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Also discard if it has been more than 28 days since reconstitution or if the vial has been stored at room temperature for extended periods

And it still should be something that you have someone guiding you through that risk benefit ratio

Many commenters stated that ED boarding is a public health emergency and national security and preparedness issue, as it endangers patient outcomes and contributes to ambulance diversion, adverse events, preventable errors, reduced patient satisfaction, ED violence, staff burnout, and higher health care costs