to main content Medication Preparation - Spiking Intravenous (IV) Bags in Advance of Administration | Nursing Care Center | Medication Management MM | The Joint Commission
Medication Preparation - Spiking Intravenous (IV) Bags in Advance of Administration

Does The Joint Commission have any requirements regarding pre-spiking of IV bags?

Any examples are for illustrative purposes only.

The Joint Commission has no specific requirement regarding the pre-spiking of IV bags. USP released an FAQ on November 1, 2022, stating that a facility's policies and procedures regarding spiking IV fluids is outside the scope of the USP 797 chapter.  The Joint Commission will survey to organization's policies and procedures regarding the pre-spiking of IV bags.   

Organization policies, procedures, staff education/competencies, etc., should also take into account:
  • Product and device manufacturer's instructions for use
  • Evidence-based guidelines for safe administration practices
  • Applicable law and regulation
Additional resources
Updates to USP General Chapters
Manual: Nursing Care Center
Chapter: Medication Management MM
First published date: November 02, 2022 This Standards FAQ was first published on this date.
This page was last updated on November 08, 2022 with update notes of: Editorial changes only Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.
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