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?


Photo Comment

2. Is the aseptic technique used during the procedure?


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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?


Photo Comment
Maintaining Central Lines

1. Did the staff comply with hand hygiene requirements?


Photo Comment

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


Photo Comment

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)?


Photo Comment

4. Are only sterile devices used to access catheters?


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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?


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

12. Are unnecessary central lines promptly removed?


Photo Comment

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


Photo Comment
For Healthcare Organizations

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment

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


Photo Comment
Supplemental Strategies

1. Are antimicrobial/antiseptic-impregnated catheters used?


Photo Comment

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


Photo Comment

Is this sample what you are looking for?
Sign up to use & customise this template, or create your own custom checklist:

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.

Seeing is Believing

Get a live demo customized to your unique needs, or get started with a 14-day FREE trial.