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Central line care checklist

Assessment

Verify placement of central line using x-ray

Assess insertion site for signs of infection or inflammation

Check dressing for integrity and cleanliness

Assess patient for signs of central line associated bloodstream infection (CLABSI)

Maintenance

Change dressing every 48-72 hours or per facility policy

Remove old dressing
Clean insertion site with antiseptic solution
Apply new sterile dressing

Use aseptic technique when accessing central line

Wash hands thoroughly
Wear sterile gloves
Clean access port with alcohol swab before use

Flush central line with prescribed solution before and after each use

Gather necessary supplies
Attach syringe with prescribed solution to access port
Flush line with solution using push-pause method

Change tubing and caps per facility policy

Follow facility guidelines for frequency of tubing changes
Disconnect old tubing and caps
Connect new tubing and caps using aseptic technique

Monitoring

Monitor central line for signs of malfunction or dislodgement

Monitor patient for signs of complications such as air embolism or thrombosis

Document all central line care and assessments in patient's chart

Monitor patient's lab values for signs of infection or other complications

Education

Educate patient and family on signs and symptoms of central line complications

Teach patient and family proper hand hygiene techniques

Instruct patient and family on how to care for central line at home, if applicable

Provide resources for patient and family to reference for central line care instructions

Troubleshooting

If central line is not functioning properly, troubleshoot potential causes

Notify healthcare provider if central line complications arise

Follow facility protocol for managing central line complications

Document all troubleshooting and interventions in patient's chart

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