Standard Line Care
How often are cap changes completed?
every 4-7 days
Every 24 hours
How long should you scrub your hands for?
15 seconds
Once
How long should you scrub and dry the hub for?
15 seconds
How often are dressing changes completed?
every 7 days
What does CHG stand for?
Chlorohexidine Gluconate
When are gloves indicated for use during central line care?
If patient is on isolation, administration of hazardous meds, obtaining labs
How often are you assessing and documenting on your dressing integrity?
Hourly if the line is actively infusing
What are Dual Caps and where are they placed?
alcohol impregnated caps that cover all open access points on the IV tubing. They should be placed on all access points on unused caps and tubing
How often are cycled TPN and blood tubing changed?
Every 24 hours
What are the different types of bathing wipes that are available for use?
CHG 2%, CHG 4%, and Theraworx
Where should lines be primed?
On a clean surface only
What are some protective products that can be used to protect the line?
Valguard, Aquaguard, bibs, central line vest
How often does a central line require to be Heparin locked when not in use?
12 hours for a PICC, 24 hours for a Broviac or Port
What needs to be documented on tubing label? And how many labels per line?
infusate, date up, date down, and lumen). 2 labels per line. One close to the patient, one close to the pump
What needs to be changed after each CHG bath daily?
Linen and clothing
What can we use to prevent the tubing from touching the floor/divert away from soiled areas?
What MUST be covered by the central line dressing to be considered intact?
The insertion site AND the entire statlock
What technique should be used when flushing the central line?
Pulsatile flush or push/pause technique
What does FUN-AR stand for?
Function, Use, Necessity, At Risk for CLABSI
If your patient is visibly soiled and requires another soap and water bath, do they require another CHG?
Yes!
What are the 5 moments of hand hygiene?
Before touching a patient, before a procedure, after a procedure or exposure to bodily fluids, after touching a patient, after touching a patient's surroundings
What dressing concerns may lead to increased risk for CLABSI?
more frequent dressing changes, increased drainage at insertion site, skin integrity concerns
When should you utilize a carrier/KVO?
More than 6 medication administrations in 24 hours