Prespiking IV Fluid Bags

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org

14 posts / 0 new
Last post
Mike Lewandowski
Mike Lewandowski's picture
Offline
Last seen: 1 week 2 days ago
Joined: 07/10/2014 - 12:47
Prespiking IV Fluid Bags

Hi all,

We're currently working with our OR staff to address the practice of prespiking IV bags in the OR. We have reached a bit of an impasse with our anesthesiology providers who are (understandably) concerned with the need for quick fluid administration when arterial lines are urgently/unexpectedly placed, and state that the priming process takes too long if not prepared in advance. At the same time, we recognize that this puts us at odds with USP 797 practices.

While we have a lot of internal details to hash out still, I'm curious as to how other institutions handle this. Are these only spiked/primed in an immediate-use context? Does your pharmacy department prepare these in advance to store in the OR? Any information would be appreciated - we want to share other practices with our anesthesiology group to provide some context.