Pre-spiking IVF

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Who's using pre-spiked fluids? I have trouble with the concept unless the fluid is secured or visible at all times. I work in an ED and have a newer nurse pushing the concept as a "Lean" idea, but it just does not seem safe to me. Joint Commission refers to hospital policy, but we don't really have one. I've done a journal search and haven't come up with much either. What's the consensus and how do explain this? I really wanted some EBP because she doesn't really get how important that is. :confused:

Specializes in NICU, Post-partum.
"LEAN" is a philosophy of simplifying operations in order to save time, errors, money. etc. "Kaizen" being the buzzword of the LEAN philosophy. But God help me, I have no idea how pre-spiking IVs is lean. Wouldn't that waste at least a few more IVs if they weren't required, after all? Could it possibly take 5 more minutes to draw a drug from the Pyxis and inject in it into the bag? ???

In my unit, we don't mix IV bags on the floor or add anything to them.

All of it is done by pharmacy.

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