Definition and Purpose
What does CLABSI stand for
Central Line Associated Bloodstream Infection
Peripheral dressings should be changed how often
every 7 days or if loose, soiled, or wet
What is the unintentional administration of a non-vesicant solution into surrounding tissues?
Infiltration
How often should it be reviewed to determine if the central line is still necessary
Daily
What other type of line can lead to a non central line associated bloodstream infection
Peripheral (PIV) and/or Midline
When is it ok to start IV fluids in a NEWLY placed PICC line
After verification of placement
Central line dressings should be changed how often
every 7 days (if chlorhexadine impregnated patch present) or if loose, soiled, or wet
What is accidental administration of a vesicant into surrounding tissue?
extravasation
The risk of infection _______ over time as the line remains in place
Increases
A CLABSI is a bloodstream infection (BSI) in a patient that had a central line within the _____ period prior before the development of the BSI.
48 hour
What should be placed at each access site on tubing and IV site
Curos (green) caps
What is masks, 2 pair of sterile gloves, biopatch, chlorohexidine, non-sterile gloves, transparent dressing?
Supplies needed to change a central line
The risk of infection is _______ once the central line is removed
Decreased
Give 2 examples of types of central lines
Implanted ports, PICC, tunneled catheters (hickman, groshong), non-tunneled catheter (dialysis)
What happens to the previously used IV tubing/fluids once a NEW CENTRAL line is placed?
tossed and replaced with a new set
What is the daily practice that is recommended for central line maintenance?
Reassess the continued need for the central. LINE NECESSITY
Name at least two reasons someone needs a central line.
fluids, blood products, medications (vesicants/chemo), TPN, dialysis, plasmapheresis, hemodynamic monitoring.
What happens to the previously used IV tubing/fluids once a NEW PERIPHERAL line is placed?
tossed and replaced
Only access central lines with these type of devices
Sterile