Undated Multi-Dose Tuberculin Vial Found in Medication Refrigerator
Penalty
Summary
Surveyors identified a deficiency in medication labeling and storage when, during an observation of Nurse's Station #1 medication room, they found an opened multi-dose vial of Tuberculin Purified Diluted solution stored in the medication refrigerator without a date indicating when it had been opened. The manufacturer's instructions on the vial specified that the medication should be discarded 30 days after opening, but there was no way to determine the open date from the vial. During interviews, the DON stated it was the Unit Manager's responsibility to check the medication room for expired or undated opened medications and acknowledged that the undated medication should have been discarded or returned to the pharmacy. The Unit Manager reported that she and the staff nurses are responsible for checking the medication room for expired and undated opened medications, but she could not explain why the vial had not been dated when opened and was unable to recall when she last checked the medication room and refrigerator for expired or undated medications. The Administrator stated that all multi-dose vials should be dated when opened. No residents or specific patient conditions were mentioned in relation to this deficiency, and the report focuses solely on the improper labeling and oversight of the multi-dose vial of Tuberculin solution in the medication storage area.
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