USP 797 Compounding, Woman in a laboratory

USP 797 Testing

What is USP 797?

How Does USP Affect Healthcare and Pharmacy Facilities?

USP 797 refers to chapter 797 "Pharmaceutical Compounding – Sterile Preparations," in the USP National Formulary. It is the first set of enforceable sterile compounding standards issued by the United States Pharmacopeia (USP).  The USP 797 standard describes the guidelines, procedures and compliance requirements for compounding sterile preparations and sets the standards that apply to all settings in which sterile preparations are compounded in healthcare and pharmacy settings.

  • Site Walk - (Optional)

  • Review of Facility Compliance Program and Standard Operating Procedures 

  • Design, Development and Implementation to improve Environmental Health and Safety

  • Environmental Sampling and Monitoring Protocols

  • 3D Virtual Facility Capture and Sampling locations

  • Laboratory Data Interpretation 

  • Corrective Actions for Mitigation, Remediation and Regulatory Compliance Requirements

  • Customer Support and Education

 

Who does the USP 797 Standards apply too?

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The standards in this chapter are intended to apply to all persons who prepare compounded sterile preparations (CSPs) and all places where CSPs are prepared in:

Hospitals and other healthcare institutions, patient treatment clinics, pharmacies, physicians' practice facilities, and other locations and facilities in which CSPs are prepared, stored, and transported.

USP 797 requirements affect all disciplines involved in sterile compounding, including physicians, nurses, pharmacists, and pharmacy technicians


 

USP 797 Compliance

These facilities are required to comply with USP 797 standards which are designed to reduce and prevent the risk. These standards include primary engineering controls, viable and nonviable environmental sampling cleanliness standards, procedures, practices and protocols.

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USP 797 Testing Compliance

USP 797 Testing regulation for these industries:

  • Hospitals

  • Pharmacy

  • Urgent Care

  • Clinics and Medical Offices

 

Who is Enforcing this USP 797 Regulation?

  • United States Pharmacopeia (USP)

  • The Joint Commission

  • National Formulary

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USP 797 Program Sampling 

  • Quarterly and Semiannually