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Prevention of Central Line-Associated Bloodstream Infections (CLABSI) in…
Prevention of Central Line-Associated Bloodstream Infections (CLABSI) in the Acute Care Setting
Risk Factors
Poor nurse staffing ratio
Site of insertion (i.e. femoral)
Prolonged insertion/hospital stay
Number of lumens- the greater the lumens, the more manipulation & chance of contamination
Poor caloric intake
https://www.cdc.gov/infectioncontrol/pdf/strive/CLABSI101-508.pdf
Immunocompromised Host
Nursing Intervention/Prevention
Proper PPE usage- mask, gown & sterile gloves for RN and mask for the patient
Avoid insertion into femoral vein especially for patients whom are immobile
Use of chlorhexidine as an antiseptic for skin prep & in the biopatch within the dressing (if permitted)
Discontinuation of CVL as soon as possible
Appropriate hand hygiene
https://www.ahrq.gov/hai/clabsi-tools/appendix-3.html
Identification of CLABSI
Vital Signs
Fever, tachycardia
Patient appearance
Pallor, fatigue, rigor
Insertion Site
Redness, swelling, drainage