Army Action Plan: Standard Operating Procedures for Detention Hospital, Delta Clinic, Delta Block re: Multi-Dose Vials

DETAINEE HOSPITAL SOP NO: 066 GUANTANAMO BAY, CUBA
Title: Multi-Dose Vials
Page 1 of 2 Effective Date: 1 April 2004
SCOPE: Detention Hospital, Delta Clinic, Delta Block
I. POLICY:
Single dose vials will be utilized for patient medication administration across the Detainee Hospital and Delta Clinic. The only exceptions to this policy will be the use of multi-dose vials for:
•
PRN medication administration

•
Treatment of a single patient (i.e. use of a multi-dose vial for one specific patient only)

•
Vaccines

II. PROCEDURE:
When using a multi-dose vial (MDV) the following procedures are followed to eliminate the risk of contamination:
1.
Label the MDV with the date of entry (month, day and year), along with administrator's initials.

2.
Use strict aseptic technique.

3.
Thirty days after opening, discard any MDV that requires the addition of a diluent, unless the manufacture's stability data dictates otherwise.

4.
Discard any opened MDV that does not require addition of a diluent on the expiration date specified by the manufacturer's label.

5.
Discard contaminated vials immediately upon detection.

6.
Do not store MDV in the refrigerator unless required to do so by the manufacturer.

III. ADDITIONAL INFORMATION
1. Detention Hospital Standard Operating Procedure 21- Infection Control
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TITLE: SOP: Page 2 of 2
STANDARD OPERATING PROCEDURES Detention Hospital Guantanamo Bay, Cuba

REVIEWED AND APPROVED BY:
Officer In Charge Date
IMPLEMENTED BY:
Director for Administration Date
Senior Enlisted Advisor Date
ANNUAL REVIEW LOG:
..
By: Date: By: Date: By: Date: By: Date: By: Date: By: Date:
SOP REVISION LOG:
Revision to Page: Date: Revision to Page: Date: Revision to Page: Date: Revision to Page: Date: Revision to Page: Date: Revision to Page: Date:
ENTIRE SOP SUPERSEDED BY:
Title:
SOP NO: Date:

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