CLABSI Facts
Number of CLABSI's SNICU has had in FY25.
What is 5?
The acronym encouraged during "Stop the Line!" when a sterile observe notices a break in sterility.
What is CUSS?
"I am Concerned, I am Uncomfortable, his is Safety issue, Stop the Line!"
What is CHG treatment?
3 sets of sterile blood cultures can be collected during this procedure.
What is sterile central line insertion?
FYI-ask the provider to NOT obtain the cultures from the same lumen as the guidewire due to increased contamination risk.
Pathway available on the NEd to determine how to proceed with a dressing change for patients with CHG allergy, poor skin integrity, and more.
What is dressing change algorithm?
Cause of a CLABSI.
What is bacteria or fungi entering the bloodstream through a central venous catheter?
Documented during central line insertion procedure by the sterile observer.
What is bedside procedure flowsheet?
Includes: inserter, hand hygiene, use of sterile full-barrier precautions, prep of insertion site, drape of patient, use of ultrasound probe cover, number of insertion attempts, and application of dressing.
T/F: It is better to reinforce a loose central line dressing than change it.
False
This is the only appropriate time to draw blood cultures from a central line.
What is when you suspect the central line to be the source of infection (or if it is upon line placement)?
Product that secures line at the site, preventing pistoning of line, and occludes site to prevent bacteria and fungi from entering insertion site.
What is Secureport IV Cath Adhesive?
What is $50,000?
Full sterile barrier precautions.
What is door to room closed with stop sign, hand hygiene performed by inserter, bouffant, mask, sterile gown, sterile drape, sterile gloves, sterile ultrasound probe cover, prepping of the insertion site, and sterile dressing?
Frequency of IV tubing changes.
What is continuous changed q96 hours, intermittent changed q24hours, blood changed q24 hours if continuous or with each new product if intermittent, and propofol changed q12 hours or with each new bottle?
Gold standard of blood culture collection.
What is obtaining 3 sets from 3 peripheral sites with a total of 60cc with sterile technique and scrubbing with chlorhexidine scrub for 30 seconds?
If unable to achieve, decrease number of sites before number of cc's.
What is Sorbaview?
Mortality increase (percentage) from a CLABSI.
What is 15-25%?
High risk central lines that should be prioritized for removal as soon as no longer indicated.
What are triple lumen PICC's, femoral CVC's, and CVC's placed emergently?
Preferred method for central line dressing changes.
Soon to be a policy change!
What is a 2-person dressing change?
one person is the sterile observer and maintains line stability (holder)
one person changes the dressing
Key step if obtaining blood culture from a central line.
What is changing the microclave?
FYI--sterile technique should be DILIGENTLY adhered to; grab a buddy and watch the NEd video!
Product that controls bleeding at the insertion site by working independently of the clotting cascade to create a scab which will reduce unplanned dressing changes.
What is StatSeal?
NHSN criteria for CLABSI definition.
What is laboratory confirmed blood stream infection (LBSI) where an eligible organism is identified in the presence of a central line that has been in place for more than two calendar days in an inpatient unit, and the organism cannot be attributed to a secondary source?
Procedure for central line removal.
What is central line removal order obtained, procedure explained to patient, patient placed in Trendelenburg position (or at least flat in bed), dressing and sutures removed, line removed with gauze over site while patient hums or holds their breath, pressure held to control bleeding, and occlusive dressing applied?
What is push-pause flushing technique, turning patient's head, asking patient to cough, moving arm in different position (if PICC), CXR to evaluate placement, and TPA if line occluded?
2 instances where blood cultures should NOT be obtained due to low risk of bacteremia.
What is (1) Postoperative fever and (2) Fever or leukocytosis without other signs and symptoms of infection.
Product that acts as a barrier film over the central line dressing to protect the dressing from gross contamination.
What is CovaClear IV?