Failure to Label and Store Multi-Dose Aplisol Vial per Policy
Penalty
Summary
Surveyors observed that an open vial of Aplisol, a medication used for tuberculosis testing, was stored in the medication room refrigerator without a label indicating the date it was opened. Both the registered nurse and the director of nursing confirmed during interviews that the vial was not labeled with the date of first use, which is required to track the 30-day usage period as per the manufacturer's instructions and facility policy. The staff acknowledged that without this labeling, it is not possible to determine if the medication is still within its effective and safe usage period. A review of the facility's policy and procedures confirmed that multi-dose vials must be labeled with the date opened and the corresponding expiration date, in accordance with manufacturer recommendations and pharmacy guidance. The policy also specifies that such vials should be discarded after 28 or 30 days, depending on the guidelines referenced. The failure to label the Aplisol vial as required led to the medication being considered expired and necessitated its removal from use.