Use of Central Line Insertion Checklist CareGroup Portal使用中央线插入检查治疗组患者门静脉.pptVIP

Use of Central Line Insertion Checklist Mount Auburn Hospital MAH Central Line Insertion Program Line placement teams include an observer who watches for breaches in aseptic technique and stops the procedure if one occurs All team members are empowered to stop the procedure if aseptic technique is broken Use of a standardized kit with all components required to comply with known infection prevention practices will be available Use of a check list for use during placement of all central lines that highlights aseptic technique requirements Documentation of compliance with aseptic technique by placement of checklist in medical record Handoff procedure to highlight when line placed under less than ideal conditions i.e. no monitor present to complete checklist (line must be discontinued within 24 hours of insertion) Procedure for Using Checklist Coordinate time for line placement with patient’s nurse or other designated monitor Confirm consent present Complete “Time Out/Universal Protocol” per MAH policy Observer: Observe sterile technique during set up and placement of central line Observer: Complete the central line insertion checklist MD and RN sign completed checklist Courtesy and team work is expected and required from all members of the team Who is the Observer Any RN can be an observer. The observer watches for breaches in the aseptic technique and stops the procedure if one occurs. The observer educates the patient on the process and what to expect. Talking with the MD I am working with you to make sure that we maintain sterile technique throughout the procedure. The things I will be looking for are that: ? youve used hand sanitizer (Cal Stat) or antimicrobial soap just before the procedure ? youve disinfected the site with chlorhexidine, ? the patient is draped from head to toe and that everyone involved in the procedure are wearing cap, sterile gown and gloves, and protective gear (faceshield) ? the line is flushed and capped before the drapes are