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CENTRAL VENOUS OR ARTERIAL LINE INSERTION CHECKLIST and PROCEDURE RECORD Date of Insertion (YYY/MM/DD): Time of Insertion: Procedural Steps on the back page have been reviewed and followed: c Yes
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01
Gather necessary equipment: Gather the necessary supplies, which may include a central venous catheter or arterial line kit, sterile gloves, antiseptic solution, dressings, syringes, and medication if needed.
02
Prepare the patient: Position the patient appropriately for the procedure. This may involve placing the patient in a supine or semi-Fowler's position, depending on the site being accessed.
03
Verify patient identity and consent: Before proceeding, ensure you have correctly identified the patient and obtained informed consent for the procedure.
04
Select the appropriate insertion site: Determine the appropriate insertion site based on the patient's condition and the purpose of the central venous or arterial line. Common sites include the internal jugular, subclavian, or femoral veins for central venous access, and the radial or femoral arteries for arterial access.
05
Perform hand hygiene and don personal protective equipment: Wash your hands thoroughly with soap and water or use an alcohol-based hand sanitizer. Don sterile gloves, a mask, and a gown to maintain a sterile environment.
06
Prepare the insertion site: Cleanse the chosen insertion site with an antiseptic solution using sterile technique. Allow the solution to dry before proceeding.
07
Administer local anesthesia: Use local anesthesia at the insertion site to minimize discomfort for the patient. Ensure you follow appropriate medication administration guidelines and allow sufficient time for the anesthesia to take effect.
08
Insert the catheter or line: Use aseptic technique to insert the central venous catheter or arterial line into the chosen vessel. Follow specific guidelines for the type of catheter or line being used.
09
Secure the catheter or line: Once the catheter or line is successfully inserted, secure it in place using appropriate techniques, such as sutures, securement devices, or adhesive dressings. Ensure the catheter or line is well-taped and does not exert tension on the insertion site.
10
Connect and flush the line: Attach extension tubing, if necessary, and connect the central venous or arterial line to the appropriate monitoring or infusion devices. Flush the line with normal saline or an appropriate solution to ensure proper patency and remove any air bubbles.
Who needs central venous or arterial?
01
Patients in critical care settings: Central venous or arterial access is often necessary for patients in critical care settings, such as intensive care units, where close monitoring, frequent blood sampling, or administration of vasoactive medications is required.
02
Patients undergoing surgery: Surgical procedures often require central venous or arterial access to monitor blood pressure, administer fluids or medications during the procedure, and ensure appropriate vascular access during anesthesia.
03
Patients needing long-term medication administration or nutrition support: Certain conditions may require long-term administration of medications, parenteral nutrition, or chemotherapy, which may necessitate the use of a central venous line for safer and more efficient delivery.
04
Patients with difficult peripheral venous access: Some patients may have challenging peripheral venous access due to factors such as obesity, frequent venipunctures, or limited peripheral vasculature. In such cases, central venous or arterial access may be necessary to provide reliable vascular access.
05
Monitoring specific disease conditions: Certain medical conditions, such as severe sepsis, cardiac emergencies, or organ failure, may require continuous monitoring of central venous pressure, arterial blood pressure, or blood gases. Central venous or arterial access allows for accurate measurement and assessment in these situations.
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What is central venous or arterial?
Central venous or arterial access is a method of gaining access to the bloodstream for the purpose of intravenous therapy or blood sampling.
Who is required to file central venous or arterial?
Healthcare professionals such as doctors, nurses, and other medical staff are required to file central venous or arterial.
How to fill out central venous or arterial?
Central venous or arterial can be filled out by documenting the specific details of the procedure, including the date, location, and reason for access.
What is the purpose of central venous or arterial?
The purpose of central venous or arterial is to provide a reliable and safe method of accessing the bloodstream for medical treatment.
What information must be reported on central venous or arterial?
Information such as the type of access used, any complications encountered, and the effectiveness of the access must be reported on central venous or arterial.
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