Failure to Properly Label and Store Multi-Dose Insulin Pens
Penalty
Summary
The facility failed to comply with accepted standards for the labeling and storage of multi-dose medications, as observed during a review of a medication cart on the C Hall unit. Specifically, one multi-dose insulin pen of Insulin Lispro and two multi-dose pens of Insulin Glargine were found opened and in use without being labeled with the date they were initially opened, contrary to facility policy and manufacturer guidelines. Additionally, one Insulin Glargine pen was labeled with an opening date but was still in use past its recommended 28-day discard date. These deficiencies were confirmed through observation in the presence of an LPN and further verified during interviews with both the LPN and the Nursing Home Administrator. The facility's own policy requires opened multi-use vials or bottles to be dated to ensure proper tracking for expiration, and manufacturer instructions specify discard timelines for insulin pens. The failure to date and timely discard these medications resulted in non-compliance with state pharmacy and nursing service regulations.