3 Important Tips in Multi-Dose Vial Policy

Multi-Dose Vial

The important tips in multi-dose vial policy glass micro-particles generated in the snap- opening of ampoules.

Additionally, metals that contaminate their contents can be aspirated and injected through several routes.

Moreover, the Exogenous contaminations by glass and metals can reach several sites in the organism.

Finally, they trigger organic reactions that may give rise to injuries.

Practical guidance on giving medications

When giving medication in Multi-Dose Vial

• Firstly, DO NOT use a single loaded syringe to administer medication to several patients (i.e. ensure one needle, one syringe, one patient!);
• Secondly, DO NOT change the needle in order to reuse the syringe;
• Thirdly, DO NOT use the same mixing syringe to reconstitute several vials;
• Finally, DO NOT combine leftover medications for later use.

Single-dose vials:

• In short, whenever possible, use a single-dose vial for each patient, to reduce cross-contamination between patients.

Multi-dose vials:

• Only use multidose vials if there is no alternative.
• Additionally, open only one vial of a particular medication at a time in each patient-care area.
• If possible, keep one Multi-Dose Vial for each patient, and store it with the patient’s name on the vial in a separate treatment or medication room.
• DO NOT store Multi-Dose Vial in the open ward, where they could be inadvertently contaminated with spray or spatter.

Discard a Multi-Dose Vial:

• if sterility or content compromised;
• Additionally, if the expiry date or time has passed (even if the vial contains antimicrobial preservatives);
• Moreover, if it not properly stored after opening;
• within 24 hours of opening, or after the time recommended by the manufacturer
• Besides, if the vial does not contain antimicrobial preservatives;
• Finally, if found updated, improperly stored, inadvertently contaminated or perceived contaminated, regardless of expiration date.

Pop-open ampoules: 

• Whenever possible, use pop-open ampoules rather than ampoules that require the use of a metal file to open. If using an ampoule that requires a metal file to open, protect your fingers with a clean barrier (e.g. a small gauze pad) when opening the ampoule