Colleagues responsible for USP Implementation,

My board of pharmacy is not weighing in on the interpretation of sterile compounding direct oversight versus in process and final checks. With the training requirements differing for compounders, those who provide direct oversight, and those who provide in process checks, I am seeking opinions on specifically the distinction between direct oversight and in-process/final checks.

Pharmacists at my hospital sites generally only would compound immediate use (and thus would be competency trained accordingly). However, those pharmacists may perform the traditional checking of technician compounding on site. Are you considering this direct oversight or in-process/final checks?

Thank you,
Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health