Sterile Compounding Daily Checklist
Daily verification of sterile compounding area compliance per USP 797 standards including environmental monitoring, equipment checks, and personnel practices.
- Industry: Healthcare
- Frequency: Daily
- Estimated Time: 15-20 minutes
- Role: Pharmacist/IV Tech
- Total Items: 31
- Compliance: USP 797, State Board of Pharmacy, Joint Commission MM.05.01.07
Cleanroom Preparation
Pre-compounding checks
- Cleanroom cleaned per schedule?
- Ante-area cleaned?
- All surfaces wiped with approved disinfectant?
- Tacky mats changed?
Environmental Monitoring
Air and surface monitoring
- Pressure differential appropriate?
- Temperature within range?
- Humidity within range?
- Particle counts acceptable?
Equipment Verification
Hood and equipment checks
- LAFW/BSC certification current?
- Hood cleaned with approved agent?
- Hood running at least 30 minutes?
- All supplies available and unexpired?
Personnel Practices
Garbing and hygiene
- No personnel with active infections?
- No exposed jewelry or cosmetics?
- Proper garbing sequence followed?
- Hand hygiene per protocol?
- Sterile gloves used?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Related Healthcare Checklists
- Hand Hygiene Compliance
- Medication Safety Check
- Surgical Safety Checklist
- Fall Prevention Assessment
- Joint Commission Readiness
- HIPAA Compliance Audit