The Main Line
(IV Access)
(IV Access)
This is a short term peripherally inserted catheter that is in a non-central location, used to administer IV fluids and IV medications.
What is a peripheral IV catheter (PIV)?
This is when hand hygeine is performed.
What is before/after touching a patient, when hands are soiled, before donning gloves, after removing gloves, or before an aseptic procedure?
These are the people you ask to change a central line dressing.
Who are the PICC team nurses?
The number of times a single Curos Cap can be used.
What is once?
This occurs when a blood culture is positive and a central line is also in place.
What is a central line associated blood stream infection (CLABSI)?
This is a central line placed by a specially trained nurse in the right or left upper/lower extremity or scalp and is threaded to a larger vein near the heart.
What is a PICC line?
This is the typical product used for hand hygiene.
What is an alcohol-based waterless hand sanitizer?
This is worn by everyone in the room when a central line dressing is changed.
What is a mask?
This is the preferred method for obtaining a blood culture.
What is an arterial puncture?
This is the most effective way to prevent a CLABSI.
What is performing hand hygiene?
These are placed by a neonatologist or neonatal nurse practitioner and can stay in place up to 7 to 10 days.
What are umbilical lines?
This is used for hand hygiene when hands are visibly soiled.
What is soap and water?
When central line dressing changes need to occur.
What is every 7 days or PRN if loose or soiled?
This is used to cleanse infant's eyes.
What is sterile water or sterile normal saline?
This is used prior to insertion of a central line, as well as other sterile procedures, on infants greater than 27 weeks gestation and/or greater than 1,000 grams.
What is Chloraprep (chlorhexidine)?
This is a central line placed by a surgeon in the right chest and is considered a tunneled catheter.
What is a Broviac catheter?
These are worn when priming or changing IV fluids and giving IV medications through a central line.
What are gloves?
This is documented on the outside of a central line dressing.
What is the date of the dressing change and the initials of the person who changed the dressing?
This is changed every 14 days and PRN.
What is the infant's bed (isolette or crib)?
This is the group within the NICU population that is at the highest risk for developing a CLABSI.
What is the very low birth weight (VLBW) group?
This is required for any invasive procedure including umbilical lines, PICCs, Broviacs, and peripheral arterial lines.
What is a consent? What is a procedural time out?
This type of hygiene is done at the beginning of every shift for all staff in direct patient care in the NICU.
What is washing hands for 2 minutes up to the elbows with soap and water followed by a chlorhexidine-based waterless sanitizer, also known as "scrubbing in"?
Tegaderm that is placed over the loose edges to prevent a dressing from coming up.
What is reinforcing a central line dressing that is non-occlusive?
The time required to "scrub the hub" prior to accessing an IV port.
What is 15 seconds to scrub and 15 seconds to dry?
This averages around $45,000.
What are the hospitalization costs per CLABSI case?