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CLABSI Prevention Bundle Checklist
Section 1: CLABSI Prevention Bundle Checklist
1. 1. Is hand hygiene performed before insertion?
Yes
No
N/A
2. 2. Is the aseptic technique used during the procedure?
Yes
No
N/A
3. 3. Are maximal sterile barrier precautions used, including a mask, cap, gown, sterile gloves, and a sterile full-body drape?
Yes
No
N/A
4. 4. Is the best insertion site chosen to minimize infections and noninfectious complications based on individual patient characteristics?
Yes
No
N/A
5. 5. Is the femoral site in obese adult patients avoided?
Yes
No
N/A
6. 6. Is the insertion site prepared with >0.5% chlorhexidine with alcohol?
Yes
No
N/A
7. 7. Is a sterile gauze dressing or a sterile, transparent, semipermeable dressing placed over the insertion site?
Yes
No
N/A
8. 8. For patients 18 years of age or older, is a chlorhexidine-impregnated dressing used, with an FDA-cleared label specifying a clinical indication for reducing CLABSI for short-term non-tunneled catheters, unless the facility is demonstrating success at preventing CLABSI with baseline prevention practices?
Yes
No
N/A
9. 9. Did the staff comply with hand hygiene requirements?
Yes
No
N/A
10. 10. Are ICU patients over two months of age bathed daily with chlorhexidine preparation?
Yes
No
N/A
11. 11. Is the access port or hub scrubbed with friction immediately before each use with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol)?
Yes
No
N/A
12. 12. Are only sterile devices used to access catheters?
Yes
No
N/A
13. 13. Are dressings that are wet, soiled, or dislodged immediately replaced?
Yes
No
N/A
14. 14. Are routine dressing changes performed using an aseptic technique with clean or sterile gloves?
Yes
No
N/A
15. 15. Are gauze dressings changed at least every two days or are semi-permeable dressings changed at least every seven days?
Yes
No
N/A