Labeling and Documentation Flashcards

A technician compounds a CSP with a 14-day BUD but the prescriber orders a 30-day supply for a home infusion patient. What is the correct action?

Answer: Label with 14 days and dispense multiple units to cover the 30-day supply

The BUD must reflect the scientifically supported stability limit; multiple units with correct BUDs should be dispensed to cover the full therapy course.

Which element on a CSP label helps ensure the preparation can be recalled if a sterility or quality issue is discovered after dispensing?

Answer: Lot number or batch number

The lot or batch number links the dispensed preparation back to the specific compounding run, enabling targeted recalls without disrupting unaffected batches.

Under USP , which of the following CSPs would require a 'single-dose only' or 'discard after use' notation?

Answer: Unit-dose syringes without antimicrobial preservatives

Unpreserved unit-dose syringes must be labeled to indicate they should be discarded after a single use to prevent microbial contamination.

A CSP label is damaged and illegible by the time it reaches the patient's home nurse. What is the nurse's safest course of action?

Answer: Contact the pharmacy for a replacement label or preparation before administration

A medication should never be administered if its label is unreadable; the pharmacy must be contacted to verify all preparation details and provide a legible label.

When compounding a CSP for a patient with a documented allergy to a dye used in formulation, where should this substitution be documented?

Answer: In the compounding record and noted on the label as 'dye-free formulation'

Any formulation deviation due to allergy or patient-specific need must be documented in the compounding record and communicated on the label to alert all caregivers.

A compounding technician notes that a completed CSP label shows a BUD that has already passed. What should be done immediately?

Answer: Quarantine and do not dispense; notify the pharmacist for proper disposal

Any CSP past its BUD must be quarantined and not dispensed, regardless of appearance, because stability and sterility can no longer be assured.

Which of the following scenarios demonstrates correct label accuracy verification practice for a sterile compounded preparation?

Answer: A second technician and the pharmacist independently verify the label against the compounding order before dispensing

Independent double-verification by both a technician and pharmacist against the original order is required to catch label errors before the CSP reaches the patient.