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Central Line Insertion & Maintenance Guide

The document outlines the Central Line Insertion and Maintenance Bundle Form, detailing patient information and specific insertion and maintenance bundle elements. It emphasizes the importance of hand hygiene, maximal barrier precautions, and proper antisepsis techniques during catheter insertion, as well as daily assessments and dressing changes for maintenance. The form includes guidelines for different types of catheters and special considerations for neonates.

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apexhospitalraigarh
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59 views2 pages

Central Line Insertion & Maintenance Guide

The document outlines the Central Line Insertion and Maintenance Bundle Form, detailing patient information and specific insertion and maintenance bundle elements. It emphasizes the importance of hand hygiene, maximal barrier precautions, and proper antisepsis techniques during catheter insertion, as well as daily assessments and dressing changes for maintenance. The form includes guidelines for different types of catheters and special considerations for neonates.

Uploaded by

apexhospitalraigarh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRAL LINE INSERTION AND MAINTENANCE BUNDLE FORM

PATIENT’S INFORMATION
Patient name: MRN:
Unit: Bed No. Age: M/F:
Admission date: Admission diagnosis:
CL insertion date: Type of Catheter: Permanent Temporary
Type of Central line catheter used: CVC UVC UAC PICC line
For neonates: (birth weight in gms) < 750 751-1000 1001-1500 1501-2500 > 2500

INSERTION BUNDLE ELEMENTS Yes No N/A

1. Hand hygiene Do hand hygiene per indication

2. Maximal barrier precautions: a. For the operator:


cap, mask, sterile gown, and sterile
gloves

b. For the patient:


Covering the patient from head to
toe with a sterile drape, with a small
opening for the site of insertion.

3. Chlorhexidine skin antisepsis a. 2% chlorhexidine in 70% alcohol


for adults, pediatrics & neonates >4
wks. or >1500 gms

b. 2% aqueous chlorhexidine for


Neonates < 4 wks. or <1500 gms

4. Optimal catheter site selection, Femoral site is associated with


with subclavian vein as the greater risks
preferred site for non-tunneled
catheters
5. Ultrasound guidance to place Staff to do the procedure must be
central venous catheters fully trained in its technique
CENTRAL LINE INSERTION AND MAINTENANCE BUNDLE FORM

MAINTENANCE BUNDLE ELEMENTS


Daily assessment Proper dressing choice * Proper ** Proper
of catheter ( Use transparent
frequency of replacement of
Hand Hygiene necessity with semipermeable dressing or
Date dressing administrative
prompt removal of Use gauze only if the site is
bleeding or oozing) change sets
unnecessary lines
YES No N/A YES No N/A YES No N/A YES No N/A YES No N/A

* Replace transparent dressing every 7 days; Replace gauze dressing every 48 hours; Replace immediately any dressing that
is soiled, dampened, or loosened
**Unless used for blood, blood products or fat emulsions, replace administration sets no more frequently than at 72-hour
intervals, but at least every 7 days; If used for blood/blood products, replace administration sets every 4 hours; If used for
TPN/intralipids; replace administration sets every 24 hours; If used for chemotherapy, replace administration sets after each
use; Caps are changed no more often than 72 hours or whenever the administration set is changed

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