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here is how to change iv solution bags also called spiking a new bag once the infusion is complete you want to perform hand hygiene open your ordered iv fluid bag from its packaging then check the expiry date verify the type of solution and check for precipitates or any holes in the bag hang the new bag on the iv pole close the roller clamp on the iv line and remove the line from the pump module take off empty solution bag from the pole and let the bag drop down while holding the spike vertical gently twist off while pulling up to remove the iv bag and discard into the garbage if ivy bake is empty on your new iv bag pull down on the rubber protective cap to remove it and discard with your non-dominant hand hold down the iv line spike port on the bag with your dominant hand hold the drip chamber and spike vertical and slide it into the spike port and firmly push and twist gently squeeze the drip chamber to ensure spike is in the bag and insert the line back into the pump module close mo