Securement and Safety
This device is recommended to keep CVADS in place and prevent accidental dislodgment?
What is securement device (StatLock)
This documentation element MUST be present on the dressing
What is the date, time and initials
This is the risk associated with not wearing gloves during central line access
What is increased risk of CLABSI
Continuous infusions without additives require changing at this frequency
When is every 96 hours
This personal protective equipment must be worn when accessing a central line.
What are gloves
These are not recommended for securement due to risk of infection, however, can be used when necessary (especially in Peds)
This should be replaced after accessing a central line
What is the Curos cap
This should be done after scrubbing the hub and before accessing the line
What is allowing the hub to dry
Intermittent IV fluids with and without additives are to be changed
When is every 24 hours
Ex. intermittent Syringe pump meds, secondary sets that are detached from primary tubing
This is the minimum time required to scrub the hub before accessing a central line
What is 10 Seconds
Before using a freshly placed central line, this must be performed before using the line
What is an Xray
Following handoff with oncoming shift, these two nurses should
Assess the line together
This is required daily for patients with central lines and must be documented
What is CHG wipe down
TPN with or without lipids is to be changed this often
This hand hygiene step must be performed before donning gloves
What is hand washing or hand sanitizer
This securement technique works best for tunneled catheters and is recommended to decrease tension and prevent accidental dislodgement
What is loop and secure tubing
Dressing changes occur at this frequency; however, this frequency can change if gauze or stat seal are in place
When is every 7 days and PRN
When is every 2 days
To help decrease line infection, this should be assessed and discussed every day
What is line necessity
These two fatty medications require more frequent changing every 12 hours
What are Lipids and Propofol
What is 10 second scrub with alcohol
When a CVAD suddenly stops returning blood, a clot may be present. To safely check for blood return and avoid dislodging the clot or rupturing the catheter, this specific sized tool must be used.
What is 10 ml
Rationale: The larger the syringe the lower pressure
This Chlorhexidine-impregnated sponge requires changing when one or more of these situations occurs
When is; 1/2 or more is covered in blood, Sponge (mushrooming) out/blue top separating and/or biopatch is twice the size.
Day of line placement is considered day 1, at what day is the line CLABSI eligible
When is day 3
These fractionated products: IVIG, clotting factors and albumin require changing this often
*** Blood Product tubing is good 4 hours post start of infusion
This flushing method has been shown to decrease CVL infections and helps maintain catheter patency
What is pulsatile flushing or push pause technique