Chapter 60 of 62
Bridge Fleboflex Luer Bag Training
Fleboflex Luer Preparation & Administration Protocol
This module covers the step-by-step Bridge protocol for preparing and administering infusions using the Fleboflex Luer container system. These instructions apply to all four partially-filled configurations.
Step 1 — Opening: The overwrap is designed to be opened by pulling apart the two sheets. Peel off one sheet by the corner while holding the other sheet at one end and carefully remove the solution container. The overwrap should not be removed until the product is ready for use — it serves as a moisture barrier.
Step 2 — Inspection: Visually inspect the container for particulate matter and discoloration. Check for minute leaks by squeezing the inner container firmly. If the ports are damaged, detached, or not present, discard the container. Some opacity of the plastic from sterilization is normal and will clear gradually. Do not administer unless the solution is clear and the seal is intact.
Step 3 — Adding Medications (before administration): Swab the Luer port with alcohol. Connect a Luer-lock syringe to the Luer valve — insert and give a small rotational twist to lock. Inject the additive. Disconnect by reverse-twisting. Repeat for each additive using a fresh syringe each time. After all additions, mix the solution thoroughly by gently inverting and rotating the bag multiple times. Visually inspect for clarity — if discoloration, precipitates, or crystals appear, discard immediately.
Step 4 — Administration Setup: Suspend the container from the eyelet support. Break the twist-off administration port by means of torsion (twisting). Attach the administration set per the set manufacturer's directions. Use non-vented sets for Fleboflex Luer. Prime the administration set and begin infusion. CRITICAL: Do not connect flexible containers in series. Do not pressurize the bag to increase flow rate. Both risk air embolism.
Key Points
- Remove overwrap by peeling apart sheets — keep sealed until ready for use
- Squeeze container firmly to check for leaks before use
- Swab Luer port with alcohol; use fresh syringe for each additive; mix thoroughly
- Break twist-off administration port by torsion — no protector removal needed
- NEVER connect in series or pressurize the bag — risk of air embolism