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JCAHO 2006
NPSG Requirement 3D

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no unlabeled saline solutions

We don’t make the rules... but we can help you follow them.

Using the SPLASHCAP directly on an irrigation bottle will avoid the need for relabeling. To be in compliance with JACHO regulations, it is now necessary to label saline when poured out of the original bottle into an irrigation basin.

The New Requirement 3D of JCAHO’s 2006 National Patient Safety Goals states that:

    “Medications and solution both on and off the sterile field should be labeled even if there is only one medication being used.”

    “Labeling occurs when any medication or solution is transferred from the original packaging to another container.”

    “Labels include drug name, strength, amount (if not apparent from container), expiration date when not use within 24hrs and expiration time...”
                                                                         -- JCAHO 2006 NPSG Requirement 3D p. 11
                                                                             click to download

This requirement specifically includes the use of saline solution when poured in a basin in an Ambulatory Health Care, Hospital or Office Based Surgery setting.

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Download PDF of JCAHO Regulations