I work for an institution that is stating that because Botox is reconstituted with a nonpreservative solution that it must be used wtihin one hour of reconstitution and if not used in that time frame then it must be thrown out. All literature including manufacturer and FDA state botox must be used within 24 hours of reconstitution with proper storage. Also, have been informed that where botox is a single use vial that it also cannot be punctured more than 2 times for withdrawal of fluid
It sounds to me like the institution is making up their own rules. A vial is good for 24 hrs after reconstitution. I can see where they're coming from with the 2 sticks. Its not unusual for institutions to make up dumb rules. This is what happens when people who don't do the work make up the rules. I know of a nurse who used the appropriate size needle for an im shot, because the patient was a terminal cancer patient and she used a short one, (pt skinny). But since the institution stated that you always use a 2.25 length needle for an im, they fired her.
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