Pre-spiked IVF

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Fri, 10/07/2016 - 11:10
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Ian Campbell
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Joined: 06/03/2016 - 15:41
Pre-spiked IVF

Issue: Pre-spiked IVF on units

Question: What is the accepted practice in your institution? If you do allow pre-spiking of IVF, what expiration dating do you provide. Are there units that are exceptions (OR/Trauma/ED)?

Concerns: Infection control and pharmacy looking at pre-spiked IVF with respect to 2016 APIC position paper and USP 797 guidelines identifying that pre-spiked IVF be given 1 hour expiration (recommendation). This is taken from the position that an IVF bag is similar to a Single dose container.

Running into issues with OR and Trauma setting, where they pre-spike and give 24 hour expiration dating, saying that this will severely impact their workflow. Time will be spent in set up and not with their patient. There are techs to help during the day time but we do not have techs staffing overnight and trauma have no bias to the time of day.

Any refection of your institutional practice is greatly appreciated. Thanks!

Attach files :
PDF icon apic_position_paper_2016.pdf

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