You are on page 1of 13

CENTRAL LINES

Melissa Dean, BSN, RN-BC


OBJECTIVES
• Review CLABSI
• CLABSI causes
• Review the process of central line
dressing changes
• Improved sterile technique during
central line dressing changes
• Improved compliance with weekly and
as needed dressing changes.
• Demonstrate proper technique
CLABSI

• What is CLABSI?
• Why is it a big deal?
• Prevention is the key
• Steps to reduce CLABSI
BIOFILM

• What is biofilm?
• Surface associated
microorganisms
• Extracellular matrix
• Surfaces
• Examples
• Plaque
• Slime
EPIDEMIOLOGY OF CLABSI
pathogen percentage
Coagulase-negative staphylococci 37%

Gram negative rods 14%


Enterobacter 5%
pseudomonas 4%
Klebsiella 3%
Escherichia coli 2%
Staphylococcus aureus 13%

Enterococcus 13%
Candida species 8%
PREVENTION

• Knowledge
• Hand hygiene
• Minimize CVC manipulation
• Group cares
• Assessment
• Dressing changes
• When?
• Cap changes
• How often?
• Hub care
• Removal
WHAT QUALIFIES?
• All central lines
• Tunneled catheters
• PICCs
• Accessed implanted ports
• Mediport
• Perm cath
• By dialysis RN
DOWN TO
BUSINESS
• Review policy and
procedures
• Revised
• Gather your supplies
• TPN dressing change kit
• Alcohol impregnated
caps
• TPN dressing change kit
• Non-sterile gloves
• 2 surgical masks
• Hand hygiene
• Frequent
• Prep patient
KEY STEPS
• Change every 7 days and PRN
• Caps/alcohol impregnated caps

• Hand hygiene

• Standard gloves
• Remove old dressing

• Hand hygiene

• Inspect cite

• Sterile gloves
• Sterile technique

• Clean
• Chlorhexidine for 30 seconds in a cross hatch pattern

• Dry
• 30 seconds

• CHG dressing
• Occlusive
OBJECTIVES
• Reviewed CLABSI
• Reviewed CLABSI causes
• Reviewed the process of central line
dressing changes
• Reviewed sterile technique during
central line dressing changes
• Reviewed compliance with weekly and
as needed dressing changes.
• Reviewed demonstration of proper
technique
QUESTIONS?
REFERENCES

Abdel, N. (2013). Prevention of Central Line Associated Bloodstream Infection (CLABSI ).
Retrieved from
https://www.slideshare.net/drnahla/prevention-of-clabsi-compatibility-mode

Central Line-associated Bloodstream Infection (CLABSI). (2016). Retrieved from
https://www.cdc.gov/hai/bsi/bsi.html

Central Venous Catheters (Non-Valved/Open Ended Catheters/Peripherally inserted Central
Catheter PICC) [Policy and Procedure Manual]. (2017, March 8). Care Coordination.

Preventing Central Line–Associated Bloodstream Infections. (2012). Retrieved from
https://www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf

You might also like