Insulin Labeling and Expiration Deficiencies on Medication Cart
Penalty
Summary
Surveyors found that the facility failed to ensure drugs and biologicals were labeled and stored according to professional standards and facility policy. During observation of a medication cart, an aspart insulin pen was found with two different dates written on it, and the LPN present was unable to clarify which date was correct. Additionally, a Humalog insulin pen was discovered without a resident name label, and a Lispro insulin vial was found with a date indicating it was expired. The LPN was unsure about the correct expiration period for insulin and acknowledged that the insulins observed were expired. The facility's policy requires that multi-dose vials be labeled with the date opened and the initials of the first user, and that insulins such as Humalog and Aspart be discarded 28 days after opening. The surveyor discussed these findings with the Nursing Home Administrator and the Director of Nursing, but no further information was provided to address the labeling and expiration concerns identified during the inspection.