1.5 hr ACPE credit) 

Learn the minimum USP chapter requirements for engineering controls and distinguish best practices for facility-specific designs that achieve operational compliance rather than just meeting regulatory compliance. 

Hand Hygiene and Garbing for Sterile Compounding (1 hr ACPE credit) 

Review key elements of effective hand hygiene and garbing as required by USP 797. 

USP 797 Material Handling (0.5 hr ACPE credit) 

Explore elements of contamination control that emphasize the movement of supplies and materials into controlled areas. 

USP 797 Personnel Sampling (1.25 hr ACPE credit) 

Examine the expanded compliance requirements now outlined in USP 797, including documentation, competency evaluation, and the development of a personnel sampling program as determined by the designated person. 

Primary Engineering Controls for Nonhazardous Sterile Compounding (1 hr ACPE credit) 

Receive a practical understanding of primary engineering controls (PECs), how they function by design, and how we must operate within the inherent limitations all PECs have in sterile compounding facilities. 

Aseptic Work Practices Overview for Sterile Compounding (0.75 hr ACPE credit) 

Learn about critical elements of aseptic work practices to use in sterile compounding. 

Testing and Certification of PECs and SECs (USP 797) (1.25 hr ACPE credit) 

Increase your confidence when engaging in conversations with certifiers regarding certification testing and documentation. Learn required and best practice elements of reporting to ensure quality and USP chapter compliance. 

Sterility and Bacterial Endotoxin Testing Specific to USP 797 (0.75 hr ACPE credit) 

Acquire a deeper understanding of USP 71 and elements of sterility testing, rapid microbial testing (RMT), and bacterial endotoxin testing (BET). 

Sanitization of Sterile Compounding PECs and SECs (1.25 hr ACPE credit) 

Learn more about how daily and monthly cleaning along with ongoing sanitization processes works to ensure the safety of the compounding environment. 

Environmental Monitoring (1 hr ACPE credit) 

Review key requirements of an environmental monitoring program and how to perform a proper investigation and remediation process in the event of an exceeded action level. 

Quality Systems for Sterile Compounding (1 hr ACPE credit) 

Learn more about the development and implementation of a sterile compounding quality assurance (QA) and quality control (QC) program. 

Overview of USP 800 and HD Handling for Sterile and Nonsterile Compounding (0.75 hr ACPE credit) 

Draw a conclusion to the relationship between recommended practice and guidelines and how they all had an influence in the development of USP 800 and how they all apply to worker and patient safety as well as practical awareness to the potential exposure of hazardous drugs. 

Assessment of Risk for Sterile and Nonsterile HD Compounding (0.75 hr ACPE credit) 

Learn about hazardous medications that may be exempted from USP 800 full containment practices and explore strategies to perform assessments of risk. 

C-SECs for Sterile and Nonsterile Hazardous Drug Compounding (0.75 hr ACPE credit) 

Learn the minimum USP chapter requirements for containment engineering controls in hazardous drug environments and determine what best practices for facility-specific designs are most appropriate for your pharmacy practice. 

C-PECs for Sterile and Nonsterile Hazardous Drug Compounding (0.75 hr ACPE credit) 

Distinguish the different types of C-PECs used in HD compounding settings and understand how they operate based on their individual design. 

Response to HD Exposure and Spills (USP 795 and 797) (0.5 hr ACPE credit) 

Learn about the critical elements of an exposure control and response plan, including elements of proper handling of hazardous medication spills. 

Donning, Doffing, and PPE for Sterile and Nonsterile HD Compounding (0.75 hr ACPE credit) 

Review the steps for properly donning and doffing hazardous medication PPE. 

USP 800 Sterile Compounding Work Practice Strategies (0.75 hr ACPE credit) 

Learn work practice strategies for handling hazardous medication to minimize the spread of HD contamination. 

Wipe Sampling and CSTDs for Sterile and Nonsterile Hazardous Drug Compounding (0.25 hr ACPE credit) 

Explore wipe sampling and the use of closed system transfer devices in reducing the migration of hazardous medication residue out of controlled areas. 

Decontamination and Cleaning in HD Environments (USP 795 and 797) (0.75 hr ACPE credit) 

Examine the framework of decontamination, cleaning, and disinfection according to USP 800 and compare these steps to USP 797 requirements. Apply recommended best practices for developing effective steps to manage HD contamination at a safe level

Best Work Practices & Identifying Insanitary Conditions (3 hr live, ACPE credit) 

Learn about elements that make up best work practices and how to identify insanitary conditions within a sterile compounding area. 

Focus on Hazardous Drugs (2 hr live, ACPE credit) 

Review key areas of consideration regarding hazardous drugs, including additional items that must be accounted for. 

Training Objectives

Build Compounding Competency. Receive a comprehensive and affordable USP <797> and <800> training on sterile-to-sterile compounding, safe hazardous drug handling, sterile and nonsterile HD compounding, and more. 

Drive Pharmacy Results. Deepen your understanding of USP Chapter <797> and <800> to improve quality, compliance, and patient safety. 

Receive High-Quality Instruction. Strengthen your compounding knowledge while learning from true subject matter experts with 30 years of industry expertise. 

Additional Benefits For Technicians

  • Professional Development. Advance your career as well as your facility as you adopt best work practices to provide a safer and more compliant compounding environment.
  • Bridge Knowledge Gaps. Build competency in this specialized field and become qualified to work in a cleanroom or expand your professional opportunities.

Additional Benefits For Pharmacists

  • Improve Patient Safety. Know the engineering controls, exposures and spill response, decontamination and cleaning to manage your compounding spaces.
  • Ensure Compliance. Receive actionable insights on best practices and compliance to stay informed with the most current updates to <800>.

CriticalPoint FAQ

Currently, CriticalPoint is designed specifically for pharmacists, technicians, and anyone with roles in compounding responsibility or oversight.  We also offer training specifically tailored for state and regulatory inspectors with compounding area responsibility.
Yes, pharmacists and technicians can earn ACPE CE credit for each course they complete in each program (excluding our Field Certification program). Programs vary in length depending on the topic. See program details for more information.
Our CriticalPoint programs include both eLearning and Virtual Training programs.  Our eLearning programs are a self-study format, while our virtual training programs include a combination of self-study, on-demand webinars, and live webinars that allow the learner to interact with our industry expert facilitators.
You have access for 12 months from the date of purchase. Courses must be completed before access expires.
Program pricing varies depending on delivery type (eLearning vs Virtual Training) and program size. Bulk pricing with discounts is available for enterprise clients, including an “All Access” option.
Each program is reviewed annually for critical guideline updates, and we release new program versions every 2-3 years. Pharmacists and technicians who purchase directly through our website will get the latest version at the time of purchase. Pharmacy leaders who purchase an enterprise subscription will be notified before we move any staff to the latest version.
Once a virtual training program is completed, you will receive a printable Statement of Completion for the program. You can list your completed training on LinkedIn, Doximity, or other professional networking profiles.  All courses completed as part of any program (including our eLearning programs) are also archived in the learner’s CE and Training Organizer for future reference and are reported to CPE Monitor.
Best practices recommended in the current version of all CriticalPoint programs meet and exceed the most current USP standards covered in USP <795>, <797>, and <800>, including all standards enacted in November 2023.
CriticalPoint gives pharmacists and technicians an edge with efficient, relevant, affordable training delivered by expert faculty that help deepen knowledge and practical skills in compounding. CriticalPoint also helps pharmacy leaders and administrators ensure and document staff competency with assignments, completion reports, benchmark reports, and more.