CDC and APIC standards both state the rubber stopper should be swabbed prior to piercing and some providers question this.
Thank you for your assistance
They are supposed to be sterile but for true aseptic technique, the top should be swabbed and allowed to dry before accessing the vial. If a patient does get an infection and your policy is not allowing for this aseptic technique you can expect a lawyer to jump on that, especially as the CDC recommends it, and you will be sued!
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