Manual: Office Based Surgery
Chapter: Medication Management MM
Topic: 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
Last updated on November 08, 2022 with update notes of: Editorial changes only
First Published Date: November 02, 2022