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.