Central Line Overview
What does CLABSI stand for?
Central Line Associated Blood Stream Infection
What needs to be done prior to using a central line lumen?
Scrub the hub for 15 seconds
How often should you flush unused ports? (2)
Every 12 hours per provider order and PRN
When are mediport dressings changed?
Every 7 days from the last dressing change
What is a tunneled catheter?
What is a line that is tunneled under the skin and eventually enters into the blood vessel
How often is the dressing changed for a standard central line dressing?
Every 7 days. On Sundays at Saint Agnes
After a blood draw or transfusion how much should you flush with ?
20cc NS
Propofol IV tubing is changed when?
Every 12 hours
What is the minimum size syringe used on central lines?
What is 10cc
When does the tubing attached to a central line need to be changed?
Continuous infusion-every 96 hours
Intermittent infusion-every 24 hours
How much blood is wasted when drawing blood cultures?
What is none.
How many sterile gowns need to be used when central line is placed?
What is: one for every person in the room
When documenting your lines shift assessment it is always important to document what?
What is The depth of insertion
Name 4 reasons to change the central line dressing?
CHG patch cloudy
Blood extending beyond CHG
Dressing Coming up on edges
Its a Sunday
Provider ordered 2 sets of blood cultures for my patient. What should I do?
What is do not draw them from the central line unless the provider specifically orders that.
When drawing a Rainbow what is the first color tube and the last color tube assuming no blood culures are ordered?
What is Red and Grey
After central line placement what must I watch for?
(Be specific x 3)
New patient complaints: Shortness of Breath
Changing vitals: tachycardia, tachypnea, hypotension
Hemodynamic changes: Pale, diaphoretic
When Is a Needles End Cap changed? (3)
Every 96 hours (when the continuous infusion system is changed),
every 7 days with the dressing change (SUNDAY) when a continuous system is not in use
Residual Blood Remains in hub
On a triple lumen what port is recommended for blood draws?
What is the distal port (brown)
What is the recommended technique to flush a central line?
What is use a pulsitile technique with short boluses