Page 101 - 2020 ARE eGuide for Clinical at Nonhospital Sites

National Patient Safety Goals (5)

CLABSI
In the past decade healthcare workers have significantly decreased central line associated
infections (CLABSI). However, when they do occur, they are associated with significant
patient morbidity and mortality. We should follow evidence-based practices aimed at
decreasing CLABSI using a bundle approach as recommended by the Institute for
Healthcare Improvement.

Strategies for the Prevention of Central Line Associated Blood
Stream Infection- CLABSI

• Perform hand hygiene prior to insertion
• Use maximal sterile barrier precautions, including the
use of a cap, mask, sterile gown, sterile gloves, and a
sterile full body drape, for the insertion of CVCs,
PICCs, or guidewire exchange
• Prepare skin with a chlorhexidine gluconate
preparation before insertion and during dressing
changes.
• Change central line dressings impregnated with
chlorhexidine gluconate every 7 days and as needed.
• Review daily with physician the necessity for the
central line
• Disinfect catheter hubs and injection ports for 15
seconds allowing solution to dry prior to any entry
into line
• Provide patient and family with educational material
and document in the EMR