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Over my 30 year carreer I’ve reviewed medication storage locations in about 500 hospitals. It doesn’t work (except that it gives surveyors a “for sure” citation). Pate serves as Vice President for Content and Development at The Greeley Company.I can remember only one hospital that succeeded in putting an outdating process in place for open multi-dose vials — it took tons of leverage from leadership and only lasted until the surveyor came back to clear them. Filed Under: Accreditation Participation Requirements • Medication Management • Surveillance, Prevention and Control of Infection Tags: Joint Commission • Mediation Storage • Medications • Multi-dose vials Error: Unable to create directory uploads/2019/09. He is a nationally recognized expert in patient flow and in hospital and health system regulation and accreditation with over 25 years experience in high profile problem solving.The Joint Commission aligns its requirements (standard MM. element of performance 7) with guidelines from the Association for Professionals in Infection Control and Epidemiology (APIC) and the United States Pharmacopeia."The Joint Commission requires organizations to re-label multi-dose vials with a revised expiration date (beyond-use date) once a multi-dose vial is opened or punctured," according to the article.The FAQs also note that vaccines are currently exempt from the 28-day rule since the CDC states vaccines should be discarded according to the manufacturer’s expiration date.For more FAQ’s on multidose vials, you can read our own Q&A with Susan A.Labeling the vial the the date it was opened will not meet the requirements of the standard, according to the FAQ.

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As a result of these incidents, patients have suffered significant harms, including death.

Request the smallest vials that meet individual patient needs. Consult with pharmacists and others to learn whether pre-filled syringes or other "ready to deliver" unit-dose packaging is available.