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D.8 Appendix G Competency Assessment Daily Cleaning and Disinfection

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?.## APPENDIX G_COMPETENCY ASSESSMENT_DAILY CLEANING AND DISINFECTION

Appendix G
Competency Assessment: Daily Cleaning and Disinfection
Observations and subsequent evaluation must be made by qualified pharmacy staff. Using the space designated next to each criteria, the Evaluator will note the following:

NON-HAZARDOUS DAILY CLEANING AND DISINFECTION

Skill
Initials
Identifies TB1-3300 and Peridox as the appropriate
germicidal cleaner/disinfectants for non-hazardous
cleanroom use and where they are located.
Identifies appropriate cleaning equipment for
cleanroom use and where they are located. Uses
appropriate mop/wipe for the type of surface to be
cleaned (floors, bins, etc.)
Follows hand hygiene and garbing process per USP
797 and pharmacy policy.
Uses a lint free wipe saturated with TB1-3300 (dwell
time of 1 minute is observed) and allows area to dry
completely. Use sterile 70% IPA for removal of
residue.
Cleans all pass throughs, counters, sinks, and easily
cleanable work surfaces (i.e., the top of carts, top of stools).
Mops floors using designated floor mop and Peridox
starting on the wall opposite the room entry door
using even strokes toward the operator.
Moves carts and rolling shelving to ensure that the
entire floor surface is cleaned. Ensure wheels are
cleaned.
Documents actions on the Daily Cleaning Log for
Controlled Environments.

Comments

HAZARDOUS DAILY CLEANING AND DISINFECTION

Skill
Rating
Identifies Peridox as the appropriate germicidal
cleaner/disinfectant for cleanroom use and where it is
located.
Identifies appropriate cleaning equipment for
cleanroom use and where they are located. Uses
appropriate mop/wipe for the type of surface to be
cleaned (floors, bins, etc.)
Follows hand hygiene and garbing process per USP
797/800 and pharmacy policy.
Uses a lint free wipe saturated with Peridox (dwell
time of 3 minutes is observed) and allows area to dry
completely before compounding. Use sterile 70% IPA
for removal of residue.
Cleans all pass throughs, counters, sinks, and easily
cleanable work surfaces (i.e., the top of carts, top of stools).
Mops floors using designated floor mop and Peridox
starting on the wall opposite the room entry door
using even strokes toward the operator.
Moves carts and rolling shelving to ensure that the
entire floor surface is cleaned. Ensure wheels are
cleaned.
Documents actions on the Daily Cleaning Log for

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