Dressing change, cap change and flush

Review your facility policies and procedures.

Strict adherence to aseptic technique is necessary to reduce catheter related blood stream infection (CRBSI). While aseptic technique is a constant, dressing change policy & procedure (P&P) may vary among institutions. Your institution's P&P is the best guide to safe patient care.

Standard precautions are usually sufficient for uncomplicated catheter dressing change procedures. Mask, eye protection, skin protection are minimum requirements.

Many institutions will provide a pre-packaged sterile dressing change kit.
Sterile kits will likely include

Dressing Change Scenario

Changing the needleless connectors:

Catheter related bloodstream infection can be prevented. The CDC believes that approximately 25,000 fewer U.S. Central Line Associated Blood Stream Infections occurred in 2009 then 2001 as a result of a collaborative effort between government and industry to improve patient safety. The Institute for Healthcare Improvement (IHI) has developed an evidence based set of interventions which when implemented together can significantly reduce the risk. The IHI interventions are known as the "Central Line Bundle". The "Central Line Bundle" includes:

* Hand Hygiene
* Maximal Barrier Precautions Upon Insertion
* Chlorhexidine Skin Antisepsis
* Optimal Catheter Site Selection
* Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines

Visit the CDC site again, and examine the table (Appendix B) Summary of Recommended Frequency of Replacement for Catheters, Dressings, Administration Sets, and Fluids. Look for the answer to this question.

Intravenous tubing used with PICC lines should be replaced every 48 hours. True or False?

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