Central lines are long tubes inserted in the neck, chest, arm, or leg that end near the heart. They are used to give fluids or drugs, take blood samples, or monitor pressure inside the arteries of the heart. They can become infected if enough germs move through the connections in these lines.
Our central line bloodstream infections (CLBSI) prevention measures include:
A checklist is used for all central line insertions that ensure those who are inserting the line or assisting follow evidence-based practice (e.g. hand hygiene, barrier precautions, proper site selection; use of chlorhexidine gluconate - CHG (a long acting antiseptic) to clean the insertion site.
Alcohol-impregnated covers are immediately placed on all the access ports to protect them from coming in contact with skin, linen etc. These are replaced each time the port is accessed.
Clear line connectors are used so the healthcare team can see if blood is present.
Special antimicrobial dressings are used to cover the insertion site.
The healthcare team checks the line daily for necessity and removes it promptly if no longer needed.
Patients with central lines have their skin cleaned daily with an antiseptic cloth that contains CHG to reduce bacteria and provide sustained antibacterial action.
Only disposable, pre-moistened bath cloths are used for routine bathing.
Patients and/or family are provided education on what we do to prevent infection and the steps that they can take to complement our preventive care.