Central Lines
The frequency for changing a transparent central line dressing, if dry and intact?
What is every 7 days?
When accessing a port, use this type of needle.
What is a Huber (non-coring) needle?
This type of patient alert means you should avoid using the affected limb for IV insertion, blood draws, or blood pressure measurements.
What is a limb alert?
CLABSI stands for this preventable hospital-acquired infection.
What is central line- associated bloodstream infection?
This is placed on all IV tubing to identify how long it has been used.
What is a sticker with date, time, and initials?
If a central line dressing becomes soiled or loose, the nurse should do this.
What is change the dressing?
The frequency for changing the needle and dressing when using an implanted port.
What is every 7 days?
If a peripheral IV site is red and tender, this is the best course of action.
What is check for extravasation, discontinue the IV, and start a new one at a different site?
This antiseptic, used in bathing and line care, helps reduce skin flora and is a key part of the CLABSI prevention bundle.
What is chlorhexidine gluconate (CHG)?
These are used to protect all primary and secondary IV line hubs, and central, peripheral, and subcutaneous line ports.
What are Curos caps?
This flushing technique helps prevent catheter occlusion.
What is the pulsatile (push-pause) technique?
When infusing TPN through an implanted port or a central line, this is how frequently I must change the needless adapter and IV tubing.
What is daily with each new TPN bag (and if soiled)?
The length of time a peripheral IV may remain in place.
What is as long as the peripheral catheter is clinically indicated, patent, non-reddened, and non-painful.
To minimize contamination during all central line dressing changes, this technique must be used.
What is sterile technique?
Despite being convenient, drawing blood from this type of IV access is not recommended due to risk of hemolysis and inaccurate lab results.
What is a peripheral IV?
This action must be done prior to accessing the central line port.
What is (after performing hand hygiene) scrub the hub for 15 seconds and allow to dry?
This is the smallest size of syringe that can be utilized with an implanted port.
What is a 10ml syringe?
This tool, available via the I Need It application at ACH or by contacting the nursing supervisor at SBH, may be used to assist with locating veins when attempting peripheral IV insertion
What is the vein viewer/finder?
This is the single most effective nursing action to prevent Hospital Acquired Infections (HAI), including CLABSI.
What is hand hygiene?
The frequency for changing needleless adapters on all lines.
What is with dressing changes, as needed if soiled, and with each new bag of TPN?
These must be obtained from the provider prior to using any central line or implanted port to ensure proper placement and maintenance.
What is an ok to use order and catheter care order?
Only these individuals may access an implanted port.
Who are the rapid response nurses or RNs/medics with documented competency?
This action is taken after two unsuccessful IV start attempts by one person.
What is ask a coworker to attempt and/or use a vein viewer? (Rapid response team may be contacted for assistance after two nurses have attempted twice each)
This nursing resource is where I can find information about line care and maintenance.
What is EBSCO?
This is where I can find my unit’s CLABSI rates and other patient care metrics.
What is the unit quality board or on Summa at Work- Links for Nurses- Center for Clinical Inquiry- Quality Improvement- Nursing Scorecards?