Policy Number


IWK - 7.03 Hazardous Sterile Products: Compounding Facility, Biological Safety Cabinet and Equipment


Compounding hazardous cytotoxic sterile preparations will be conducted in a designated area within the 6 Link Satellite Pharmacy. The area is an environmentally controlled area designed to achieve and maintain a safe and aseptic area for all activities related to preparation of hazardous cytotoxic and selected biotherapy drugs and to minimize the exposure of these agents to staff, patients and visitors.

Standard procedures for operation, cleaning, decontaminating and disinfecting, and maintenance of the Class II B2 Biological Safety Cabinet and any associated equipment used to compound hazardous products will be in place to ensure that the work area is maintained in manner to safeguard the integrity of the prepared drug products and minimize contamination and risk of exposure to hazardous drugs.