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Name:_______________________

Date:_______________________

ASEPTIC PREPARATION OF STERILE PRODUCTS AND IV ROOM COMPETENCY

Circle the one best response for each of the following:

1. When performing initial hand washing, you should scrub the hands, nails, wrists,
and forearms with a brush, warm water, and bactericidal soap for at least how
long?

a. 5 seconds
b. 15 seconds
c. 30 seconds
d. One minute

2. All manipulations inside a LAFH should be performed at least _____inches inside


the hood to prevent ________.

a. 12 inches; smoke
b. 6 inches; backwash air
c. 10 inches; contamination
d. 2 inches; breakage from falling on the floor

3. How does first air relate to the critical area?

a. Particulate-free air that enters the ante-room from the adjoining


clean-room.
b. All air in a 3-foot diameter around the Hood.
c. Air that washes over the components in the space between the HEPA
filter and the sterile object.
d. Unsanitary areas around trash cans and other waste receptacles.

4. Coring is:

a. Breaking of the needle when pushing it through a vial’s stopper with too
much force.
b. The risk of collapsing a patient’s vein due to using a large-bore needle.
c. Slicing off a portion of the vial’s stopper with a large-bore needle.
d. Pushing the needle into the syringe despite a Luer Lock being present.
5. After talking on a cell phone, the proper procedure before reentry into the IV
Room includes:

a. Use alcohol-based antimicrobial hand gel.


b. Wash hands with soap and water for 15 seconds.
c. Wash hands with bactericidal soap for at least one minute.

6. To equalize pressure inside a vial when removing fluid, it is necessary to:

a. Inject a quantity of air equal to the volume of fluid to be removed.


b. Shake the vial.
c. Swab the vial with 70% isopropyl alcohol.
d. Select the syringe size closest to the volume removed.

7. When picking which syringe size to use to measure a volume, which one would
you pick to accurately measure 0.5ml?

a. 1 ml syringe
b. 3 ml syringe
c. 5 ml syringe

8. A compounder that prepares low and medium risk level, sterile preparations
should perform a media-fill challenge test at least:

a. weekly
b. monthly
c. semi-annually
d. annually

9. Unless otherwise specified by the manufacturer, an opened multiple-dose vial


can be used for a maximum of :

a. 24 hours
b. 7 days
c. 28 days
d. 30 days

10. IV supplies in cases should be removed from their outer cardboard boxes in the:

a. Main Pharmacy storage area


b. Garb Room
c. Ante Room
d. IV Room
11. Which of the following can be reworn throughout your shift, if properly stored in
the ante-area?

a. Bunny suit (Gown)


b. Face mask
c. Shoe covers
d. Hair covers

12. The primary source of contamination inside the Hood is:

a. A HEPA filter
b. Humans
c. Leaks
d. Broken ampules

13. For all compounds prepared by Pharmacy, regardless of risk level or STAT
nature, the policies and procedures must be:

a. Strictly followed to be effective.


b. Occasionally followed when time allows.
c. 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
source of contamination of pharmacy compounded sterile
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. 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.

29. 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.
___ Enter IV compounding area without touching the door.

___ Spray down all compounding components with alcohol prior to placing in
hood.

___ Alcohol gloves

30. 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 2nd 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.