As we know that Joint Commission requires a CVC insertion checklist. Is this required for CVC placed in Interventional Radiology or just for CVC placed at the bedside ? We have difference of opinion at our facility :). Any info would be great.
Cindy
As we know that Joint Commission requires a CVC insertion checklist. Is this required for CVC placed in Interventional Radiology or just for CVC placed at the bedside ? We have difference of opinion at our facility :). Any info would be great.
Cindy
The following statement comes from IHI web site. "Implementing a central line checklist at the time of insertion will help to ensure that all processes related to central line placement are executed for each line placement". At the time of placement in my mind is no matter where the "location" of that placement is. Here is the link.
http://www.ihi.org/resources/Pages/Tools/CentralLineInsertionChecklist.aspx
Valorie
Valorie Dunn,BSN, RN, CRNI, PLNC
Thanks Valorie, I used your link and when I open the cetnral line insertion check list it it has documentational procedure in the CCU. We place them in our OR and IR as well as in our PICU. Our facility is saying the OR doesn't have to do it since they have there own documentation but so does IR and both have to maintain a sterile field. I think if one area needs to do them then all areas need to. If surgery doesn't then IR shouldn't since they are both doing the same documentation and time out at beginning of the each case. Thanks Cindy
Cindy Brown RN BSN CPN
IV Nurse Educator/Clinician
No difference in the location within the facility or the professional placing it or the type of CVAD. Checklist should be use for every CVAD insertion and be completed by someone other than the inserter according to the 2014 SHEA Compendium chapter on CLABSI. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
As Lynn and others have stated, the CLABSI checklist is required in any location. If you need more, take a look at the Joint Commission's Checklist Template. http://www.jointcommission.org/assets/1/6/clabsi_toolkit_tool_3-17_centr... I love that Lynn mentioned the requirement for an "Empowered Observer" who is responsible for monitoring the sterile field and technique. The Empowered Observer can stop the procedure if an error in technique or the field is contaminated.
R. Terry Jones, RN, CRNI, VA-BC
Memorial Hermann Northeast Hospital
Humble, Texas
Cindy, If you look at the top of the Joint Commission Checklist Template it shows all areas:
Date: _______________ Start time: ___________ End time: ___________
Procedure Location: (Operating Room / Radiology / Intensive Care Unit / Other: ______________)
Person Inserting Line: ______________________________ Person Completing Form: __________________________
Catheter Type: (Dialysis / Tunneled / Non-tunneled / Implanted / Non-implanted / Peripherally Inserted Central Catheter)
Impregnated: (Yes/No) ________ Number of Lumens: (1, 2, 3, 4) ________ Catheter Lot Number: __________________
Insertion Site: (Jugular / Chest / Subclavian / Femoral / Scalp / Umbilical) ________ Side of Body: (Left / Right) _________
Here are additional references:
American Society of Anesthesiologists. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology.2012;116(3):539-73.
The Joint Commission. Preventing Central Line–Associated Bloodstream Infections: A Global Challenge, A Global Perspective. Joint Commission Resources. May 2012. http://www.jointcommission.org/assets/1/18/clabsi_monograph.pdf . Accessed on Feb. 17, 2015
Center for Disease Control and Prevention. Checklist for Prevention of Central Line Associated Blood Stream Infections.2011. http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf. Accessed on December 17, 2014.
Waleed M, Begum Z, Abdulla D, et al. Central line-associated bloodstream infection in a trauma intensive care unit: Impact of implementation of Society of Healthcare Epidemiology of America/Infectious Disease Society of America practice guidelines. American Journal of Infection Control.2014; 42; 865-7.
Hope this is helpful in your goal of excellence.
R. Terry Jones, RN, CRNI, VA-BC
Memorial Hermann Northeast Hospital
Humble, Texas