Improper Labeling and Disposal of Multi-Dose Vaccine Vials
Penalty
Summary
The facility failed to ensure proper labeling and disposal of multi-dose vaccine (MDV) vials, which led to a deficiency in medication management. During an observation of the Station One medication refrigerator, surveyors found two opened MDVs: one Afluria MDV with an expiration date that had passed, and one Aplisol TB MDV that lacked an open date. The Director of Nursing (DON) confirmed that the expired flu vaccine should have been discarded as it was from the 2020 to 2021 flu season. Additionally, the TB MDV should have been labeled with an open date, as it must be discarded 30 days after opening to prevent potency issues due to oxidation. The facility's Medication Labeling and Storage policy, revised in February 2023, requires contacting the pharmacy for instructions on returning or discarding discontinued and outdated drugs or biologicals.