Dating multidose vials
Over my 30 year carreer I’ve reviewed medication storage locations in about 500 hospitals. It doesn’t work (except that it gives surveyors a “for sure” citation). Pate serves as Vice President for Content and Development at The Greeley Company.I can remember only one hospital that succeeded in putting an outdating process in place for open multi-dose vials — it took tons of leverage from leadership and only lasted until the surveyor came back to clear them. Filed Under: Accreditation Participation Requirements • Medication Management • Surveillance, Prevention and Control of Infection Tags: Joint Commission • Mediation Storage • Medications • Multi-dose vials Error: Unable to create directory uploads/2019/09. He is a nationally recognized expert in patient flow and in hospital and health system regulation and accreditation with over 25 years experience in high profile problem solving.The Joint Commission aligns its requirements (standard MM. element of performance 7) with guidelines from the Association for Professionals in Infection Control and Epidemiology (APIC) and the United States Pharmacopeia."The Joint Commission requires organizations to re-label multi-dose vials with a revised expiration date (beyond-use date) once a multi-dose vial is opened or punctured," according to the article.Dozens of recent outbreaks have been associated with reuse of single-dose vials and misuse of multiple-dose vials.As a result of these incidents, patients have suffered significant harms, including death.
Therefore, The Joint Commission requires a 28-day expiration date for multi-dose vials from the date of opening or puncture, unless otherwise specified by the manufacturer.
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Think about safety when you re-supply clinic medications.
Labeling the vial the the date it was opened will not meet the requirements of the standard, according to the FAQ.
As always, a vial should be discarded if sterility is compromised.