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> Steps for Central venous Access insertion
Steps for Central venous Access insertion
Pre-procedure Preparation
Verify patient identity and consent
Gather necessary supplies
Position patient in Trendelenburg position
Procedure Steps
Clean insertion site with chlorhexidine
Administer local anesthesia
Insert needle into vein
Confirm venous blood return
Thread guidewire through needle
Remove needle and dilate tract
Insert catheter over guidewire
Secure catheter in place
Connect catheter to appropriate tubing
Post-procedure Care
Apply sterile dressing
Confirm proper catheter placement with X-ray
Document procedure in patient's chart
Educate patient on care of central line
Complications
Monitor for signs of infection
Monitor for signs of thrombosis
Monitor for signs of catheter malfunction
Promptly address any complications that arise
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