While we do our best, for all clinicians involved, to limit chemotherapy preparation and administration to day & evening hours, occasionally a patient is admitted with an acute need that requires overnight pharmacy staff to prepare chemotherapy. While all of our staff complete the periodic didactic content for hazardous compounding, we do not currently have guidance on the periodic practical competency demonstration. Interested in hearing from other institutions
Do you have a hard stop for off-hours/overnight chemo preparation?
Are your regular hazardous compounding staff on-call for these limited occasions?
Do you periodically rotate your non-hazardous staff through hazardous compounding to ensure maintenance of practical competency?