Failure to Label Insulin and Discard Expired Testing Solution
Penalty
Summary
Surveyors identified that the facility failed to properly label multi-dose containers of insulin with the date they were opened on one of four medication carts reviewed. Specifically, a multidose vial of Lantus insulin for one resident and a prefilled pen of Insulin glargine for another resident were found opened and not labeled with the date of opening. Interviews with an LPN and the Quality Assurance and Performance Improvement RN confirmed that these insulin containers should have been labeled with the date they were opened, in accordance with facility policy and manufacturer instructions. Additionally, the facility failed to discard an expired bottle of Aplisol testing solution in one of four medication room refrigerators reviewed. The Aplisol multidose vial was observed to have been opened 34 days prior, exceeding the manufacturer's recommended 30-day use period. The LPN confirmed that the vial should have been discarded. These findings were based on review of facility policies, manufacturer directions, clinical records, direct observation, and staff interviews.