PowerPoint Presentation
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NEONATAL CENTRAL LINE BUNDLE.
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LEARNING OBJECTIVES. Recognize the different types of central lines.
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A central line bundle is a group of evidenced-based intervention for central line insertion and maintenance to prevent central line associated blood stream infection (CLABSI).
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Daily Review of Line Necessity. CENTRAL LINE BUNDLE COMPONENTS.
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INDICATIONS FOR CENTRAL VENOUS ACCESS. TPN and Intravenous Therapy Long-term Antibiotic Therapy Hemodynamic Monitoring (Arterial BP) Frequent Blood Sampling Blood Transfusion Difficulty with Peripheral access Emergency Situations (Resuscitation/Codes).
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Provides access to the umbilical arteries that are used to draw blood or to monitor blood pressure.
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LINE INSERTION BUNDLES. 1. 2. 3. Establish a central line cart.
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LINE INSERTION BUNDLES. 4. 5. Disinfect skin: UAC/UVC - Povidone Iodine PICC - Chlorhexidine 2% and Isoprophyl Alcohol 70%.
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MAINTENANCE BUNDLES. 1. 2. Perform hand hygiene before and after accessing the catheter ports.
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MAINTENANCE BUNDLES. 4. 5. If PICC line dressing is damp, soiled, or loose, notify CN and reinforce the dressing until the PICC RN is available to change the dressing.
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MAINTENANCE BUNDLES. 7. 8. Daily review of catheter necessity, and prompt removal if no longer needed.
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MEDICATION ADMINISTRATION. 1. 2. Utilize the eight rights of medication before administration of medication.
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MEDICATION ADMINISTRATION. 5. 6. Use new syringe of flush after administering medication.
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Thumbs up sign outline. Thumbs up sign outline. PICC DRESSING.
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ESCALATION. PICC COMPLICATIONS. NURSING INTERVENTIONS.
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LDA DOCUMENTATION. Use maximal barrier precaution: sterile gown and gloves, surgical mask, hat, and large sterile drapes.
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LDA PROPERTIES DOCUMENTATION. Use maximal barrier precaution: sterile gown and gloves, surgical mask, hat, and large sterile drapes.
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STOP THE LINE. All workforce members are empowered to the line if non-compliance with a RED RULE is observed. Stopping the line means that the concern must be fully addressed before proceeding with any healthcare procedures If any safety concern persist, the workforce member is obligated to escalate the issue to leadership.
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CLABSI MAINTENANCE AUDIT. Use maximal barrier precaution: sterile gown and gloves, surgical mask, hat, and large sterile drapes.
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REFERENCES. The Joint Commission. Preventing Central Line—Associated Bloodstream Infections: Useful Tools, An International Perspective Nov 20, 2013. Accessed [8/3/15]. http : / (www.j ointcommission.org/CLABSIToolki. "Statewide NICU Central-Line-Associated Bloodstream Infection Rates Decline After Bundles and Checklists." American Academy of Pediatrics, 10 Dec. 2010. Web. 3 Aug. http:((pediatrics.aappublications.org/content(127/3/436.full.pdf. 2015. "Umbilical Catheter Blood Specimen Collection." Umbilical Catheter Blood Specimen Collection. 1 May 2012. Web. 18 Aug. 2015. <http://www.slideshare.net/wcmc/umbilical- catheter-blood-specimen-collection>. "Medworxx Intranet." Medworxx Intranet. BC Women's Hospital and Health Centre, 18 Féb.GGSÄ&eb. 18 Aug. 2015. bccwhcms.medworxx.com Site Published bcw document render.a x?docum entRender.IdType=29&documentRender.GenericField=1&documentRender.I Walsh, K. "Blood Sampling through a Central Venous Access Device (Closed System): Pediatric Patient." Nursinq Reference Center. EBSCO Host, 24 Dec. 2014. Web. 19 Aug. <http:Ldweb.a.ebscohost.com/nrc/pdf?sid=52411fac-frfd-4dfe-9899- 2015• C. "Umbilical Catheter Placement and Care: Performing." Nursing Reference Center. EBSCOhost, 13 Sept. 2013. Web. 20 Aug. 2015. <http:(/T3ÄGÜohost.com/nrc.