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Colonization

CENTRAL LINE CHAIN OF INFECTION. Bacteremia of Catheter & Peripheral Blood . Bacteremia of Catheter Lumen . Sepsis . Medicine Preventions ABX Therapy based on BCX recovery . Nursing Preventions Hand Hygiene/Cap change with tubing & blood/ TPN/Scrub the Hub/CHG skin prep .

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Colonization

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  1. CENTRAL LINE CHAIN OF INFECTION Bacteremia of Catheter & Peripheral Blood Bacteremia of Catheter Lumen Sepsis Medicine Preventions ABX Therapy based on BCX recovery Nursing Preventions Hand Hygiene/Cap change with tubing & blood/ TPN/Scrub the Hub/CHG skin prep Site Infection Disseminated Colonization Colonization of Catheter Lumen Colonization Disseminated Infection

  2. HAND HYGIENE Blood Draws Dressing Change Cap Change Etc. Dumping Hats Empting Foleys Etc.

  3. CAP CARE & CHANGE • Cap Care • Scrub the cap for 15 seconds. • Allow to dry for 15 seconds. • If blood on cap after draw, scrub for 15 another seconds. • Perform hand hygiene before downing gloves. • Site Scrub with cap changes – scrub hub 10 sec, dry for 5 sec • Cap Change • Change caps & tubing every 96 hrs. • Change caps when: • TPN is changed. • After administering PRBC’s. • Before drawing blood cultures. • After administering lipid containing solutions. • Document in Power Chart.

  4. CENTRAL LINE DRESSINGS Dressing Change • Every 7 days • >25% of edges lifting = Now • Damp or visibly soiled= Now • Mask on patient and nurse • Clean gloves during removal • Sterile gloves during cleaning and placement • Use chlorohexidine-impregnated sponge to disinfect. Inspect insertion site q 4 hrs.

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