How should expired or recalled HDs be handled?

• A. They can be reused after decontamination
• B. Do not use; quarantine; document disposal or return; follow recall procedures
• C. Store for potential future use
• D. Return to supplier only upon expiration

Answer: (B)

Expired or recalled hazardous drugs must not be used. The safest and most appropriate approach is to immediately quarantine the items in a secure, clearly labeled container separate from usable stock. Record essential details like the product name, lot/serial number, expiration date, and the reason for quarantine. Then follow the facility’s recall procedures and dispose of or return the items per established policy, ensuring proper documentation and chain-of-custody throughout the process. This protects staff and patients from exposure and keeps inventory and regulatory records accurate.

Reasoning without using the exact wording of other options: attempting to reuse after decontamination is not acceptable because decontamination does not guarantee safety or restore validity for recalled or expired drugs. Storing or preserving items for potential future use is unsafe and could lead to accidental administration. Waiting to return only at expiration ignores recalls and immediate safety concerns, which require prompt action regardless of the current expiration date.