Available Until 7/13/2026

Succeed at Sterile Compounding Changes: Best Practices to Consider

Planned in cooperation with the ASHP Section of Compounding Practice SAG 

ACPE Activity Number: 0204-0000-23-567-H07-P/T
Release Date:  7/13/2023
Expiration Date: 7/13/2026 
Activity Type: Knowledge-based 
CE Credits:  1.0 contact hour, (0.10 CEUs)
Activity Fee: Member – Free / Non-Member – Not Available 

This activity is a recording from a live webinar and those that claim credit for the live webinar should not claim credit for this activity.

Activity Overview 

This webinar will cover sterile compounding tips for meeting the revised compliance standards and best practice examples from around the country. Presenters will share tips, tricks, and pitfalls learned while on their journey to USP <797> compliance. 

The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education with Commendation.

This activity was planned to meet the educational needs of pharmacists and pharmacy technicians who are responsible for or have an interest in nonsterile and sterile compounding and hazardous drug safety. 

After completing this activity, the learner should be able to…

  • Describe critical changes and their impact on daily operations in the management of personal protective equipment (PPE), cleaning of the primary engineering control (PEC), and material placement in the PEC.
  • Discuss implementation of compounding records (CR) and master formulation records (MFR).
  • Define beyond use dates verses hang times 

  • Introduction and Announcements 

  • Presentation  

  • Questions, Answers, and Discussion 

Ashley Duty, PharmD, MS, BCSCP, FASHP
Director, Inpatient Pharmacy Operations
Nationwide Children's Hospital
Columbus, OH 

Melanie Horn, PharmD, BCSCP
Compounding Coordinator
Sutter Health
Sacramento, CA  

Joanna Robinson, PharmD, MS, BCSCP
Inpatient Operations Manager
The University of Kansas Health System
Kansas City, KS 


Rena Sackett, PharmD, BCPS
Director, Member Relations
Bethesda, MD 

In accordance with our accreditor’s Standards of Integrity and Independence in Accredited Continuing Education, ASHP requires that all individuals in control of content disclose all financial relationships with ineligible companies. An individual has a relevant financial relationship if they have had a financial relationship with an ineligible company in any dollar amount in the past 24 months and the educational content that the individual controls is related to the business lines or products of the ineligible company. 

An ineligible company is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The presence or absence of relevant financial relationships will be disclosed to the activity audience. 

  • No one in control of the content of this activity has a relevant financial relationship (RFR) with an ineligible company. 

This activity consists of recordings of faculty slides presentations, active learning activities, discussion, and handouts. Participants must participate in the activity in its entirety to claim continuing pharmacy education credit online at ASHP Learning Center. Follow the prompts online to complete the evaluation, claim credit and view the statement of credit immediately after completing the activity. 

Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. Once you have processed and claimed your CE credit, we encourage you to check your NABP eProfile account to verify your credits were transferred successfully before the ACPE 60-day deadline. It is an electronic direct-report process so your credits should appear in your account within a few minutes. After the 60 day deadline, ASHP will no longer be able to report your credit(s) for this activity.