This is wrong on so many levels from the beginning to the end. Wearing makeup, no nail picks, not scrubbing to the elbow, non sterile gloves, blocking airflow.. I can't even. I hope this "tech" has improved and if this is truly a teaching classroom I hope the teacher let her make these mistakes to correct her later.
The description of the video tells us this was done in a pharmacy tech classroom. Base on 2022 standards of sterile compounding preparation, this information given is no longer accurately correct.
At 4:39 you showed a patient label. I hope that's not a real one because that would be a violation of HIPPA which could result in serious fines and possibly jail time.
At our facility when performing hygiene you wet up to the elbow, soap the hands, use a *nail pick* (NOT your nails) to clean under your nails then continue soaping up to elbow. Then after you put the gown on BEFORE sanitizing the hands so that way your hands are sanitized just before donning the gloves. When cleaning the hood she didn't clean the back at all which is the most important part since that's where the filter is. Then if you're going to use SWFI first just pour it directly on the lint free towel, not on the deck (dirtiest) and laying the towel on it then going cleanest to dirtiest. Our patient meds are usually one tote per drug but the tote stays OUT of the hood. We wipe down the supplies, ingredients with alcohol before putting them in the hood and spray gloves with IPA EVERY time you had to come back in the hood. She didn't spray her gloves at all when going in and out. The way she held the vial was too low resulting in blocking first air to her critical site but I get people have different size hands. Probably would have been better to use a dispensing pin if available. Then her bag would have been better placed sideways for injection so that the port site and needle all are free from blockage of 1st air. This is ok as a basic description of aseptic technique and garbing but it shouldn't be used as reliable educational reference. No offense
SEND ME A DIRECT MESSAGE IF YOU ARE NEEDING SERVICE OR INSTALLATION. I service any location and can be onsite with crew in 24 hrs. have been installing for 25 years. I specialize in impervious wall cladding and impervious seamless sheet vinyl installations. USP 797 aseptic clean rooms USP 800 semiconductor clean rooms, Labs, Airborne disease isolation units. Prior D.O.D contractor
Since the hood they're using in the video is a vertical LAFW, the wiping should be done vertically from top to bottom (in the direction of airflow). If the hood used was a horizontal LAFW, the sides of the workbench would then be cleaned horizontally, from back to front, again in the direction of airflow. What they said was wrong, but what they actually did in the video for that part was correct.
peace upon you Question So I'm a liquid compounder for a manufacture blending essential chemicals in 500+ gallon batch in mixing tanks for animals: puppy shampoos/conditioners , stain and odor removers, aloe water conditioners for aquariums etc, and I love my job. what's the best route to take educational wise to do higher level of compounding and obtaining a higher Job?
I've heard from other sources that when you are doing the thing with syringe, that you're not supposed to sit it down? Is that correct? If it is, I wonder if it might be helpful to update the video.
At our facility our hood had a ledge at the base of the back where the filter was. So when laying a syringe down on the deck that ledge blocked airflow to it. They advised us to stand the syringe up so it sits.on the plunger and ensured the syringe got first air. The hood in the video has a filter that goes entirely from top to bottom so even if she laid the syringe down it still got 1st air. Ideally she should have turned it sideways so that more than just the tip got 1st air but I've found the majority of people lay it down like she did. However, biggest issue there was she didn't do the best in her manipulation of the syringe in relation to hand positioning to ensure she wasn't blocking 1st air. Both times she made a puncture to the vial and bag she was blocking 1st air.
So many things wrong in this video, this is not sterile. Is this a real patient name, hello HIPAA!! A lot has changed since 2016, so I'll give them the benefit of the doubt.
There are several aseptic errors: Hand-washing, gowning (gowns close in the rear), gloving (sterile gloving?) and lots of shadowing during the compound (first air + critical site = sterile). I saw 7 ml inserted into the bag but the calculation said 6.25 ml (which was wrong too, O / H x Q= Amount to Dispense) 75u / 20u x 1ml = 3.75ml. The hood was contaminated with the tray and supply, and IV covers. The six inch rule is 3 dimensional, making compounds ON the bench is not sterile.
Do you have any kind of source for your 3 dimensional 6-inch claim? Is it your thinking that technicians must hold every component above the bench while compounding? Never heard it described this way. Thanks.
@@Peeeels I've never heard that before either. We make TPN at our facility and it's not possible to do anything of large volume like that without things laying on the deck. That's the whole point of sanitizing it, so you can work on it. All training materials I've seen from various sources said the deck was the main area where a compounder's work is done.
You should wipe left to right back to front
4:27 ummmm HIPAA violation
Lots of errors starting form where you're putting booties on
Wrong teaching .. teacher needs to be retrained 😂
Naplex prep anyone?
This must be over a decade ago because lots of errors in the hygienic portions, garbing, cleaning, etc....
This is not sterile compounding
Why would you put on your shoe covers first and then spread all that on to your haircover and mask?
Dear madam, we required API lyopilized product unloadin videos
This is wrong on so many levels from the beginning to the end. Wearing makeup, no nail picks, not scrubbing to the elbow, non sterile gloves, blocking airflow.. I can't even. I hope this "tech" has improved and if this is truly a teaching classroom I hope the teacher let her make these mistakes to correct her later.
Practice has at least some of room / need for improvement. Were the waste bins cleaned and sanitized prior to being introduced into the LF Hood?
Educational. Thank you for the demonstration!
how did you calculate the amount of vasopressin to be 6.25ml.?.I calculated it and the result is 3 ml.
3:11 Up and down is called vertically
The description of the video tells us this was done in a pharmacy tech classroom. Base on 2022 standards of sterile compounding preparation, this information given is no longer accurately correct.
You don’t start with the booty first
At 4:39 you showed a patient label. I hope that's not a real one because that would be a violation of HIPPA which could result in serious fines and possibly jail time.
You wore booties and then with the same hands touched your mask
At our facility when performing hygiene you wet up to the elbow, soap the hands, use a *nail pick* (NOT your nails) to clean under your nails then continue soaping up to elbow. Then after you put the gown on BEFORE sanitizing the hands so that way your hands are sanitized just before donning the gloves. When cleaning the hood she didn't clean the back at all which is the most important part since that's where the filter is. Then if you're going to use SWFI first just pour it directly on the lint free towel, not on the deck (dirtiest) and laying the towel on it then going cleanest to dirtiest. Our patient meds are usually one tote per drug but the tote stays OUT of the hood. We wipe down the supplies, ingredients with alcohol before putting them in the hood and spray gloves with IPA EVERY time you had to come back in the hood. She didn't spray her gloves at all when going in and out. The way she held the vial was too low resulting in blocking first air to her critical site but I get people have different size hands. Probably would have been better to use a dispensing pin if available. Then her bag would have been better placed sideways for injection so that the port site and needle all are free from blockage of 1st air. This is ok as a basic description of aseptic technique and garbing but it shouldn't be used as reliable educational reference. No offense
SEND ME A DIRECT MESSAGE IF YOU ARE NEEDING SERVICE OR INSTALLATION. I service any location and can be onsite with crew in 24 hrs. have been installing for 25 years. I specialize in impervious wall cladding and impervious seamless sheet vinyl installations. USP 797 aseptic clean rooms USP 800 semiconductor clean rooms, Labs, Airborne disease isolation units. Prior D.O.D contractor
At ~3:10 you said "horizontally", but wiped vertically, so which is it?
Since the hood they're using in the video is a vertical LAFW, the wiping should be done vertically from top to bottom (in the direction of airflow). If the hood used was a horizontal LAFW, the sides of the workbench would then be cleaned horizontally, from back to front, again in the direction of airflow. What they said was wrong, but what they actually did in the video for that part was correct.
peace upon you Question So I'm a liquid compounder for a manufacture blending essential chemicals in 500+ gallon batch in mixing tanks for animals: puppy shampoos/conditioners , stain and odor removers, aloe water conditioners for aquariums etc, and I love my job. what's the best route to take educational wise to do higher level of compounding and obtaining a higher Job?
Why did you use the same sterile wipe to clean the ceiling, pole, hooks, sides, and counter? That’s a big no no.
Sure it is. It’s cross-contamination.
Very educational!
Wow we are already putting on maske every time :,,)
What Laminar airflow cabinet is used?
Huge hipaa violation
Lol Hippa policy wow
Thats not Hippa Policy.
you should probably take this video down because this is not proper aseptic technique.
I’m a Certified Training Instructor for Sterile Products, and my jaw was on the floor throughout the process.
No it is not
What the heck? This is not accurate in several ways. *cringe*
Completely blocked the airflow on the critical points of your syringe 😬😬😬 hope this was just for a basic example only 😫
There’s several things that were done incorrectly.
Many errors
I've heard from other sources that when you are doing the thing with syringe, that you're not supposed to sit it down? Is that correct? If it is, I wonder if it might be helpful to update the video.
At our facility our hood had a ledge at the base of the back where the filter was. So when laying a syringe down on the deck that ledge blocked airflow to it. They advised us to stand the syringe up so it sits.on the plunger and ensured the syringe got first air. The hood in the video has a filter that goes entirely from top to bottom so even if she laid the syringe down it still got 1st air. Ideally she should have turned it sideways so that more than just the tip got 1st air but I've found the majority of people lay it down like she did. However, biggest issue there was she didn't do the best in her manipulation of the syringe in relation to hand positioning to ensure she wasn't blocking 1st air. Both times she made a puncture to the vial and bag she was blocking 1st air.
The safest method is to stand the syringe up on the plunger so the top has first air
The comments, wow
Terrible asf
So many things wrong in this video, this is not sterile. Is this a real patient name, hello HIPAA!! A lot has changed since 2016, so I'll give them the benefit of the doubt.
3:12 you mean vertically???
There are several aseptic errors: Hand-washing, gowning (gowns close in the rear), gloving (sterile gloving?) and lots of shadowing during the compound (first air + critical site = sterile). I saw 7 ml inserted into the bag but the calculation said 6.25 ml (which was wrong too, O / H x Q= Amount to Dispense) 75u / 20u x 1ml = 3.75ml. The hood was contaminated with the tray and supply, and IV covers. The six inch rule is 3 dimensional, making compounds ON the bench is not sterile.
Also wearing lots of makeup.
And cleaning with a CLEAN side of the lint free towel with each swipe
can you elaborate on gowning (close in the rear) i have a project based off this :)
Do you have any kind of source for your 3 dimensional 6-inch claim? Is it your thinking that technicians must hold every component above the bench while compounding? Never heard it described this way. Thanks.
@@Peeeels I've never heard that before either. We make TPN at our facility and it's not possible to do anything of large volume like that without things laying on the deck. That's the whole point of sanitizing it, so you can work on it. All training materials I've seen from various sources said the deck was the main area where a compounder's work is done.