Preparation & Administration — Bridge Protocol

This module covers the step-by-step Bridge protocol for preparing and administering 0.9% Sodium Chloride from the Fleboflex container system. Following these steps ensures sterility, safety, and compliance with FDA-labeled directions for use.

Step 1 — Opening: Peel off the polypropylene overwrap and remove the solution container. Visually inspect the container for damage. If the outlet port protector is damaged, detached, or not present, discard the container — solution path sterility may be compromised. Note: some opacity of the plastic from the sterilization process is normal and will clear gradually.

Step 2 — Inspection: Check for leaks by squeezing the inner bag firmly. If any leaks are found, discard the solution. Inspect the solution for particulate matter and discoloration. The solution must be clear with no precipitates. Do not use unless solution is clear and container is undamaged.

Step 3 — Setup: Suspend the container from the eyelet support. Remove the plastic protector from the outlet port at the bottom of the container. Attach the administration set per the set manufacturer's directions. Use non-vented administration sets — Fleboflex is totally collapsible and requires no air inlet. If vented sets are used, keep the air vent closed.

Step 4 — Critical Safety Warning: Do NOT connect flexible plastic containers in series — this risks air embolism from residual air in the primary container. Do NOT pressurize the bag to increase flow rates — this also risks air embolism from incomplete air evacuation. Use a dedicated line without connections to avoid air embolism.