The largest online database anywhere of free accreditation advice for frontline and management employees in healthcare.
For well over a decade, we've been gathering what we know about accreditation standards and putting that knowledge into plain language. The product of those years of study and writing is this database of accreditation tips. Whenever we learn something new about a standard or the way the reviewers are interpreting it, we update our database.
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If the pharmacy engages in compounding, it must implement policies and procedures that ensure that the compounding activities meet both USP guidelines and applicable laws and regulations, whether state or federal. Those policies need to identify who is responsible for ensuring such compliance and how he/she/they are to do that.READ FULL POST
The pharmacy must implement written policies and procedures that:ensure that all machines and equipment in the pharmacy are maintained according to both the guidelines provided by the manufacturers and any applicable regulations, andprovide for the documentation of the implementation of the processes dealing with cleaning, calibrating, and auditing of the machinery and equipment.The machinery and...READ FULL POST
Facility and employee safety and security are the focus of this standard. To ensure the security of the facility, the pharmacy must:Designate access levels to the facility itself and/or to areas within the facility; andIdentify clearly which employees should have access to which machines and equipment, including the authority and ability to operate the equipment locks.READ FULL POST
The pharmacy must implement policies and procedures that describe in detail how unacceptable medicines must be handled and disposed of."Unacceptable medications" include medicines thathave been recalled or discontinued,have expired,have been damaged, adulterated, or misbranded,are counterfeit, etc.These implemented policies and procedures must address the following issues, at a minimum:How the pha...READ FULL POST
Under this standard, the pharmacy must take certain steps to ensure employee safety. Specifically, the pharmacy must make available to employees and train employees on how to useSafety Data SheetsSpill kitsEye wash stations.Now, if your pharmacy has conducted a risk assessment and has determined that there is zero risk of exposure to hazardous drugs and materials, it may be that only the Safety Da...READ FULL POST
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