e. Check Drug Container Label. The medical specialist verifies medication
against the therapeutic documentation care plan.
(1) Verification should be made at least three times to ensure accuracy.
This verification should happen at the following times:
(a) When the medical specialist obtains the container from the place of
storage, usually a medicine cabinet.
(b) Before the medical specialist withdraws medication from the
When the container is returned to the place of storage.
(2) Follow directions on container regarding expiration date and follow local
policy regarding use of multidose vials.
Check to determine if medication was stored properly (refrigerated).
f. Examine Rubber Stopper. The rubber stopper should not be damaged.
There should not be any small cores or plugs torn from the stopper due to improper
injection of needles (see figure 1-6). Follow the examination procedures below:
If vial is new, remove metal protective cap.
(2) Examine the rubber stopper for defects such as small cores or plugs torn
in the stopper.
(3) If a defective stopper is identified, hold the vial to the light to examine for
any foreign particles and to detect any changes in the color and consistency of the
(4) Check the date that the multidose vial was opened and the expiration
date on the medication.
(5) Follow the directions on the container regarding expiration date and
follow local policy regarding use of multidose vials.
Check to determine if the medication was stored properly; e.g.,
(7) The dosage should be verified against the doctor's orders or therapeutic
documentation care plan.