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CriticalPoint’s Nuclear Medicine Series – 10.75 hours CE
Lesson Learning Objectives
1. Personal Protective Equipment (PPE) (1 hour CE)
• Define PPE and the general requirements for use.
• Discuss OSHA requirements for worker training as well as the responsibilities of workers,
managers and the safety department relative to PPE.
• Explain the elements of a Hazard Assessment including ANSI PPE standards.
• Discuss the selection of appropriate PPE based upon the hazards present in the work
environment.
• Explain PPE best practices including care of PPE.
• Describe OSHA requirement recordkeeping relative to the Hazard Assessment and PPE training.
2. HAZCOM Training (1 hour CE)
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Define common terms related to the Hazard Communication Standard.
Discuss employee responsibility and training as it relates to the Hazard Communication
Standard.
Identify chemical health hazards and symbols used to identify them.
Recognize and explain labeling systems.
Explain the elements and uses of MSDS.
Describe routes of exposure and strategies to limit exposure to hazardous chemicals in the
workplace.
3. General Safety Rules (1 hour CE)
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Explain the key elements of organizational environmental health and safety commitment
including prevention aspects.
Describe general and emergency preparedness safety as well as incident reporting activities.
List desired personal safety conduct, housekeeping and ladder safety practices.
Recognize accident and special hazard tags and signs.
4. Mo-99 Supply (1 hour CE)
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Explain the importance of Tc-99m.
Discuss uranium mining/enrichment and Mo-99 production.
Review current worldwide reactor status effects on the Tc-99m supply chain.
Describe future production options, conservation techniques, potential new suppliers and
solutions.
Explain industry and legislative efforts to curtail the use of highly enriched uranium.
Review FDA regulatory issues as they relate to Tc-99m generator approvals.
Describe Tc-99m generators and their use.
Copyright © 2008-2013 CriticalPoint® - All rights reserved
CriticalPoint, LLC
12154 Darnestown Road, # 360
Gaithersburg, MD 20878
Tel: (240) 238-4352
Fax: (866) 538-4783
www.criticalpoint.info
where healthcare, education and the internet meet
5. Near Miss Training (0.5 hour CE)
• Learn how to take an active role in your own occupational safety while providing better
healthcare.
• Know the importance of taking precautions while performing normal job duties.
• Understand the actions to take during emergency conditions involving safety hazards.
6. Nuclear Medicine Security Training & Physical Plant Design (0.75 hour CE)
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Discuss and list basic security measures.
Identify and respond to security risks.
Describe requirements for RAM security.
Explain basic considerations in the design of nuclear medicine physical plants including how sterile
compounding regulations like USP <797> influence facility design.
7. Survey Meter and Radioactive Waste Training (0.5 hour CE)
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Explain proper survey meter operation.
Compare probe types and select the correct probe for the application.
Report survey meter outputs correctly.
Describe correct survey technique.
Discuss radioactive waste generation and segregation.
Explain radioactive waste tracking, labeling and disposal procedures.
8. Bloodborne Pathogen Introduction (1.5 hours CE)
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Discuss the OSHA and the Bloodborne Pathogen (BBP) Standard.
Define key terms relevant to BBPs.
List the modes of transmission and contamination control.
Describe important elements of an Exposure Control Plan and determinants of exposure.
Define methods of compliance.
Explain selection of proper Personal Protective Equipment (PPE).
List required aspects of a worker protection program including Hep B vaccination as well as
post-exposure evaluation and follow up.
• Name the required elements of hazard communication and recordkeeping.
9. Important Concepts in Sterile Compounding (1.5 hours CE)
History and Evolution of Sterile Compounding Regulation
 Discuss the history of compounding in pharmacy from the dark ages through compounding
incidents that generated interest in practice standards.
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Explain how compounding standards evolved and their degree of success.
Describe some basic information about USP Chapter <797> including its scope.
Compare and contrast the USP and FDA with regard to sterile compounding.
Describe the current state of USP Chapter <797> standards.
Copyright © 2008-2013 CriticalPoint® - All rights reserved
CriticalPoint, LLC
12154 Darnestown Road, # 360
Gaithersburg, MD 20878
Tel: (240) 238-4352
Fax: (866) 538-4783
www.criticalpoint.info
where healthcare, education and the internet meet
USP <797> Quality Elements and Employee Competency Verification
 Discuss the history of compounding in pharmacy from the dark ages through compounding
incidents that generated interest in practice standards.
 Explain how compounding standards evolved and their degree of success.
 Describe some basic information about USP Chapter <797> including its scope.
 Compare and contrast the USP and FDA with regard to sterile compounding.
 Describe the current state of USP Chapter <797> standards.
Determination of Beyond-Use-Dating
 Define the term beyond-use date and differentiate it from expiration date.
 Discuss USP <797> compounding risk levels as they relate to beyond-use-dating.
 List the maximum beyond-use dating for single and multiple-dose containers and for pharmacy
bulk packages.
10. Basic Compounding Practices (1 hour CE)
Overview of Material Handling
 Define material handling and list the potential negative consequences of improper material
handling activities.
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Identify and discuss material handling activities that are recommended and required by USP
<797>:
• before compounding.
• during Compounding.
• after Compounding.
Personnel Hand Hygiene and Garbing
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Explain hand hygiene and garbing considerations and why they are important in sterile
compounding.
Describe the items and personal attributes that are not permitted in sterile compounding
areas.
List the suggested best practice garbing order.
Discuss other considerations such as disinfecting and replacing gloves; re-garbing and re-using
PPE; footwear and other special considerations.
Proper Use of Compounding Supplies
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Discuss sterile compounding using various types of compounding supplies and special
techniques to keep them sterile during use.
Identify parts of a syringe and discuss handling tips including how to select the correct size
syringe to use in compounding.
Identify parts of a needle and discuss handling tips including how to select the correct size
needle to use in compounding.
Distinguish between vials, ampules and filters and how to use each type of device in
compounding.
Copyright © 2008-2013 CriticalPoint® - All rights reserved
CriticalPoint, LLC
12154 Darnestown Road, # 360
Gaithersburg, MD 20878
Tel: (240) 238-4352
Fax: (866) 538-4783
www.criticalpoint.info
where healthcare, education and the internet meet
11. Engineering Concepts (1 hour CE)
Overview of Engineering Control Concepts
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Define the primary and secondary engineering controls used in pharmacies to create suitable
sterile compounding environments.
Describe how airflow concepts, HEPA filtration and cleanliness classifications apply to
engineering controls.
Define and describe “first air” and how it impacts movement with the direct compounding
area.
Distinguish between a positive pressure room and a negative pressure room.
Proper use of a Laminar Airflow Workbench (LAFW)
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Differentiate the types of LAFW commonly used in sterile compounding.
Identify the components of a Laminar Air Flow Workbench (LAFW).
Describe unidirectional airflow and how it influences compounding including use of “first-air.”
Outline considerations for the use and certification of LAFWs.
CriticalPoint training is approved for CE by both ASRT and ACPE.
Copyright © 2008-2013 CriticalPoint® - All rights reserved
CriticalPoint, LLC
12154 Darnestown Road, # 360
Gaithersburg, MD 20878
Tel: (240) 238-4352
Fax: (866) 538-4783
www.criticalpoint.info