0      0

2020 PDC Webinar Series

WEB20-2061 - Managing Pharmacy Clean Rooms – A Multidisciplinary Approach

Apr 16, 2020 12:00pm ‐ Apr 16, 2020 1:00pm

Credits: None available.

Standard: $60.00
Members: $40.00


Due to recurring issues pertaining to the certification process for Pharmacy Sterile Compounding Clean rooms, The Joint Commission posted a blog and issued a letter in 2018 informing sites that this would be a focus of the survey. Atrium Health, Central Division, with over 1,000 patient beds and just under 20 pharmacy clean rooms, conducted a multidisciplinary review of requirements, roles and responsibilities around clean rooms. Through this webinar, they will provide a roadmap for developing a program for continual certification and share lessons learned from going through The Joint Commission survey in 2018.

Learning Objectives:

  • Identify the Pharmacy Sterile Compounding Clean Room environment certification
  • Develop a roles and responsibility matrix and flow chart
  • Define when certification is required, beyond every 6-months, i.e., “whenever the device or room is relocated or altered or major service to the facility is performed.”
  • Provide requirements to the agency performing the required certifications


  • Dennis Ford, MHA, SASHE, CHFM, Director, Facilities Operations, Atrium Health
  • Tyler Greenwood, PharmD, BCPS, DPLA, Director of Pharmacy, Atrium Health


Credits: None available.

You must be logged in and own this session in order to post comments.