Improper Storage of Inhalation Medication Vial
Penalty
Summary
A deficiency occurred when a medication vial of Ipratropium bromide and albuterol sulfate, prescribed for a resident with chronic obstructive pulmonary disease (COPD), was found stored outside of its manufacturer-provided foil packaging in the medication storage cart. During observation and interview, a Licensed Vocational Nurse (LVN) confirmed that the medication should have remained in its original packaging, as storing it outside could reduce its duration and effectiveness. The resident's records indicated a diagnosis of COPD and a physician's order for the medication to be administered every eight hours via nebulizer. Further interviews with the Director of Nursing (DON) revealed that staff were expected to inspect the medication cart daily to ensure proper storage of all medications. The DON acknowledged that storing the medication outside of the foil packaging could shorten its shelf life and decrease its potency, which is particularly significant for a resident requiring regular breathing treatments. Review of manufacturer guidelines and facility policy confirmed that the medication should be protected from light and kept in its original container until use.