Standard Operating Procedures Manual
Documentation is on file for EACH person who compounds sterile products that they are adequately skilled, educated, instructed and trained to correctly perform and document the following activities:
1. Perform aseptic hand cleansing
2. Perform disinfection of compounding surfaces
3. Select and appropriately don protective garb
4. Maintain or achieve sterility of CSPs
5. Protect personnel and compounding environment from contamination by hazardous drugs if applicable
6. Identify, weigh and measure ingredients
7. Manipulate sterile products aseptically
8. Sterilize high-risk CSPs if applicable
9. Label and quality inspect CSPs