Комплаенс медицинских учреждений Пунктов: 15

Central Line-Associated Bloodstream Infection (CLABSI) Bundle Audit

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Observation-based audit of central line insertion and maintenance bundle compliance to prevent central line-associated bloodstream infections.

CDC/HICPAC Intravascular Catheter GuidelineNHSN CLABSIIHI Central Line Bundle

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Insertion Bundle

Was hand hygiene performed immediately before catheter insertion? *
Were maximal sterile barrier precautions used (cap, mask, sterile gown, sterile gloves, full-body drape)? *
Was the skin prepped with a >0.5% chlorhexidine/alcohol preparation and allowed to dry? *
Was the subclavian site preferred over femoral for non-tunneled catheters in adults when feasible? *
Was a central line insertion checklist completed with an empowered observer able to stop the procedure? *

Is the daily necessity of the central line assessed and documented, with prompt removal when no longer needed? *
Are catheter hubs, needleless connectors, and injection ports scrubbed before each access? *
Are transparent dressings changed every 7 days (or sooner if soiled/loose) and gauze every 2 days? *
Is a chlorhexidine-impregnated dressing or sponge used at the insertion site where indicated?

Are CLABSI events identified and reported using the current NHSN surveillance definitions? *
Is the standardized infection ratio (SIR) tracked and reviewed by unit? *
Is a root-cause analysis or apparent-cause review completed for each CLABSI? *

Are staff who insert or maintain central lines trained and competency-assessed on the bundle? *
Is patient/family education on central line care provided where appropriate?
Is bundle compliance feedback provided to frontline staff on a regular basis? *

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