Change is hard
CVL dressings are changed
What is every 7 days?
All new tubing must be placed after confirmation
What happens after a new CVL is placed?
Up to date reason that CVL is needed.
What must be documented in the Review of necessity?
The IJ line is pulled forward and the insertion site is accessible to air.
What is change the dressing?
Tubing is changed every 12 hours
What is lipid tubing and Proprofol tubing?
Silverlon gauze must be cut with sterile scissors for a custom fit.
What is Silverlon gauze for a Femoral Line?
Every 96 hours when it is do to change or ANY time it is changed.
When do you document the changing of a clave?
The central line will not draw blood even after troubleshooting.
What is Consult Vascular access to declot?
Gauze dressing or gauze under a dressing.
What is change every 24 hours?
Every calendar day patients receive this while in the ICU
What is a CHG bath?
Assess every shift.
What is how often we document the CVL assessment?
Mask, sterile gloves, BC bottles, CHG swab, Alcohol swabs, new clave, flush, syringes, BC transfer set.
What is needed to draw a Blood Culture from a CVL?
Antimicrobial disk is saturated or dressing is loose.
What is change immediately?
Anytime a CVL is open to air.
What is wear a mask and sterile gloves?
Check CVL dressing, fluids, tubing, and dates.
What is done at bedside handoff?
The CVL has not been used for the last 12 hours.
When is ask MD to discontinue?
Tubing must be changed
What is 96 hours or 24 hours for intermittent tubing?
Wipe daily with the CHG clothe.
What are the dressings and tubing closest to patient?
Patient received without and intact dressing, patient pulls off a dressing, or tubing is disconnected.
What to document if the dressing or CVL is found not intact?
Mask, Sterile gloves, CHG swabs, alcohol swabs, new clave, flush.
What is needed to change a clave on a CVL?