Page 36 - Risk Reduction Series Effective Systems Part 2

SVMIC Risk Reduction Series: Effective Systems

cannula and syringe used to access the multi-dose

vial must be sterile.

• Do not store multi-dose vials in the exam room or

treatment rooms of the office. Store multi-dose vials

according to the manufacturer’s recommendations.

• If a multi-dose vial is opened or accessed (e.g., needle-

punctured), the vial should be dated and discarded within
28 days unless the manufacturer specifies an earlier date

for that opened vial.

• If a multi-dose vial has not been opened or accessed (e.g.,

not needle-punctured), it should be discarded according to
the manufacturer’s expiration date.

• If sterility is compromised or questionable, the multi-dose
vial should be discarded regardless of the expiration date.

• A needle or other device should never be left inserted into

a medication vial septum for multiple uses.

• Avoid pre-filling syringes – medications should be drawn

up as close to administrative time as feasible.

Vaccine Safety

According to the World Health Organization (WHO),

immunizations prevent between 2 and 3 million deaths per year.
Despite this success, many children and adults in the US remain

vulnerable to the 17 vaccine-preventable diseases. Some people
are vulnerable because they have not been offered vaccinations;

others opt-out of recommended immunizations based in large
part on misinformation. However, errors with vaccines can also

result in unintended and unrecognized vulnerability, leaving

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