Modification History
HLT07 Version 4 |
HLT07 Version 5 |
Comments |
HLTPH415B Conduct small-scale compounding of aseptic pharmaceutical products |
HLTPH409A Conduct small-scale compounding and labelling of aseptic pharmaceutical products |
Unit updated in V5 Competency outcome changed |
Unit Descriptor
Descriptor |
This unit of competency describes the skills and knowledge required to manufacture and compound sterile pharmaceutical products from fixed formulae. This includes cytotoxic and total parental nutrition (TPN) products |
Application of the Unit
Application |
Work is completed in accordance with standards, guidelines / legislation, policies and procedures Work performed requires a range of well developed skills where discretion and judgement is required Individuals will take responsibility for their own outputs and limited responsibility for the outputs of others |
Licensing/Regulatory Information
Not applicable.
Pre-Requisites
Not applicable.
Employability Skills Information
Employability Skills |
This unit contains Employability Skills |
Elements and Performance Criteria Pre-Content
ELEMENT |
PERFORMANCE CRITERIA |
Elements define the essential outcomes of a unit of competency. |
The Performance Criteria specify the level of performance required to demonstrate achievement of the Element. Terms in italics are elaborated in the Range Statement. |
Elements and Performance Criteria
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1.1 Select appropriate dosage form for product, based on client need and/or against application of medicine 1.2 Use validated resources to source available formulae for required product 1.3 Consolidate and make relevant information available 1.4 Confirm suitability of chosen formula and availability of resources 1.5 Obtain authority of pharmacist to proceed 1.6 Obtain and clarify the confirmed and formulated manufacturing order or master batch sheet from pharmacist, when required |
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2.1 Confirm the need to use the appropriate laminar flow hood/clean room or cytotoxic drug safety cabinet/cytotoxic suite or room or isolator to compound the product 2.2 Clean work area and equipment correctly 2.3 Maintain inventory levels of materials and disposable equipment 2.4 Prepare a batch/work sheet referenced from a master sheet or formulae 2.5 Assign product batch number, if required 2.6 Verify that batch/work sheets are clearly written in logical order with clear directions and contain all the required information 2.7 Generate the product labels referenced from a master label 2.8 Check and note the number of labels generated 2.9 Submit batch/work sheet and labels to pharmacist for approval 2.10 Check and set up compounding machinery or disposable equipment |
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3.1 Acquire all materials used in aseptic production according to stock levels and stock requisitioning procedures 3.2 Check materials to ensure they have been released from quarantine for use by authorised persons 3.3 Verify materials against manufacturing work sheet and record material batch numbers and expiry dates 3.4 Weigh or measure materials in designated area 3.5 Select appropriate types, size and features of containers and packaging in sterile manufacturing 3.6 Obtain required authorisation or checks at designated points |
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4.1 Transfer raw materials, disposable equipment, required containers or packaging and covered work sheet to pre-production area 4.2 Follow hand washing, gowning and gloving procedures 4.3 Disinfect and transfer materials, disposable equipment and work sheet to sterile production area |
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5.1 Check that cytotoxic spill cleaning kits are available in all production areas 5.2 Select and use specialist equipment and clothing for the safe handling and preparation of cytotoxic drugs 5.3 Follow specific procedures to minimise risk of exposure to cytotoxic drugs |
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6.1 Allocate approved bulk materials, intermediary products and containers to appropriate machinery / equipment where required 6.2 Incorporate materials according to batch documentation 6.3 Compound product according to method on manufacturing work sheet 6.4 Prepare cytotoxic products using procedures for handling cytotoxic drugs 6.5 Operate specialist equipment and use specialist supplies in sterile production preparation 6.6 Monitor product and adjust any necessary pharmaceutical/compounding to ensure product complies with work sheet specifications 6.7 Perform verification procedures and inspect finished product for deviations and report to authorised person 6.8 Pack compounded product into appropriate container as specified on the work sheet, and following approval from an authorised person 6.9 Label containers/units according to labelling specifications on the work sheet 6.10 Obtain required authorisation or checks at designated points |
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7.1 Reconcile the number of labels printed with number used and discard excess, noting and documenting discrepancies in labels 7.2 Place product in quarantinearea under appropriate storage conditions, where specified 7.3 Clean machinery and manufacturing area and dispose of disposable equipment safely 7.4 Follow procedures for cleaning cytotoxic spills, and exposure to cytotoxic drugs 7.5 Complete all required documentation and forward to an authorised person 7.6 Report discrepancies to an authorised person 7.7 Obtain final approval from the pharmacist before releasing packed medicines to storage areas |
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8.1 Pack and label a retention sample and/or quality control sample if specified on the work sheet 8.2 Perform environmental monitoring and report abnormal readings to an authorised person 8.3 Submit product sample and relevant documentation to quality control, where specified 8.4 Record and file product quality control assay results and manufacturing area environmental monitoring results |
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9.1 Store products according to manufacturing documentation 9.2 Obtain released product(s) from quarantine store 9.3 Pack released product(s) into delivery containers which will maintain the required ambient conditions for the product 9.4 Deliver product to destination ensuring safe transport of cytotoxic products 9.5 Advise receipting area personnel of storage requirements 9.6 Complete and file records and/or work sheets |
Required Skills and Knowledge
REQUIRED SKILLS AND KNOWLEDGE |
This describes the essential skills and knowledge and their level required for this unit. |
Essential knowledge: The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes knowledge of:
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Essential skills: It is critical that the candidate demonstrate the ability to:
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Evidence Guide
EVIDENCE GUIDE |
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The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package. |
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Critical aspects for assessment and evidence required to demonstrate this competency unit: |
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Context of and specific resources for assessment: |
Note that assessment for this competency unit does not replace initial and ongoing formal validation processes required in the workplace to undertake aseptic or cytotoxic production (This usually requires the preparation and microbiological sampling of a number of prepared products for initial validation and at regular future intervals, as part of ongoing validation) |
Method of assessment may include: |
Formal validation processes required in the workplace to undertake aseptic or cytotoxic production are outside the assessment for this competency unit. |
Access and equity considerations: |
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Range Statement
RANGE STATEMENT |
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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Information may include: |
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Master sheet or formulae must: |
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All materials used in manufacturing may be disposable or non-disposable and may include: |
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Compound product may include: |
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Pack product may include: |
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Containers may include: |
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Labels may be: |
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Storage conditions may include: |
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All required documentation may include: |
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Destination may include: |
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Unit Sector(s)
Not applicable.
Custom Content Section
Not applicable.