col went into effect, every member of the OR staff received compre-
hensive training on the change. "We make the details of our available
irrigation options a focus of our education for new orientees," says
Ms. Soper. "It's now one of the skills competencies we measure."
Slow and steady
In many cases, such a small-scale approach is the best way to make
big change happen. "Everyone can't afford to do a complete overhaul
of their compounding practices," says Christopher Smalley, RPh, MS,
MBA, a pharmaceutical and compounding pharmacy consultant with
ValSource in Suburban Philadelphia. "People are generally resistant to
change, so it's best to start a pilot program, make small changes in
your processes and find glitches in the system."
