time a spiked IV can be used after spiking

  1. I am an RN in Florida working in an ASC. At the beginning of the day, we spike IV bags for the day's case load. We have been told by our pharmacy consultant that we need to spike EACH IV bag right before starting the IV on each individual patient. This would be very difficult, due to the caseload and speed needed for each admission, etc. . .We never use a spiked bag beyond 24 hours. All of the places similar to ours in the area do the same thing. I have not been able to find any firm policy for ASCs. Any help? Also, the consultant has told us that our admixtures (generally Amp and Gent) must be done on a STERILE field. We currently use aseptic technique with sterile supplies. Thanks for any input.
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  3. by   Daytonite
    Spiked IV bags are good for 24 hours. It is a Intravenous Nurses Society standard. The 24 hour spike rule would apply to Gent and Amp as well. You might want to keep some ATBs in the fridge until they are ready to be hung. You can still spike them and keep them in the fridge tubing and all.