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Slide 10. Five Evidence-Based Steps to Prevent CLABSI Use appropriate hand hygiene. Use chlorhexidine for skin preparation. Use full-barrier precautions during central venous catheter insertion. Avoid using the femoral vein for catheters in adult patients. Remove unnecessary catheters.
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.
Procedure for central line (central venous catheter) insertion Wash hands and don sterile gown and gloves. Clean the area and apply sterile field. Apply sterile sheath to the ultrasound probe. Confirm anatomy. Under ultrasound guidance insert lignocaine cutaneously, subcutaneously and around internal jugular.
In addition to dynamic ultrasound guidance, three methods ensure that a central venous catheter is placed correctly. A venous blood gas can be obtained from the distal port of the central line, a chest x-ray can be performed, and central venous pressure can be obtained from the distal port.
Generally speaking, one will require an ultrasound machine with a high-frequency linear transducer, sterile products, mask, and head covering, the introducer kit with a central venous catheter, lidocaine, various sterile syringes, sterile saline flushes in 10 cc syringes, a sterile occlusive dressing, and a bio-patch
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Equipment required for central line (central venous catheter) insertion Ultrasound and sterile ultrasound sheath. Sterile trolley. Sterile field, gloves, gown and mask. Seldinger central line kit. Saline flush. Chlorhexidine. Lignocaine (4ml (2 vials) of 2% is reasonable) Suture.
Perform hand hygiene before insertion. Adhere to aseptic technique. Use maximal sterile barrier precautions (i.e., mask, cap, gown, sterile gloves, and sterile full body drape). Choose the best insertion site to minimize infections and noninfectious complications based on individual patient characteristics.
Central venous access devices (CVADs) or central venous catheters (CVCs) are devices that are inserted into the body through a vein to enable the administration of fluids, blood products, medication and other therapies to the bloodstream.

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