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Also, if sterility is questioned or compromised the multi-dose vials should be discarded regardless of the date.Labeling the multi-dose vial with the date opened will not meet the intent of this requirement.To be in compliance with MM. EP 8, The Joint Commission requires organizations to re-label multi-dose vials with a revised expiration date once the multi-dose vial is opened or punctured.

Once the vial cap is removed or the vial is punctured, the manufacturer's expiration date is no longer valid and a revised date (also called the "beyond use date" in pharmaceutical terminology) needs to be determined.

Safe Syringes and Needles Listed under TJC’s Hospital Standards Frequently Asked Questions (FAQs), the information bridges TJC standards with the efforts of the “One and Only Campaign,” an initiative of the Centers for Disease Control (CDC) and the Safe Injection Practices Coalition (SIPC).

This campaign, formed in 2002 after an outbreak of Hepatitis C was linked to cross-contamination, challenges healthcare workers to employ proper techniques when using syringes and vials.

So you say, I do put the date when I first open/puncture a multi-dose vial. To be in compliance with MM. EP 7, The Joint Commission requires organizations to re-label multi-dose vials with a revised expiration date once the multi-dose vial is opened or punctured.

Just labeling the multi-dose vial with the date opened will not meet the intent of this requirement. Medications in single use vials are preferred over multi-dose vials but avoid the urge to use single use vials for multiple patient use.




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