How to Store Medications Properly

👥 Who This Is For

Direct Support Professionals (DSPs), nurses, program directors

📘 What You’ll Learn

How to safely store different types of medications in the home, including packaged doses and bulk containers

Storage Basics for All Medications

Keep all medications in a locked, temperature-controlled space
Store out of reach and sight of individuals receiving support
Keep medications in original packaging from Neighborhood LTC Pharmacy
Separate medications by individual and do not mix between residents

💡 Tip: Use a labeled bin for each individual to keep medications organized and avoid mix-ups

Locked Storage Requirements

All medications must be kept behind at least one lock at all times when not in use
Controlled substances require two levels of locked storage (double locks)

Examples of acceptable locked storage:

A locked med cart
A locked cabinet or drawer in a staff-only room
A locked medication box stored inside a locked cabinet (for controlled substances)

📝 Note: “Double lock” means two separate locked barriers — not just two locks on the same door

Special Considerations for Controlled Substances

When controlled medications are packaged together with other meds in a Dispill pack, the entire pack must be stored behind two locks
Use a designated container or drawer just for controlled medications or mixed packs requiring double lock
Keep the key or access code secure and only available to authorized staff
Follow your agency’s policy for shift counts, documentation, and audits

🚨 Warning: Improper storage of controlled substances can lead to serious compliance issues or safety risks

💡 Tip: If you’re ever unsure about a lock, setup, or how to store a specific medication, contact Neighborhood LTC Pharmacy or your program nurse for help

Dispill Packaging

Dispill packs are color-coded and sorted by day and time (e.g., AM, Noon, PM, Bed). Neighborhood LTC Pharmacy packages all medications together in these packs, including controlled substances when possible. This helps reduce medication errors.

Store the pack in a clean, dry, and secure area
Keep the entire pack behind two locks if it contains any controlled substances
Make sure the current pack is easy to access during med pass
Rotate to the new pack when the cycle ends and dispose of the old one properly

📝 Note: Do not remove medications from the blister bubbles until ready to administer

Unit-Dose Cards

Unit-dose cards hold individual doses of a single medication (not grouped by time like Dispill).

Store each card in the original labeled sleeve
Stack neatly in med carts or bins without bending
Ensure labels are visible for quick identification
Check that cards aren’t expired or damaged

⚠️ Caution: Do not cut or alter unit-dose cards, as this can damage labeling or cause confusion

Bulk Items: Creams, Inhalers, Liquids, and More

Some medications don’t fit in bubble packs and come in larger containers.

Topical creams or ointments:

Store at room temperature unless the label says otherwise
Keep caps tightly closed

Inhalers or nasal sprays:

Store upright in a clean, dry place
Label with the individual’s name and date opened

Liquid medications (oral or injectable):

Follow instructions as some require refrigeration
Use oral syringes or dosing cups to prevent contamination
Wipe the bottle opening clean after each use

🚨 Warning: Always check the pharmacy label for special instructions like “Refrigerate” or “Shake well before use”

Important Reminders

Never store medications in a bathroom, near a heat source, or in direct sunlight
Do not transfer meds to unlabeled containers
Keep refrigerated items in a locked fridge or separate locked bin inside a shared fridge
Check for expired or discontinued medications regularly and follow your agency’s disposal policy

💡 Tip: If you’re unsure how to store a medication, call Neighborhood LTC Pharmacy for guidance