Definition and Purpose
What does CLABSI stand for
Central Line Associated Bloodstream Infection
What test needs to be done PRIOR to using the newly placed central line
X-Ray to confirm placement
Peripheral dressings should be changed how often
every 4 days or if loose, soiled, or wet
What type of wipes should be used on this patient?
CHG only
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 should you do before accessing the central line?
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
Primary fluid bags should be changed every ___
24 hrs
How long should you scrub the hub and with what?
at least 10 seconds with an alcohol swab
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
Primary/Secondary tubing should be changed every ___
4 days
What two key points are important to document for hygiene
Completion and Refusal
At what point does the central catheter end in the body?
at or close to the heart
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
How often should the patient get a CHG bath?
Daily
Name 1 great vessel used for central venous catheters.
internal jugular, subclavian, brachio-cephalic, external iliac vein, common femoral vein.