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5.01 USE, HANDLING, AND STORAGE OF MEDICATION, EYE DROPS & SOLUTIONS POLICY 1
o Discard vials or solutions labeled with "single patient use" or "single use" or
"preservative free" after use on single patient
o Manufactured pre-filled syringes that may have enough medication for more than
one patient must still only be used for one patient and discarded at the end of the
procedure
Multi-dose injectable vials are only used for one patient, whenever possible
o If multi-dose vials must be used, both the needle or cannula and syringe used to
access the multidose vial must be sterile
o Multi-dose containers (e.g., vials, eye drops) are formulated for removal of portions
on multiple occasions because they contain antimicrobial preservatives. The
beyond-use date after initially entering or opening (e.g., needle-punctured) multi-
dose containers is 28 days, unless a shorter timeframe is otherwise specified by the
manufacturer.
o Do not keep multi-dose vials in the immediate patient treatment area; store in
accordance with the manufacturer's recommendations and discard if sterility is
compromised or questionable
Draw up medication just prior to the procedure
o Do not draw up for multiple patients
o Pre-drawn medications must be labeled properly with the time of the draw, initials
of the person drawing up the medication, name of the medication, strength of the
medication and the expiration date, if the manufacturer has not printed it on the vial
Sharps should be disposed of in a puncture-resistant sharps container
Never store or carry medications in personal clothing or pockets
If IV fluids are placed in a warmer for patient comfort there must be documentation from
the specific IV solution company as to how long the solution can remain in the warmer. If
more than one company is involved, there must be documentation from each company. A
dating system should be implemented to monitor how long each container or bag of
solution has been in the warmer and its discard date.
REFERENCES
American Society of Cataract and Refractive Surgery and the American Society of Ophthalmic
Registered Nurses. Recommended Practices for Cleaning and Sterilizing Intraocular Surgical
Instruments. February 16, 2007.
American Academy of Ophthalmology. (2009). Infection Prevention in Eye Care Services and
Operating Areas and Operating Rooms.
Dolan, S.A., Felizardo, G., Barnes, S., Cox, T.R., Patrick, M., Ward, K.S., & Arias, K.M. (2010). APIC
Position Paper: Safe Injection, Infusion, and Medication Vial Practices in Healthcare. American
Journal of Infection Control, 38(3), 167-72.
Siegel, J.D., Rhinehart, E., Jackson, M., Chiarello, L., & the Healthcare Infection Control Practices
Advisory. (2007). 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious
Agents in Healthcare Settings. Atlanta, Georgia: Centers for Disease Control & Prevention.
One Needle, One Syringe, Only One Time. Centers for Disease Control & Prevention, Safe Injection
Practices Coalition.
5.01 USE, HANDLING, AND STORAGE OF MEDICATION, EYE DROPS & SOLUTIONS POLICY 2
DISCLAIMER: All data and information provided by the Oregon Patient Safety Commission is for informational
purposes only. The Oregon Patient Safety Commission makes no representations that the patient safety
recommendations will protect you from litigation or regulatory action if the recommendations are
followed. The Oregon Patient Safety Commission is not liable for any errors, omissions, losses, injuries, or
damages arising from the use of these recommendations.
5.01 USE, HANDLING, AND STORAGE OF MEDICATION, EYE DROPS & SOLUTIONS POLICY 3