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.
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.
"USP and APIC now recommend that opened or punctured multi-dose vials be used for no more than 28 days unless the manufacturer specifies otherwise.
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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On the other hand, they can cause multiple complications if staff members are not following very precise procedures.The 28-day time frame is based on the fact that manufacturers are required by law to test the effectiveness of the bacteriostatic agent used in the multi-dose vial for a period of 28 days." The article also offers guidance from a surveyor, who suggests facilities: .Read more from The Joint Commission: - Joint Commission Names Former ASC Administrator as Ambulatory Care Accreditation Program Field Director - Joint Commission Names Dr.While limiting MDVs to single patients is the safest option, FDA-approved manufactured MDVs may be used for multiple patients provided that safe injection practices are followed and the vial is restricted to a central medication area.Knowing how to properly identify single-dose and multiple-dose vials will prevent infections and can save lives.