Medication Preparation - Spiking Intravenous (IV) Bags in Advance of Administration
Once an IV bag of fluid is spiked with the IV tubing, how soon must this infusion be initiated ?
Any examples are for illustrative purposes only.
The infusion must be started within 1 hour of spiking the bag unless the bag was spiked in an ISO 5 environment.
The infusion must be started within 1 hour of spiking the bag unless the bag was spiked in an ISO 5 environment.
- When a bag is spiked and the infusion is immediately begun, the spiking of the bag is considered part of the administration process.
- If the bag is spiked and then stored for later use, it is considered to be a part of preparation.
- If the bag is spiked in an ISO 5 environment, then beyond use dating would be consistent with those listed in the USP 797 Chapter.
- Product and device manufacturer's instructions for use
- Evidence-based guidelines for safe administration practices
- Applicable law and regulation
Manual:
Critical Access Hospital
Chapter:
Medication Management MM
First published date: May 20, 2019
This Standards FAQ was first published on this date.
This page was last updated on October 19, 2021

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