OVERVIEW CLABSI
Maintenance Bundle
Risk factors
MISC
100

What does the acronym CLABSI stand for

Central line associated bacterial infection

100

what must every employee do before and after handling central line?

Hand hygiene

100

what gender is more at risk CLABSI?

Male

100

Whose responsibility is it to do the dressing change? 

Primary RN

200

How often should a CL dressing be changed?

Q7D and PRN

200

what should each lumen of the central line be covered with?

Curos caps

200

Whcih unit are pt more likely to dev CLABSI?

ICUs

200

Should a midline be inserted for daily blood draws?

No (they can stop drawing back blood at any time)

300

What lines are considered central lines

PICC, Ports, tunn/ non tunn dialysis lines, triple lumens

300

What should be done before accessing a central line?

Scrub the hub for 15sec

300

which vein insertion puts pts at higher risk for CLABSI?

Femoral

300

Are midlines considered a CL?

No, they do not exceed past the point of the axilla into the central vasculature. 

400

how much cost does CLABSI infection add to pt medical stay?

approx 16k

400

If a securement device is clean still, does it need to be changed with the central line dressing change?

Yes, everything comes off and new put on.

400

What patient population is most at risk for CLABSI?

Immunocompromised

400
  • If using quick clot, or other sterile gauze, how often does the dressing need changed? 

48hr

500

What is the number 1 reason for CLABSI?

Impaired dressings

500

what aspect of cen line are monitored daily

s/sx of infection and dressings

500

What factors increase risk for CLABSI?

  • Impaired dressings, multiple CL and longer ICU stays.
500

Does the needleless connector need to be removed when using cathflo?

Yes

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