8/12/2019 Checklist for CLABSI

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NationalCenterforEmergingandZoonoticInfectiousDiseasesDivisionofHealthcare QualityPromotion

ChecklistforPreventionofCentralLineAssociatedBloodStreamInfections

Based on 2011 CDC guideline for prevention of intravascular catheter-associated bloodstream infections:http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf

ForClinicians:Promptlyremoveunnecessarycentrallines Performdailyauditstoassesswhethereachcentrallineisstillneeded

Followproperinsertionpractices Performhandhygienebeforeinsertion Adheretoaseptictechnique Usemaximalsterilebarrierprecautions(i.e.,mask,cap,gown,sterilegloves,andsterilefull-bodydrape) Performskinantisepsiswith>0.5%chlorhexidinewithalcohol Choosethebestsitetominimizeinfectionsandmechanicalcomplications

o Avoidfemoralsiteinadultpatients Coverthesitewithsterilegauzeorsterile,transparent,semipermeabledressings

Handleandmaintaincentrallinesappropriately Complywithhandhygienerequirements Scrubtheaccessportorhubimmediatelypriortoeachusewithanappropriateantiseptic(e.g.,chlorhexidine,povidone

iodine,aniodophor,or70%alcohol) Accesscathetersonlywithsteriledevices Replacedressingsthatarewet,soiled,ordislodged Performdressingchangesunderaseptictechniqueusingcleanorsterilegloves

ForFacilities: Empowerstafftostopnon-emergentinsertionifproperproceduresarenotfollowed Bundlesupplies(e.g.,inakit)toensureitemsarereadilyavailableforuse Providethechecklistabovetoclinicians,toensureallinsertionpracticesarefollowed Ensureefficientaccesstohandhygiene Monitorandprovidepromptfeedbackforadherencetohandhygiene

http://www.cdc.gov/handhygiene/Measurement.html Providerecurringeducationsessionsoncentrallineinsertion,handlingandmaintenance

Supplementalstrategiesforconsideration: 2%Chlorhexidinebathing Antimicrobial/Antiseptic-impregnatedcatheters Chlorhexidine-impregnateddressings