cms_UT: 51
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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51 | MT OLYMPUS REHABILITATION CENTER | 465006 | 2200 EAST 3300 SOUTH | SALT LAKE CITY | UT | 84109 | 2018-04-30 | 761 | D | 0 | 1 | C87F11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview it was determined that the facility did not ensure safe and secure storage of drugs and biologicals in accordance with accepted professional principles; or include the appropriate accessory and cautionary instructions. Specifically, multi dose vials of [MEDICATION NAME] were found in two medication rooms without open dates. Findings include: On 4/23/18 at 7:19 AM, an observation was made of the medication room on the Ensign Hall. One multi dose vial of [MEDICATION NAME] was noted to be without an open date. On 4/23/18 at 7:19 AM, an interview was conducted with Registered Nurse (RN) 5. RN 5 confirmed that there was no open date and did not know how long the [MEDICATION NAME] had been opened. RN 5 stated that the [MEDICATION NAME] should have had an open date. On 4/23/18 at 7:30 AM, an observation was made of the Cedar Cove Medication Room. One multi dose vial of [MEDICATION NAME] was noted to be without an open date. On 4/23/18 at 7:30 AM, an interview was conducted with Licensed Practical Nurse (LPN) 1. LPN 1 confirmed that there was no open date and did not know how long the vial had been opened. LPN 1 stated that there should have been an open date. A review of the Centers for Disease Control (CDC) Website under Info for providers: FAQ's (Frequently Asked Questions) regarding safe practices for medication injections revealed the following: 1. What is a multi-dose vial? A multi-dose vial is a vial of liquid medication intended for the [MEDICATION NAME] administration (injection or infusion) that contains more than one dose of medication. Multi-dose vials are labeled as such by the manufacturer and typically contain an antimicrobial preservative to help prevent the growth of bacteria. The preservative has no effect [MEDICAL CONDITION] and does not protect against contamination when healthcare personnel fail to follow safe injection practices. 2. Can multi-dose vials be used for more than one patient? Multi-dose vials should be dedicated to a single patient whenever possible. If multi-dose vials must be used for more than one patient, they should not be kept or accessed in the immediate patient treatment area. 3. When should multi-dose vials be discarded? Medication vials should always be discarded whenever sterility is compromised or questionable. In addition, the United States Pharmacopoeia (USP) General Chapter 797 (16 ) recommends the following for multi-dose vials of sterile pharmaceuticals: a. If a multi-dose has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial. b. If a multi-dose vial has not been opened or accessed (e.g., needle-punctured), it should be discarded according to the manufacturer's expiration date. The manufacturer's expiration date refers to the date after which an unopened multi-dose vial should not be used. For information on storage and handling of vaccines please refer to the CDC Vaccine Storage and Handling Toolkit . | 2020-09-01 |