Showing posts with label USP 797 Articles. Show all posts
Showing posts with label USP 797 Articles. Show all posts

Friday, February 24, 2017

New USP 797 Hospital Pharmacy Design Projects in New York

New USP 797 Hospital Pharmacy Design Projects in New York

Pharmacy design architect Bernstein & Associates, Architects (http://bernarch.com/healthcare-design-pharmacy/) is pleased that it has been awarded six new pharmacy design projects in the state of New York.

All six of the pharmacy projects will involve redesign and/or expansion of existing hospital pharmacies to address compliance with USP 797 and USP 800. Additionally some of the projects will involve addition of pharmacy automation equipment and additional pharmacy program requirements.

The pharmacy design projects will center around state-of-the-art ISO 7 compounding suites, with both hazardous compounding and non-hazardous compounding.

Pharmacy design services for these projects will include: pharmacy programming, pharmacy planning, pharmacy design, and pharmacy equipment planning.

About Bernstein & Associates, Architects (www.bernarch.com):

Bernstein & Associates, Architects has specialized in healthcare and lab design and construction since the firm's founding in 1990. This architecture firm is well-known for pharmacy planning, pharmacy design and pharmacy construction, and has designed over (35) hospital pharmacies in the last 10 years, which have included USP 797 compliant pharmacy design and construction. The firm's principal --- William N. Bernstein, AIA --- is a well-known architect of pharmacies. He has written extensively on pharmacy design and construction including USP 797 compliant pharmacies.

USP 800 compliant pharmacy design is also a specialty of Bernstein & Associates, Architects. The firm currently has (11) projects in the design and construction phase designed to comply with USP 800.

A new article on the architectural design of USP 800 compliant pharmacies was published in Health Facilities Management. The article can be found here:

http://www.hfmmagazine.com/articles/2526-handling-hazardous-drugs-in-health-care

Pharmacy design projects by Bernstein & Associates, Architects  are featured on:
www.bernarch.com/healthcare-design-pharmacy/ (Pharmacy Design by Bernstein & Assoc., Architects)
www.twitter.com/pharmacydesign (Pharmacy Design on Twitter)
www.pharmacydesign.org (the Pharmacy Design website)
https://www.linkedin.com/company/pharmacy-design (Pharmacy Design on LinkedIn)
https://www.facebook.com/pharmacydesigns/ (Pharmacy Design on Facebook)
www.usp797.org (USP 797 news, USP 797 education, and USP 797 vendors)
www.usp800.guru (USP 800 news, USP 800 education, and USP 800 vendors)

For more information about healthcare and hospital design and construction, including pharmacy design and pharmacy construction, contact Bernstein & Associates, Architects at:

New York (Headquarters)
Bernstein & Associates, Architects
122 E 42nd Street - 17th Floor
New York, NY 10168
T: 212-463-8200
F: 888-214-0670
Email: info@bernarch.com
Also in Hartford, Princeton, Charlottesville, and Los Angeles

Additional ways to follow Bernstein & Associates, Architects, include:

Bernstein & Associates, Architects on Twitter: https://twitter.com/bernsteinarch
Bernstein & Associates, Architects on Blogger: http://bernarch.blogspot.com/
Bernstein & Associates, Architects on LinkedIn: https://www.linkedin.com/company/bernstein-&-associates-architects
Bernstein & Associates, Architects on Facebook: https://www.facebook.com/bernsteinarchitects/

Friday, November 4, 2016

USP 800 and USP 797: What is New and What is the Same

A new article on creating a USP 800 compliant pharmacy, by William N. Bernstein, AIA, has just been published in Health Facilities Management.

Entitled “USP 800 Brings New Regulations to Hospital Pharmacies”, the article is a comprehensive guide to designing clean room environments for sterile compounding and non-sterile compounding in accordance with the new USP 800 guidelines.

The USP 800 pharmacy design article can be found at:

http://www.hfmmagazine.com/articles/2526-handling-hazardous-drugs-in-health-care

Below are some of the topics covered in this USP 800 article:
History of USP 800
Deadline for compliance with USP 800
Relationship of USP 797 and USP 800
Changes in guidelines on sterile compounding of hazardous drugs relative to previous guidelines in USP 797
What does USP 800 mean when it refers to “hazardous drugs”
Latest list of USP 800 hazardous drugs
Frequency of review of list of USP 800 hazardous drugs
Introducing new hazardous drugs in a USP 800 compliant facility
Exceptions to list of USP 800 hazardous drugs
Discussion of investigational drugs in USP 800 guideline
Under what circumstances do hazardous drugs fall outside of USP 800 guidelines
Discussion of “assessment of risk” in USP 800 guidelines
Areas governed by USP 800
How does USP 800 address storage of hazardous drugs
How does USP 800 address compounding of hazardous drugs
When is a negative pressure room required under USP 800
How many air changes does USP 800 require
What additional space does USP 800 require
How does USP 800 address refrigeration of hazardous drugs
Locations of refrigerated storage of hazardous drugs in USP 800
Location of exhaust relative to refrigerator in USP 800
Discussion of details of storage room shelving in USP 800
Seismic considerations discussed in USP 800
Discussion of which drugs go into the USP 800 storage room
Storage of sterile and non-sterile hazardous drugs in USP 800
Under what circumstances can sterile and non-sterile drugs be stored in the same room in USP 800
Discussion of compounding vs. fixed formulations in USP 800
Types of controls related to the compounding process in USP 800
C-PEC in USP 800
C-SEC in USP 800
Closed-system, drug transfer device in USP 800
When is an ISO-5 environment required in USP 800
When is an ISO-7 environment required in USP 800
When is a negative-pressure room required in USP 800
USP 800 discussion of loss of power
USP 800 discussion of emergency power
Discussion of worker safety in USP 800
Types of Biosafety Cabinets discussed in USP 800
USP 800 eliminates available options that existed in USP 797
USP 800 discussion of signage
Location of spaces discussed in USP 800
Receipt and unpacking of hazardous drugs as discussed in USP 800
Water column measurements in USP 800
What has to be externally vented in a USP 800 compliant pharmacy
Air exchange rate requirements in USP 800
USP 800 discussion of maintaining power to ventilation systems in a power outage
Different USP 800 requirements for sterile compounding vs. non-sterile compounding
Definition of non-sterile compounding in USP 800
Definition of sterile compounding in USP 800
Under what circumstances does USP 800 permit both sterile and nonsterile compounding in the same room
Under what circumstances does USP 800 permit sterile compounding in a non-ISO space
USP 800 discussion of segregated compounding area (C-SCA).
USP 800 requirements for non-sterile compounding
Carry-over of certain requirements from USP 797 in terms of cleanroom design in USP 800
Discussion of USP 795, Pharmaceutical Compounding — Nonsterile Preparations, in USP 800
Under what circumstances does USP 800 permit sterile and nonsterile compounding in the same room
Relationship of storage and compounding spaces in USP 800

Author of this USP 800 article is William N. Bernstein, LEED AP, AIA, the principal of Bernstein & Associates Architects. His firm has been at the forefront of designing USP 797 and USP 800 compliant  pharmacies across the US. He can be reached at info@bernarch.com.

Follow Bernstein & Associates, Architects:
Pharmacy Architecture and Design: http://bernarch.com/healthcare-design-pharmacy/
USP 797 Architecture and Design: http://bernarch.com/healthcare-design-usp-797-compliant-pharmacy-design-and-consulting/
USP 800 Architecture and Design: http://bernarch.com/healthcare-design-usp-800-compliant-pharmacy-design-and-consulting/
Bernstein & Associates, Architects on Twitter: https://twitter.com/bernsteinarch
Bernstein & Associates, Architects on Blogger: http://bernarch.blogspot.com/
Bernstein & Associates, Architects on LinkedIn: https://www.linkedin.com/company/bernstein-&-associates-architects
Bernstein & Associates, Architects on Facebook: https://www.facebook.com/bernsteinarchitects/

Follow Empire Projects, Inc.:
Healthcare project management services, see: http://empireprojects.com/healthcare-project-management/
Hospital project management services, see: http://empireprojects.com/healthcare-project-management-hospitals/
Empire Projects, Inc. on Twitter: https://twitter.com/empireprojects
Empire Projects, Inc.on Blogger: http://empireprojects.blogspot.com/
Empire Projects, Inc. on LinkedIn: https://www.linkedin.com/company/empire-projects-inc.
Empire Projects, Inc. on Facebook: https://www.facebook.com/empireprojectsusa/

Follow USP.org:
USP.org on Twitter: https://twitter.com/uspharmacopeia
USP.org Blog: http://qualitymatters.usp.org/
USP.org on LinkedIn: https://www.linkedin.com/company/uspharmacopeia
USP.org on Facebook: https://www.facebook.com/USPharmacopeia

Follow USP797.org:
USP797.org on Twitter: https://www.twitter.com/usp797
USP797.org on Blogger: http://usp797org.blogspot.com/
USP797.org on LinkedIn: https://www.linkedin.com/company/usp797-org-inc-
USP797.org on Facebook: https://www.facebook.com/usp797

Follow USP800.guru:
USP800.guru on Twitter: https://www.twitter.com/usp800
USP800.org on Blogger: http://usp800.blogspot.com/
USP800.org on LinkedIn: https://www.linkedin.com/company/usp800-guru
USP800.org on Facebook:  https://www.facebook.com/USP800

Follow PharmacyDesign.org:
PharmacyDesign.org on Twitter: https://twitter.com/pharmacydesign
PharmacyDesign.org on Blogger: http://pharmacydesigns.blogspot.com/
PharmacyDesign.org on LinkedIn: https://www.linkedin.com/company/pharmacy-design
PharmacyDesign.org on Facebook: https://www.facebook.com/pharmacydesigns/

To reach USP797.org:
USP797.org
1483 York Avenue - #20602
New York, NY 10021
T: 800-974-3109
E: info@usp797.org 
W: www.usp797.org

Saturday, February 9, 2013

Charlotte Safety & CleanroomSupplyConnection.com Expand USP797 Division


Charlotte Safety and CleanroomSupplyConnection.com have expanded their compounding pharmacy and cleanroom product offerings due to recent growth and need of their pharmacy clients. We are now an authorized dealer of SPS Medical sterilization products as well as Criti Clean cleanroom wipes and cleanroom clothing. Charlotte Safety is a master stocking distributor of all cleanroom supplies and products needed for the largest compounding pharmacies – both independent as well as hospital pharmacies. We offer special pricing on cleanroom mops,cleanroom disinfectantscleanroom clothingcleanroom presaturated wipestacky floor mats,cleanroom swabs and everything else you need to keep your cleanroom in top shape. We work with the country’s most well respected research and pharmaceutical facilities and offer expert advice on supplies, USP 797 protocol and streamlining your cleanroom supply inventory.

We also stock sterile cleanroom supplies including sterile cleanroom coverallssterile cleanroom sleevessterile face masks and sterile cleanroom paper.

Please visit us online at www.CleanroomSupplyConnection.com or call our toll free phone at 1-800-616-5319.

Contact:
Peter Lojac
Charlotte Safety & CleanroomSupplyConnection.com
P 516.596.8781
F 516.596.8619

E Sales@CleanroomSupplyConnection.com

***************

Additional USP 797 news can be found on the USP 797 website www.usp797.org - and the USP 797 blog http://www.usp797org.blogspot.com/ - and the USP 797 Twitter account www.twitter.com/usp797

Additional pharmacy design news can be found on the pharmacy design website www.pharmacydesign.org – and the pharmacy design Twitter account https://twitter.com/pharmacydesign

Sunday, November 8, 2009

New USP 797 Article Written by Eric Kastango Published in Pharmacy Purchaisng & Products Magazine

An excellent article on usp 797, written by Eric Kastango has been published in the October issue of Pharmacy Purchasing and Products (www.pppmag.com).

Entitled “The Top 10 Gaps in USP Chapter Compliance”, it lists the areas that Mr. Kastango has found most likely to be missed in the course of usp 797 compliance.

The 10 usp 797 gaps discussed, include understanding of the usp 797 regulations, usp 797 facility design issues, usp 797 compliant procedures and operating standards, usp 797 training, and usp 797 testing and certification.

To read this article, go to: http://www.pppmag.com/pp-p-cleanrooms-compounding-2009/the-top-10-gaps-in-usp-chapter-compliance

Monday, October 19, 2009

USP 797 Compliance in 2009

New Article on USP 797 Compliance Published

Bernstein & Associates, Architects is pleased to announce the publication of a new article about USP 797 compliance. The article was published on USP 797 (www.usp797.org), the website focused on design, construction and operation of USP 797 compliant pharmacies.

The article discusses the following:

- An interesting survey of USP 797 compliance in the United States in 2009 was recently published in Pharmacy Purchasing & Products magazine (www.pppmag.com).
- The survey looks at various areas of USP 797 compliance.
- It begins with results of the most basic question: how many directors of pharmacy have read the USP 97 regulation
- Partial or full pharmacy compliance with USP 797 has also grown
- Full compliance with USP 797 is measured differently
- The approach of regulatory bodies towards USP 797
- State boards of pharmacy and USP 797 compliance
- JCAHO and USP 797 compliance
- Hospitals reporting a patient incident involving a compounding error during the past five years
- Continuing improvement in USP 797 compliance in pharmacies in the United States, as well as increased focus on USP 797 compliance by state pharmacy boards and JCAHO.

About the Author:

William N. Bernstein, LEED®AP, AIA is the principal of Bernstein & Associates, Architects (www.bernarch.com) and president of Equipment Planning, Inc. (www.equipmentplanning.org). This architecture firm and equipment planning firm are well-known for pharmacy planning, pharmacy design and pharmacy architecture, including a sub-specialty in usp 797 compliant pharmacy design and construction. These pharmacy consulting firms have designed and equipment planned over twenty new pharmacies, pharmacy renovations, and pharmacy relocations in the past five years. The firm's principal --- William N. Bernstein, LEED®AP, AIA --- is a well known pharmacy architect and pharmacy equipment planner. He has written extensively on pharmacy design and pharmacy construction including usp 797 compliant pharmacies. Mr. Bernstein's pharmacy design articles can be found on www.pharmacydesign.org, and his usp 797 articles can be found on the usp 797 website www.usp797.org.

For more information about pharmacy planning, pharmacy design and pharmacy construction, contact Bernstein & Associates, Architects at:

Bernstein & Associates, Architects - PLLC
59 West 19th Street - 6A, NY, NY 10011
T: 212.463.8200
F: 212.463.9898
E: info@bernarch.com
www.bernarch.com

For more information about pharmacy equipment planning, and pharmacy automation equipment specifications and planning, contact Equipment Planning, Inc. at:

Equipment Planning, Inc.
59 West 19th Street - 6A, NY, NY 10011
T: 212.463.08200
F: 212.463.9898
E: info@equipmentplanning.org
www.equipmentplanning.org

Saturday, November 29, 2008

USP Chapter 797 on Enforceability

USP Chapter 797 on Enforceability, (c) USP 797 Guidebook to Pharmaceutical Compounding-Sterile Preparations, 25 August 2008

In the USP 797 Guidebook to Pharmaceutical Compounding-Sterile Preparations, USP “attempts to clarify the enforceability” of Chapter 797. The guidebook is a compilation of the full text of Chapter 797, public comments with responses from the committee which formulated the document, and five pages addressing enforceability.
Chapter 797 applies to practitioners. Practitioners are regulated by state agencies and in general, the FDA will defer to states with regard to Chapter 797. The FDA will act with the states in investigating allegations of poor quality compounded drugs, but is willing and able under the Federal Food Drug Cosmetic Act (FFDCA) to act on its own initiative.
Approaches by state to Chapter 797 generally fall into three categories, discussed in detail below in language drawn from the USP publication.
States that require compliance with USP standards
The following states likely fall into this category by having broad legal or regulatory language that requires compliance with the USP-NF generally. Since Chapter 797 is part of USP-NF, “these Boards appear to require compliance with the latest revision of the chapter”:
Massachusetts
South Dakota
South Carolina
Virginia
West Virginia
States that explicitly reference Chapter 797
The following states have laws or regulations that explicitly require compliance to varying degrees, with some broader assertions:
Minnesota
Utah: broad assertions that Chapter 797 shall apply
Georgia: immediate-use products exempted
Indiana
Maryland
New Mexico
States that include some provisions from Chapter 797 in their regulations
Some text incorporating portions of 797 has been adopted by the following states:
Arizona
Arkansas
Texas
Ohio
Reference:
USP 797 Guidebook to Pharmaceutical Compounding-Sterile Preparations, 2008
International Oncology Network (ION)An AmerisourceBergen Specialty Group Company 3101 Gaylord Parkway Frisco, TX 75034

Particle Monitoring to Meet USP 797

Particle Monitoring to Meet USP <797>
1. Introduction
The United States Pharmacopoeia (USP) recently released procedures and requirements for compounding sterile preparations. General chapter <797>, titled “Pharmaceutical Compounding – Sterile Preparations,” states that sterile compounding procedures require clean facilities, specific training for operators, air quality evaluations, and a sound knowledge of sterilization and stability principles. The nature of defining how these preparations shall be manufactured is related to the potential risk to patients should errors occur.
This paper reviews the requirements for non-viable particle limits and the monitoring of those areas where product is exposed.
2. Environmental Requirements
Products are manufactured according to one of three risk factors: low, medium, and high. Those products which are manufactured as an aseptic parenteral have the greatest risk of contamination, and therefore they must be manufactured in an area tolerating only the lowest level of risk. “Aqueous injections for administration into the vascular and central nervous systems pose the greatest risk of harm to patients if there are errors of non-sterility and large errors in ingredients,” 1 and therefore the greatest level of control over manufacturing must be proven. They must be manufactured under a “laminar flow clean-air hood, barrier isolator, or other contamination control device appropriate for the risk level, that provide an adequate critical site environment”. 1
Critical site environments, defined below, must prove that they meet the international standard for cleanliness to ISO14644-1 Class 5, where no more than 3520 particles at 0.5 mm are present per cubic meter of sampled air. The ISO classes will be briefly discussed in this paper.
The supporting area, or clean room areas where the laminar flow stations are located, should meet at least ISO 8 air quality. The supporting area will be discussed in greater detail below.
For a better understanding of the requirements, a document to read in conjunction with the USP <797> is the Food and Drug Administration’s (FDA) Guidance for Industry Sterile Drug Products Produced by Aseptic Processing - Current Good Manufacturing Practice, September 2004. This document identifies how the manufacturing of sterile products should be undertaken and defines certain elements of critical environments.
Defining Critical and Supporting Areas
Critical areas
The USP defines a critical area as the central location for performing sterile manipulations which should be a laminar flow, ISO 5 environment. The FDA Guidance defines it as the following:
A critical area is one in which the sterilized drug product, containers, and closures are exposed to environmental conditions that must be designed to maintain product sterility (§ 211.42(c)(10)). Activities conducted in such areas include manipulations (e.g., aseptic connections, sterile ingredient additions) of sterile materials prior to and during filling and closing operations. 2
The USP and the FDA share a harmonized view of both the definition of critical areas and the activities which are critical in nature. In addition, the FDA defines the limit of particles in air:
Air in the immediate proximity of exposed sterilized containers/closures and filling/closing operations would be of appropriate particle quality when it has a per-cubic-meter particle count of no more than 3520 in a size range of 0.5 μm and larger when counted at representative locations normally not more than 1 foot away from the work site, within the airflow, and during filling/closing operations. This level of air cleanliness is also known as Class 100 (ISO 5). 2
Therefore, those activities that pose the greatest risk to final product quality must be done in an environment that meets ISO 5, again showing harmonization of the two references.
Supporting Areas
The USP defines this area as a controlled environment that minimizes the contamination of the area immediately surrounding the critical area. The FDA defines this area as the following:
Supporting clean areas can have various classifications and functions. Many support areas function as zones in which non-sterile components, formulated products, in-process materials, equipment, and container/closures are prepared, held, or transferred. These environments are soundly designed when they minimize the level of particle contaminants in the final product and control the microbiological content (bio-burden) of articles and components that are subsequently sterilized. 2
The USP states that supporting areas must meet an air quality of at least ISO 8; the FDA recommends the following:
The nature of the activities conducted in a supporting clean area determines its classification. FDA recommends that the area immediately adjacent to the aseptic processing line meet, at a minimum, Class 10,000 (ISO 7) standards (see Table 1) under dynamic conditions. Manufacturers can also classify this area as Class 1,000 (ISO 6) or maintain the entire aseptic filling room at Class 100 (ISO 5). An area classified at a Class 100,000 (ISO 8) air cleanliness level is appropriate for less critical activities (e.g., equipment cleaning). 2
Again, there is harmonization between the FDA and the USP on the expectations of supporting clean areas, though the FDA is more precise in defining that the risk of each area should be assessed and a classification assigned according to that risk. The table below is an extract from the FDA guidance and can be directly compared with that shown in USP <797>. The table also identifies the maximum permissible microbiological limits for the associated manufacturing areas.
Clean Area Classification
(0.5 µm particles/ft3)
ISO Designation
> 0.5 µm particles/m3
Microbiological Active Air Action Levels (cfu/m3 )
Microbiological Settling Plates Action Levels (diam. 90mm; cfu/4 hours)
100
5
3,520
1
1
1000
6
35,200
7
3
10,000
7
352,000
10
5
100,000
8
3,520,000
100
50

3. Monitoring Frequency
In accordance with the USP <797>, a critical area must prove to meet ISO 5 classification at least once per six-month period. The same interval is also found in the ISO14644-2 guide. The frequency of determining the cleanliness class of the supporting areas is also at least once per six months as recommended by the USP. This interval is defined in the ISO14644-2 as being at least every twelve months, so the expectations of the USP are higher than that of a typical ISO 8 clean room.
Because the FDA has a more risk-based approach to monitoring, a sample every “n” months is insufficient to determine if a specific batch of product was manufactured to specification and quality-defined attributes.
We recommend that measurements to confirm air cleanliness in critical areas be taken at sites where there is most potential risk to the exposed sterilized product, containers, and closures. The particle counting probe should be placed in an orientation demonstrated to obtain a meaningful sample. Regular monitoring should be performed during each production shift. We recommend conducting nonviable particle monitoring with a remote counting system. These systems are capable of collecting more comprehensive data and are generally less invasive than portable particle counters.2
Therefore, environmental monitoring should be performed during those periods when product is being exposed to the ambient environment, and records should show that a level of control was present during these periods. The FDA sets no recommendations for the supporting areas; however, the Parenteral Drug Association (PDA) recommends that they be sampled at least once per week for ISO 7 and at least once per month for ISO 8 (PDA Journal of Pharmaceutical Science and Technology, Volume 57 No.2 March/April 2003).
For more information on particle monitoring in pharmaceutical environments, read Particle Measuring Systems Application Note, “Particle Monitoring Requirements in Pharmaceutical Cleanrooms.”
Mark Hallworth
Pharmaceutical Business Manager
Particle Measuring Systems
Ackowledgements
1 USP. United States Pharmacopoeia General Chapter <797> Pharmaceutical Compounding – Sterile Preparations.
2 FDA. Guidance for Industry: Sterile Drug Products Produced by Aseptic Processing — Current Good Manufacturing Practice. September 2004.
Particle Measuring Systems © 2005