5.1.4: Simple compounding procedure and compounding records

Number

Action Required

Assessment Evidence

5.1.4

Establish, maintain and follow a process for simple compounding/extemporaneous dispensing, which includes a compounding procedure. The compounding procedure

must include or make reference to ensuring:

Any compounding is undertaken by a pharmacist (if possible) or a suitably qualified and supervised staff member
Ingredients are available, have been stored appropriately, are uncontaminated, are of pharmacopoeial standard, are not expired, and the containers are suitable and clean (i.e., light-resistant containers)
There is an area prepared for compounding which is away from other dispensing activities but within the area in which dispensing occurs
All surfaces and equipment are clean prior to compounding
All equipment has been calibrated
The compounded medicine label includes the approved pharmacopoeial name (when available)
Recording each product that is compounded

The pharmacy’s simple compounding procedure and associated compounding records.

Additional Notes:

Ensure that you have at least 1 completed example of template 5.1.4(2)
For further assistance, please email qcpp@blooms.net.au

Template Available:

5.1.4(1)- Simple Compounding Procedure
5.1.4(2)- Simple Compounding Worksheet