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MM bulletin 31 - labelling IV bolus

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Medicines Management Bulletin

Issue No. 31

Date: February 2026

SAFE LABELLING OF INTRAVENOUS (IV) BOLUS MEDICATIONS

LABELLING OF IV MEDICATIONS

FLAG LABELLING: Use on small syringes to ensure volume graduations are not obscured.

MULTIPLE BOLUSES: If a patient receives more than one bolus at once, all syringes must be flag-labelled with the yellow label to be able to identify each medication.

YELLOW LABELS: syringes, infusions, and docked bags must be labelled using a YELLOW additive label immediately after preparation by the person who prepared them.

WHAT MUST BE ON THE LABEL?

Every yellow label must be completed with:

• Patient’s Name & Hospital Number (Inpatients)

• Medicine Name & Amount

• Diluent used

• Route of administration

• Date & Time of Preparation

• Date & Time of Expiry

• Initials of staff preparing and checking the dose

FLUSHES:

Pre-filled ‘Flush’ syringes do not require a label

Remember to only handle one unlabelled medicine at a time, and only if administration is a single uninterrupted process where the product never leaves your hand.

Please refer to the Medicines Code on Trust Approved Documents (TAD) on the Intranet for further information.

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MM bulletin 31 - labelling IV bolus by The Rotherham NHS Foundation Trust and Barnsley Hospital NHS Foundation Trust - Issuu