Section 17-8 - Gowning and Garbing (a) Personal cleansing and gowning/garbing shall be as follows: - (i) Personnel shall not compound if they have open sores or infected wounds;
- (ii) Personnel shall not compound if they have an upper respiratory infection;
- (iii) Upon entering a compounding area, personnel must remove outer garments (such as coats, hats, sweaters, bandanas, vests, and scarves), hand and other exposed jewelry, and any other unnecessary and potentially contaminated or particle shedding articles. If hand jewelry cannot be removed, then it must be thoroughly cleaned and covered with a sterile glove;
- (iv) Hand cleansing and donning of personal protective equipment should proceed in a manner that goes from the dirtiest to the cleanest area: shoe covers, hair covers, facial hair covers, and face mask or eye shields (if working with caustic or irritant agents). Cleansing should be done in a no-touch sink using appropriate antibacterial detergent, starting at the hands and nails and progressing to the elbows. The process should take at least thirty (30) seconds. Hand and forearm drying should be done with non-shedding paper towels.
- (A) At this point, personnel should don a non-shedding gown with sleeves that fit snuggly around wrists. Lastly, sterile gloves should be donned. The gloves should form a continuous surface with the gown sleeves. Care should be exercised when progressing through the Ante-Area and Clean Room to not re-contaminate the gloves.
- (B) Re-sanitizing of the gloves with sterile 70% IPA should occur routinely throughout the compounding process, or at any point that the gloves may have touched a non-sterile surface.
- (v) If it is necessary to leave the compounding area, hand cleansing and replacement of all personal protective equipment except for the non-shedding gown shall occur. The gown must be left in the Ante-Area if it is to be reused during a shift (not to exceed twenty-four (24) hours).
- (vi) If a Compounding Aseptic Isolator is used, gowning and garbing should occur in a manner consistent with the manufacturer's documented procedures. If no studies have been done and the manufacturer cannot assure maintenance of sterility and ISO Class 5 conditions outside of an ISO Class 7 space, the compounder must follow gowning and garbing procedures discussed above.
059-17 Wyo. Code R. § 17-8