Get the free Central Line Bundle - tnpatientsafetycom

Central Line Bundle ICU/CCU MARCH 2010 Cynthia N. Thompson RN CEN, Director Emergency & Critical Care Services And Regina Byrd BSN, CORN Clinical Manager ICU/CCU and Dialysis Deming Methodology Problem

How to fill out central line bundle

How to fill out central line bundle:

1. Gather all the necessary supplies, including a central line insertion kit, sterile gloves, antiseptic solution, dressing materials, and a syringe with the appropriate medication or fluid.
2. Prepare the patient by explaining the procedure and obtaining informed consent. Ensure they are in a comfortable position and have proper lighting for the procedure.
3. Perform hand hygiene and put on sterile gloves. Cleanse the insertion site using an antiseptic solution, following the recommended procedure for skin preparation.
4. Assemble the central line insertion kit, ensuring all components are present and sterile. Open each component as needed during the procedure.
5. Carefully insert the central line using the recommended technique, while taking precautions to avoid any contamination or injury.
6. Secure the central line in place using the provided sutures or adhesive strips, making sure it is properly positioned and free from tension.
7. Attach the necessary tubing or connectors to the central line, ensuring a tight and secure fit. Flush the line as per guidelines with the recommended solution.
8. Apply a sterile dressing over the insertion site, ensuring it is sealed and covers the entire site adequately. Label the dressing with the date, time, and the name of the person who inserted the line.
9. Educate the patient and their caregivers on the care and maintenance of the central line, including signs of infection or complications that should be reported immediately.
10. Document the procedure in the patient's medical record, including the details of the central line insertion, any complications encountered, and the patient's response.

Who needs central line bundle:

1. Patients who require frequent or prolonged intravenous (IV) therapy, such as those receiving chemotherapy, total parenteral nutrition, or prolonged antibiotic therapy.
2. Patients with limited venous access who need medications or fluids delivered directly into a large central vein.
3. Critically ill patients in intensive care units who require continuous monitoring and frequent blood sampling.

It is important to note that the decision to use a central line should always be made by a healthcare professional based on individual patient needs and risk assessment.

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