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Caring for a Central Line at Home 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.
A daily inspection should ensure that the line is properly in place, free from infection, and in working order. Dressing changes for central lines should occur every 5 to 7 days with a transparent dressing or every two days with a gauze dressing.
Always keep a clean and dry dressing over the central line site. Follow the instructions for cleaning the cap and using sterile equipment. Avoid tugs or pulls on the central line. Take extra care when removing clothing to avoid a pull or tug.
The CL bundle consists of four components: hand hygiene, use of maximal sterile barrier precautions, use of a chlorhexidine skin preparation, and selection of an appropriate site for central venous access.
A central line is an IV (intravenous) line that goes into a large blood vessel near the center of the body. Central lines are used for giving medications, fluids, IV nutrition and drawing blood. The central line is usually placed in the chest area.
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A multifaceted catheter care maintenance bundle consisting of educational programs for nurses, update of hospital policies, visual aids, a competency assessment, process monitoring, regular progress reports, and consolidation of supplies necessary for catheter maintenance.
To help prevent CLABSI, all nurses should be aware of the central line bundle, a group of five evidence-based strategies (described below) for the insertion and management of central lines. When implemented together, the bundled strategies result in better outcomes than when each strategy is implemented individually.
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 or saline solution.
A CVC insertion bundle was implemented in February 2011 in the main ICU; the bundle insertion procedure consisted of (1) hand hygiene by the inserter; (2) maximum barrier precautions, including the donning of sterile gloves, gowns, caps and masks by the physicians who inserted the catheter before beginning the ...
Keep the central line dry. The catheter and dressing must stay dry. Don't take baths, go swimming, use a hot tub, or do other activities that could get the central line wet. Take a sponge bath to avoid getting the central line wet, unless your healthcare provider tells you otherwise.

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