Pharmacy Compounding Checklist: Safety & Accuracy
Ensure precise medication preparation and patient safety with our Pharmacy Compounding Checklist. This comprehensive template guides pharmacists and technicians through each step, minimizing errors and maximizing adherence to regulatory standards. Streamline your compounding process and bolster your pharmacy's commitment to quality - download now!
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Ingredient Verification
Ensuring correct ingredients are selected and verified against the prescription.
Prescription Received From
Prescription Number
Patient Name
Drug Name
Quantity Ordered
Strength per Unit
Unit of Measure
Notes/Special Instructions (e.g., allergies, substitutions)
Equipment Calibration & Maintenance
Confirming compounding equipment is calibrated and maintained according to schedule.
Last Calibration Date
Calibration Result (e.g., % accuracy)
Calibration Notes (e.g., deviations, corrective actions)
Calibration Standard Used
Next Calibration Due Date
Equipment Status
Environmental Control
Verifying cleanliness and proper ventilation in the compounding area.
Room Temperature (°C)
Humidity Level (%)
Ventilation System Status
Air Filtration Status
Notes on Environmental Conditions
Last Surface Cleaning Date
Weighing and Measuring
Accurate measurement and weighing of ingredients, including documentation.
Ingredient Weight (grams)
Measured Volume (mL)
Measurement Unit Verified?
Balance Calibration Date
Balance Readability (mg)
Notes/Observations during Weighing
Mixing and Processing
Correct mixing techniques and processing procedures followed for specific formulations.
Mixing Procedure Followed (Detailed Description)
Mixing Time (Minutes)
Mixing Equipment Used
Mixing Speed (RPM - if applicable)
Observed Deviations from Standard Procedure (if any)
Process Temperature Maintained?
Temperature During Mixing (°C)
Documentation & Labeling
Complete and accurate record-keeping and labeling of compounded medications.
Prescription Details (Rx Number, Patient Name, Date)
Formulation Details (Ingredients, Quantities, Instructions)
Compounding Date
Compounding Time
Batch Number
Pharmacist Signature
Technician Signature
Label Type
Quality Control Testing
Conducting and documenting necessary quality control tests for finished products.
Test Performed (e.g., pH, Assay, Loss on Drying)
If 'Other' Selected Above, Please Specify Test:
Test Result Value:
Acceptable Range (Lower Limit):
Acceptable Range (Upper Limit):
Result Status:
Date of Testing:
Time of Testing:
Quality Control Signature:
Personal Protective Equipment (PPE)
Proper use of required PPE throughout the compounding process.
Gloves: Type & Intact?
Gown Type
Mask/Respirator Type
N95 Fit Test Date (if applicable)
Notes on PPE Usage/Condition
Waste Disposal
Safe and compliant disposal of compounding waste materials.
Waste Category
Estimated Waste Volume (liters/gallons)
Description of Waste Materials
Date of Disposal
Time of Disposal
Signature of Person Disposing Waste
Disposal Site Location
Storage & Stability
Proper storage conditions and assessment of product stability.
Storage Temperature (°C)
Humidity Level (%)
Compounding Date
Expiration Date
Stability Testing Notes (if applicable)
Storage Container Type
Light Sensitivity
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