Failure to Label Multi-Dose Tuberculin Vial in Medication Room
Penalty
Summary
Surveyors observed that the facility failed to ensure all drugs and biologicals were properly labeled in accordance with professional standards. Specifically, an open vial of Tuberculin solution was found in the medication room refrigerator without an open date or expiration date, contrary to the facility's policy requiring multi-dose vials to be dated and discarded within 28 days unless otherwise specified by the manufacturer. During interviews, a registered nurse confirmed that the vial should have been dated and acknowledged that it should be discarded if not properly labeled, stating that responsibility for dating medications is shared among staff. The Director of Nursing was unaware of the issue and believed the vials were single-use, but the facility’s pharmacy confirmed that all Tuberculin vials provided are multi-dose.