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Capitol Connections Article [AORN] [06/27/2013]
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AORN Includes IACP's Assessment Tool in Perioperative Standards and Recommended Practices

Recently the Association of periOperative Registered Nurses (AORN), contacted IACP to request usage its Compounding Pharmacy Assessment Questionnaire (CPAQ™) in its recommended practices. AORN is a non-profit membership association headquartered in Denver, Colo., that represents the interests of more than 160,000 perioperative nurses by providing nursing education, standards, and clinical practice resources—including the peer-reviewed, monthly publication AORN Journal—to enable optimal outcomes for patients undergoing operative and other invasive procedures. AORN’s 42,000 registered nurse members manage, teach, and practice perioperative nursing, are enrolled in nursing education, or are engaged in perioperative research.  The association defines and advances best nursing practices for surgical patients by researching and distributing scientifically based recommendations. 

According to Terri Link, MPH, BSN, CNOR, ambulatory education specialist at AORN, “IACP’s CPAQ tool is important for Ambulatory Surgery Center nurses to use when they select a compounding pharmacy. Ambulatory Surgery Centers will use and contract with compounding pharmacies since often there is no pharmacist on site. Knowing what questions to ask is important in assuring surgery patients are receiving safely compounded medications.” AORN plans to include IACP’s CPAQ tool in the Recommended Practices for Medication Safety which will be released in the 2014 edition of Perioperative Standards and Recommended Practices.

IACP debuted CPAQ two years ago to provide practitioners and patients with a comprehensive checklist of what to look for in a compounding pharmacy practice. CPAQ is based upon United States Pharmacopeia (USP) standards which compounding pharmacists are obligated to follow according to state board of pharmacy regulations or standards of practice.

CPAQ was originally developed by IACP’s Hospital Shortage Workgroup , led by IACP Board Member Scott Karolchyk, MS, RPh, FIACP, as practitioners were looking for a tool to help select resource partners as they dealt with the ongoing and serious medication shortages. IACP’s Hospital Shortage Group also includes IACP Foundation Board Member Lisa D. Ashworth, BS Pharm,  RPh, and Linda F. McElhiney, PharmD, RPh, FIACP,  FASHP, FACA.

“Collaboration between licensed compounding pharmacists and their colleagues in hospitals and institutions is a long-standing solution to back-orders and shortages, says Karolchyk. “The expertise of a compounder with access to APIs (Active Pharmaceutical Ingredients–the pure, raw drug ingredient) can mean the difference between continued or initiation of much-needed medicines or an unnecessary delay in patient care.” IACP’s Compounding Pharmacy Assessment Questionnaire (CPAQ™) includes evaluation points in the following areas: Regulatory compliance; Licensing–permits; Internal controls and quality assurance; Testing & verification; and Site visits.

For more information about IACP’s CPAQ, click here. 

If your organization is interested in incorporating CPAQ into your guidelines/recommended practices, please contact Dagmar Climo.



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