Central line maintenance checklist 2025

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The frequency of changing central venous catheter devices depends on the type of catheter, the reason for insertion, and the patients condition. Generally speaking, the catheter should be changed every 4-6 weeks.
Perform daily audits to assess whether each central line is still needed. For Healthcare Organizations: Educate healthcare personnel about indications for central lines, proper procedures for insertion and maintenance, and appropriate infection prevention measures.
An important step to preventing CLABSIs is to conduct a daily assessment of CVC necessity. On each day of CVC use, a multidisciplinary team of physicians and nurses should review and discuss to meet the indications for ongoing need of the device.
Central venous catheters must be flushed every day to prevent clotting and keep it clear of blood. Each lumen should be flushed in the same order each time. Depending on the type of catheter flush it with either heparin or saline solution.
The central line is flushed daily to keep it from clotting. You are taught how to do this by a nurse from your home care infusion company. Change the dressing and cap weekly. Also change the dressing if it comes loose and is no longer covering the exit site.
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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.
Daily Monitoring, Assessment, and Line Access All central lines should be accessed daily for need and removed promptly if the line is no longer needed for care of the patient. Central lines should also be assessed daily for the presence of infection and to ensure that the dressing is intact. ports prior to use.

central line maintenance bundle checklist