Name:_______________________ Date:_______________________
ASEPTIC PREPARATION OF STERILE PRODUCTS AND IV ROOM COMPETENCY
Circle the one best response for each of the following: 1.
When When perf perform orming ing initi initial al han hand d wash washing ing,, you you shou should ld scru scrub b the the hands hands,, nails nails,, wrist wrists, s, and forearms with a brush, warm water, and bactericidal soap for at least how long? a. b. c. d.
2.
All manip manipula ulatio tions ns inside inside a LAFH LAFH shoul should d be be perfo performe rmed d at least least ___ _____i __inc nche hes s insid inside e the hood to prevent ________. a. b. c. d.
3.
12 inches; smoke 6 inches; backwash air 10 inches; contamination 2 inch inches es;; brea breaka kage ge from from fall fallin ing g on the the floo floor r
How does first air relate to the critical area ? a. b. c. d.
4.
5 seconds 15 seconds 30 seconds One minute
Part Partic icul ulat atee-fr free ee air air tha thatt ente enters rs the the ant antee-ro room om fro from m the the adjo adjoin inin ing g clean-room. All All air air in a 3-f 3-foo oott diam diamet eter er arou around nd the the Hood Hood.. Air Air tha thatt was washe hes s ove overr the the comp compon onen ents ts in the the spa space ce betw betwee een n the the HEPA HEPA filter and the sterile object. Unsanitary areas around trash cans and other waste receptacles.
Coring is:
a. b. c. d.
Break Breaking ing of the the nee needle dle when when push pushing ing it throu through gh a vial vial’s ’s stopp stopper er with with too too much force. The risk risk of of coll collap apsin sing g a patien patient’s t’s vein vein due due to using using a lar largege-bor bore e nee needle dle.. Slic Slicin ing g off off a por porti tion on of of the the vial vial’s ’s sto stopp pper er wit with h a larg largee-bo bore re nee needl dle. e. Push Pushin ing g the the need needle le int into o the the syri syring nge e desp despit ite e a Luer Luer Loc Lock k bein being g pres presen ent. t.
5.
After talking on a cell phone, the proper procedure before reentry into the IV Room includes: a. b. c.
6.
To equalize pressure inside a vial when removing fluid, it is necessary to: a. b. c. d.
7.
weekly monthly semi-annually annually
Unless otherwise specified by the manufacturer, an opened multiple-dose vial can be used for a maximum of : a. b. c. d.
10.
1 ml syringe 3 ml syringe 5 ml syringe
A compounder that prepares low and medium risk level, sterile preparations should perform a media-fill challenge test at least: a. b. c. d.
9.
Inject a quantity of air equal to the volume of fluid to be removed. Shake the vial. Swab the vial with 70% isopropyl alcohol. Select the syringe size closest to the volume removed.
When picking which syringe size to use to measure a volume, which one would you pick to accurately measure 0.5ml? a. b. c.
8.
Use alcohol-based antimicrobial hand gel. Wash hands with soap and water for 15 seconds. Wash hands with bactericidal soap for at least one minute.
24 hours 7 days 28 days 30 days
IV supplies in cases should be removed from their outer cardboard boxes in the: a. b. c. d.
Main Pharmacy storage area Garb Room Ante Room IV Room
11.
Which of the following can be reworn throughout your shift, if properly stored in the ante-area? a. b. c. d.
12.
The primary source of contamination inside the Hood is: a. b. c. d.
13.
Bunny suit (Gown) Face mask Shoe covers Hair covers
A HEPA filter Humans Leaks Broken ampules
For all compounds prepared by Pharmacy, regardless of risk level or STAT nature, the policies and procedures must be: a. b. c.
Strictly followed to be effective. Occasionally followed when time allows. Followed on a case-by-case basis.
Please circle True or False: T F 14.
When compounding non-hazardous drugs, it is acceptable to wear artificial nails as long as gloves are worn.
T F 15.
Touching the critical sites (needles, syringe or needle hubs, vial stoppers) of sterile components while compounding is the most common contamination of pharmacy compounded sterile
source of preparations. T F 16.
You should not leave and reenter the compounding area without performing proper garbing and hand washing.
T F 17.
Leaving jewelry in place when washing hands is acceptable as the washing process sterilizes those items as well.
T F 18.
If you scratch your face or adjust your mask or glasses while wearing gloves, you should disinfect your gloves with alcohol before continuing to compound. T F 19.
Your hands should never enter first air or obstruct airflow around the area where the needle enters the vial or ampule.
T F 20.
The presence of air bubbles in a syringe has no effect on the accurate measurement of the solution.
T F 21.
Using a filter needle for both withdrawing from the ampule and expelling from the syringe will nullify the filtering effect.
T F 22.
Cleaner air reduces the risk of contamination during compounding.
T F 23.
You must clean HEPA filters periodically with sterile 70% isopropyl alcohol.
T F 24.
Dust, dirt, pollen, skin flakes, lint and cosmetics all can introduce contamination into an IV Room.
T F 25.
Face masks are recommended, but not required for use in the IV compounding room.
T F 26.
In a vertical flow hood, it is acceptable to hang an IV bag, and compound directly below it.
T F 27.
Electrolytes (potassium, calcium, phosphate), Chemotherapy, and Antibiotic drug vials must all be stored in the same area of the ante-
room. Please place the following in proper order, indicate as 1-5. 28.
29.
When performing proper hand washing: ___
Dry your arms with low lint towels.
___
Scrub your fingers to elbows with antibacterial agent.
___
Use the hand drier to ensure all areas are thoroughly dry.
___
Rinse keeping your hands higher than your elbows.
___
Dry the bulk of your hands with low lint towels.
When compounding in the non-hazardous Hood: ___
Allow alcohol to dry, and begin compounding.
___
Remove vial caps and swab each stopper with a different alcohol swab.
30.
___
Enter IV compounding area without touching the door.
___
Spray down all compounding components with alcohol prior to placing in hood.
___
Alcohol gloves
When preparing to compound a Hazardous Drug: ___
Garb as usual for sterile prep, but in addition wear N95 Respirator, Chemo Gown and two pairs of gloves. The 2 nd pair being Chemo certified gloves.
___
Place new set clean chemo gloves on, then proceed to alcohol all items and place in Chemo hood prior to sitting down to compound.
___
With double gloves on, place PhaSeal vial adapters onto all chemo vials, and place contaminated waste (vial caps and alcohol pads) in
ziplock bag on chemo counter. ___
Place used hood wipes and outer set of chemo gloves in waste bag.
___
Set vials aside and place the waste bag in Chemo Hood, then begin cleaning the hood.
