Quick question about IV room compliance...

[kvl1027]

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We have a new DOP at the hospital in which I work PRN. We are having a new IV room built and there is something I noticed that I thought was non-compliant. Or at the very least, not the way I would have planned it.

It has a very large ante room witht he IV room on the left and chemo on the right. I couldn't help but notice the other night, that there was a pass-through installed from the pharmacy to IV directly. Not from the IV room to the ante room. On top of that, it is not a sealed double locking pass through. So both sets of doors can be open at the same time.

Am I wrong, or is this non-compliant? I heard the company building the room tried to tell the director this was not a good Idea and she insisted. Just wanted to get the expert opinion from some SDN'ers.

Any thoughts?

 

[Sparda29]

We have a new DOP at the hospital in which I work PRN. We are having a new IV room built and there is something I noticed that I thought was non-compliant. Or at the very least, not the way I would have planned it.

It has a very large ante room witht he IV room on the left and chemo on the right. I couldn't help but notice the other night, that there was a pass-through installed from the pharmacy to IV directly. Not from the IV room to the ante room. On top of that, it is not a sealed double locking pass through. So both sets of doors can be open at the same time.

Am I wrong, or is this non-compliant? I heard the company building the room tried to tell the director this was not a good Idea and she insisted. Just wanted to get the expert opinion from some SDN'ers.

Any thoughts?

You work there PRN? I wouldn't tell them anything. Don't make any waves.

 

[Transformer]

We have a new DOP at the hospital in which I work PRN. We are having a new IV room built and there is something I noticed that I thought was non-compliant. Or at the very least, not the way I would have planned it.

It has a very large ante room witht he IV room on the left and chemo on the right. I couldn't help but notice the other night, that there was a pass-through installed from the pharmacy to IV directly. Not from the IV room to the ante room. On top of that, it is not a sealed double locking pass through. So both sets of doors can be open at the same time.

Am I wrong, or is this non-compliant? I heard the company building the room tried to tell the director this was not a good Idea and she insisted. Just wanted to get the expert opinion from some SDN'ers.

Any thoughts?

At the hospital where I work, there is an ante room that separates the IV & Chemo rooms from the pharmacy.

For compliance in compounding sterile products, refer to USP 797
http://www.usp.org/store/products-services/usp-compounding

 

[kvl1027]

At the hospital where I work, there is an ante room that separates the IV & Chemo rooms from the pharmacy.

For compliance in compounding sterile products, refer to USP 797
http://www.usp.org/store/products-services/usp-compounding

The question was about the pass-through connecting the IV room directly to the pharmacy and not connecting the IV room to the ANTE room.

 

[owlegrad]

The nuclear pharmacy I was at had a pass through but it was the kind where only one side could be open at a time.

 

[ethyl]

We have a new DOP at the hospital in which I work PRN. We are having a new IV room built and there is something I noticed that I thought was non-compliant. Or at the very least, not the way I would have planned it.

It has a very large ante room witht he IV room on the left and chemo on the right. I couldn't help but notice the other night, that there was a pass-through installed from the pharmacy to IV directly. Not from the IV room to the ante room. On top of that, it is not a sealed double locking pass through. So both sets of doors can be open at the same time.

Am I wrong, or is this non-compliant? I heard the company building the room tried to tell the director this was not a good Idea and she insisted. Just wanted to get the expert opinion from some SDN'ers.

Any thoughts?

Doesn't sound compliant at all. Defeats the purpose of the ante room. It should hopefully fail certification. Otherwise, over the next few years a board inspector might find it or Joint Commission will notice it and then it'll finally get sealed up.

 

[chuckle beast]

You work there PRN? I wouldn't tell them anything. Don't make any waves.

I'm sure that's what they said over in Framingham.

 

[YourMD]

The nuclear pharmacy I was at had a pass through but it was the kind where only one side could be open at a time.

Would you mind sharing your experiences with nuke pharm? would you recommend the field?

 

[owlegrad]

Would you mind sharing your experiences with nuke pharm? would you recommend the field?

Oh it was just a rotation. Plenty of people here who are way more qualified to speak about it. We even have a thread dedicated to it. 😉

 

[Ackj]

I remember one of my rotations sites had a pass through from IV to regular pharmacy. It was used so you didn't have to keep ungowning/rescrubbing as you carried your finished products out. Not sure if there was any mechanism to stop both doors from being open at the same time, but obviously you wouldn't want to have them both open.

 

[Transformer]

The question was about the pass-through connecting the IV room directly to the pharmacy and not connecting the IV room to the ANTE room.

In your case, where the IV room is directly connected to the pharmacy, it makes sense to me to have a double locking pass through to keep the IV room as sterile as possible.

 

[kvl1027]

I remember one of my rotations sites had a pass through from IV to regular pharmacy. It was used so you didn't have to keep ungowning/rescrubbing as you carried your finished products out. Not sure if there was any mechanism to stop both doors from being open at the same time, but obviously you wouldn't want to have them both open.

I could see one with a double locking, sealed pass thru that is only being used to send completed meds out. I would be slightly concerned about passing items in directly from the pharmacy.