CLABSI Prevention Bundle Checklist

Use the CLABSI Prevention Bundle Checklist to prevent central line-associated bloodstream infections (CLABSIs) through proper insertion practices, etc.

CLABSI Prevention Bundle Checklist



Proper Insertion Practices

1. Is hand hygiene performed before insertion?


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2. Is the aseptic technique used during the procedure?


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3. Are maximal sterile barrier precautions used, including a mask, cap, gown, sterile gloves, and a sterile full-body drape?


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4. Is the best insertion site chosen to minimize infections and noninfectious complications based on individual patient characteristics?


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5. Is the femoral site in obese adult patients avoided?


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6. Is the insertion site prepared with >0.5% chlorhexidine with alcohol?


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7. Is a sterile gauze dressing or a sterile, transparent, semipermeable dressing placed over the insertion site?


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8. For patients 18 years of age or older, is a chlorhexidine-impregnated dressing used, with an FDA-cleared label specifying a clinical indication for reducing CLABSI for short-term non-tunneled catheters, unless the facility is demonstrating success at preventing CLABSI with baseline prevention practices?


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Maintaining Central Lines

1. Did the staff comply with hand hygiene requirements?


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2. Are ICU patients over two months of age bathed daily with chlorhexidine preparation?


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3. Is the access port or hub scrubbed with friction immediately before each use with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol)?


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4. Are only sterile devices used to access catheters?


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5. Are dressings that are wet, soiled, or dislodged immediately replaced?


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6. Are routine dressing changes performed using an aseptic technique with clean or sterile gloves?


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7. Are gauze dressings changed at least every two days or are semi-permeable dressings changed at least every seven days?


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8. For patients 18 years of age or older, is a chlorhexidine-impregnated dressing used, with an FDA-cleared label specifying a clinical indication for reducing CLABSI for short-term non-tunneled catheters unless the facility is demonstrating success at preventing CLABSI with baseline prevention practices?


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9. Are administration sets for continuous infusions changed no more frequently than every four or at least every seven days?


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10. If blood or blood products or fat emulsions are administered, is tubing changed every 24 hours?


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11. If propofol is administered, is the tubing changed every 6-12 hours?


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12. Are unnecessary central lines promptly removed?


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13. Did the team perform daily audits to assess whether each central line is still needed?


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For Healthcare Organizations

1. Is healthcare personnel educated about indications for central lines, proper procedures for insertion and maintenance, and appropriate infection prevention measures?


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2. Are personnel designated who demonstrate competency for the insertion and maintenance of central lines?


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3. Is knowledge of and adherence to guidelines for all personnel involved in the insertion and maintenance of central lines periodically assessed?


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4. Is a checklist provided to clinicians to ensure adherence to aseptic insertion practices?


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5. Are personnel reeducated at regular intervals about central line insertion, handling, and maintenance, and whenever related policies, procedures, supplies, or equipment changes?


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6. Are staff empowered to stop non-emergent insertion if proper procedures are not followed?


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7. Is efficient access to supplies for central line insertion and maintenance ensured (i.e., creating a bundle with all needed supplies)?


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8. Are hospital-specific or collaborative-based performance measures used to ensure compliance with recommended practices?


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Supplemental Strategies

1. Are antimicrobial/antiseptic-impregnated catheters used?


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2. Are antiseptic-impregnated caps used for access ports?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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