Documentation
Where do you document central line cap changes?
What is under I & O flowsheet, under the central line, "Needleless Connector Change" and document the date
How often do dressings on central lines (not including NICU PICCs) need to be changed?
What is every 7 days or if soiled/loose
How often should IV tubing be changed?
What is 24 hours for intermittent tubing, 96 hours for continuous
Where do you document that new tubing was hung?
What is New Bag/Tubing in the MAR
What device helps secure the catheter and prevent pulling? (most often used with PICC lines)
What is a statlock/securement device
What type of wipes are used daily to help prevent infection for patients with central lines?
What is CHG wipes
How often should oral cares be done and documented?
What is twice a day (morning and night)
What age requires caution/alternative to CHG?
What is less then 2 months corrected
How long should you scrub the hub for prior to using the central line?
What is 15 seconds
What do you need to have in order to access/use/draw off central lines?
What is a physicians order
How much blood do you waste for Blood Cultures, Peripheral, PICCs/Hickmans, and Ports?
What is 0-for blood cultures, 1ml- peripheral, 2mls- PICCs/Hickmans, 3 mls- Ports
Name 3 symptoms of a CLABSI?
What is FEVER!, positive blood culture, redness, swelling, drainage
What do you need to ensure matches and is documented during PICC line removal?
What is the number at the end of the catheter matches the total length documented from insertion in either the central line info or in the procedure note for line placement by the provider
When removing a central line dressing with a securement device, what is the correct way to do it?
What is take off from the bottom up but stop after you get past the securement device so you can remove it so you don't dislodge/pull the line and then proceed to take the remainder of the dressing off
What should you do prior to drawing blood cultures off central lines?
What is put a new clave on