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?

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Why Use This Sterile Compounding Daily Checklist?

This sterile compounding daily checklist helps healthcare teams maintain compliance and operational excellence. Designed for pharmacist/iv tech professionals, this checklist covers 31 critical inspection points across 7 sections. Recommended frequency: daily.

Ensures compliance with USP 797, State Board of Pharmacy, Joint Commission MM.05.01.07. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Sterile Compounding Daily Checklist cover?

This checklist covers 31 inspection items across 7 sections: Cleanroom Preparation, Environmental Monitoring, Equipment Verification, Personnel Practices, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed daily. Each completion takes approximately 15-20 minutes.

Who should use this Sterile Compounding Daily Checklist?

This checklist is designed for Pharmacist/IV Tech professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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