USP Compounding Compliance: Setting expectations for sterile compounding/environmental sampling and cleanroom certification

April 15, 2021

This activity will present lessons learned about the creation of a facility specific hazardous drug list and achieving compliance with USP Chapter 800 Hazardous Drugs – Handling in Healthcare Settings. The activity will also address who to evaluate outsourced compounding services to ensure quality and patient safety.  Common hurdles facilities encounter on the road to compliance will be discussed, as well as different solutions to those obstacles.

Target Audience

  • Pharmacists
  • Pharmacy technicians

Learning Objectives

Pharmacist learning objectives

  1. Summarize the required elements that must be performed during cleanroom certification
  2. List ISO Classification based action levels
  3. Discuss the development of remediation and corrective action plans
  4. Review the expectations of sampling reports and how to incorporate them into a quality assurance program

Pharmacy technician learning objectives

  1. Summarize environmental monitoring requirements for sterile compounding


Course summary
Available credit: 
  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
  • 1.00 General CE – Attendance
Course opens: 
Course expires: 
Event starts: 
04/15/2021 - 1:00pm CDT
Event ends: 
04/15/2021 - 2:00pm CDT
Live via webinar
United States
Relevant financial relationships: Planning committee members and presenters have nothing to disclose
Planning committee members
Gretchen Brummel, PharmD, BCPS
Consulting Director, Pharmacy
Jackie Stokes, BS
Manager, Pharmacy Program
Course reviewer
Katrina K. Harper, PharmD, MBA, BCPS, BCSCP
Clinical Pharmacy Director, Sourcing Operations
Center for Pharmacy Practice Excellence
Daniel Nyakundi, CPhT, RPhT
Pharmacy Resource Specialist, Quality Assurance Coordinator & Pharmacy Educator
Memorial Hermann
Charnae Ross, PharmD, MSHA
Pharmacy Operations Manager
Memorial Hermann


Joint Accreditation Statement:
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Designation Statements:
Vizient, Inc. designates this activity for a maximum of 1.00 ACPE credit hours.
Universal Activity Number: JA0006103-0000-21-085-L07-P
Universal Activity Number: JA0006103-0000-21-085-L07-T
Vizient, Inc. will award CEUs to each participant who successfully completes this program. The CEU is a nationally recognized unit of measure for continuing education and training programs that meet certain criteria (1 contact hour = 0.1 CEU).

Available Credit

  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
  • 1.00 General CE – Attendance
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