Q:
Under F761, what needs to be included on the label of multi-dose products that are pulled from the E-kit, brought from home or brought from the hospital?
A:
Multi-use products should be labeled with:
- The original manufacturer’s or pharmacy-applied label indicating the medication name;
 - Strength;
 - Quantity;
 - Accessory instructions;
 - Lot number
 - Expiration date when applicable.
 - The date when opened, so that they can be monitored for when they expire, if it is a med that can only be used for a specified time after opening.
 
Some states/facilities do not allow meds to be brought in from home as the integrity of the medication cannot be verified/accounted for. When permissible, meds brought from home or the hospital should be in pharmacy packaging that meets the regulatory labeling criteria below:
- The medication name (generic and/or brand);
 - Prescribed dose, strength;
 - The expiration date when applicable;
 - Resident’s name; and
 - Route of administration.
 - The medication should also be labelled with or accompanied by appropriate instructions and precautions (such as shake well, take with meals, do not crush, special storage instructions).
 - For medications designed for multiple administrations (e.g., inhalers, eye drops), the label identifies the specific resident for whom it was prescribed
 
Janine Lehman, RN, RAC-CT, CLNC
 Director of Legal Nurse Consulting
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