1. Stickers • Goal: Increase Central line awareness • Every central line (PICC, Broviac, Umbilical line) should start with a green sticker • VCH to the right of the name plate • Stahlman on luggage tag • Proceduralist should place green sticker after successful insertion and give sticker guide to resident/NNP/hospitalist taking care of the infant • Resident/NNP/Hospitalist place the sticker guide with attached additional stickers on the corresponding baby folder and fills out the dates

2. Childrens, BG Stahlman Stickers • Stickers in VCH will be on doorplate • Left side of the name will be the team color • and the right side of the name will be the central • line sticker • Stickers in Stahlman will be on luggage tags Team color Central line

4. Stickers Projected date to 120mL/kg/day based on feeding protocol Date varies depending on possible increased infection risk. 7 days for umbilical lines, 35 days for PICCs Enteral feeds on date of insertion (typically 0) Gestational age of infant

5. Yellow Date - Projected • Days to 120mL/kg/day per feeding protocol if starting at no feeds • Where they are supposed to be based on feeding protocol not where they are at. • 23-25 wks 12 days • 26-28 wks 9 days • 29-31 wks 7 days • 32-34 wks 6 days • > 35 wks 4 days

6. Stickers • During rounds every baby that has a sticker should have the central line addressed. • Examples • Baby A has a UVC that has been in for 3 days, we will need the UVC for IV access • Baby B has a UVC that has been in for 6 days and is now yellow, we still need the UVC for tpn and have not reached 120mL/kg/day because of feeding intolerance • Baby C has a PICC that has been in for 37 days and is now purple, but had no enteral feeds due to esophageal atresia. • Sticker color should be a macroscopic view of how long a central line has been in and give awareness not only to the day team but cross-covering teams when they need quick information on access.

7. Questions? • Please email allen.g.wu@vanderbilt.edu with any questions, suggestions, or comments.