Hello everyone,

We had recently encountered an issue with mislabeled medications as we currently print two copies of the patient specific labels for all light sensitive medications (one for the actual product, one for the outside of the light protective bag). The patient information on the product and on the light protective bag were differing. We previously were printing a single label for the product only, then placing it inside the light protective bag, but it was decided that the patient information should be readily available on the light protective bag to prevent patient mix-ups on the floors.
We do have barcode scanning during medication preparation, delivery, and nurse administration which was how the error was identified.

I wanted to ask, are other institutions using duplicate labels for light sensitive medications? And if so, are there any processes in place to help ensure the labeling is correct on both the product and the light protected bag?

Thank you!