Central venous catheters (CVCs) can be in place from hours to weeks or longer and are manipulated by a multitude of staff members. CVCs are accessed many times while in place, to deliver fluids and medications and to collect blood specimens.
Made use of a “bundle” of best practices. What is a bundle? Structured way of improving process of care and patient outcomes using a set of evidence-based interventions at the same time. Keystone Bundle Intervention: Hand hygiene prior to catheter insertion. Use of maximal sterile barrier precautions. Use of alcohol-containing chlorhexidine ...
Guidelines and components of a central line maintenance bundle, from The Joint Commission
Bundles incorporate evidence-based science into practices, and bundle use is recommended in central line–associated bloodstream infection (CLABSI) guidelines.1,2,3 More than a decade ago, the bundles were shown to reduce rates of central venous catheter (CVC)–related infections. 4 Recent studies have demonstrated that consistent application ...
Prevention of Central Line-Associated Bloodstream Infections ...
Define a central line-associated bloodstream infection (CLABSI) and identify its significance to patient safety and MRSA prevention. Outline key evidence-based strategies and targets for CLABSI prevention.
Central Line Bundle Implementation in US Intensive Care Units ...
The IHI Central Line (CL) Bundle consists of five interventions: hand hygiene; maximal barrier precautions; chlorhexidine skin antisepsis; optimal catheter site selection, with avoidance of the femoral vein for central venous access in adult patients; and daily review of the line necessity, with prompt removal of unnecessary lines.
Bundle with care: An update on central line infection ...
Central line-associated bloodstream infections (CLABSI) are associated with both increased patient morbidity and health care system costs. The foundation of CLABSI prevention is a bundle of interventions directed at decreasing the risk of infection by improving practices before, during and after line insertion.