References Canadian Patient Safety Institute: (2012). Prevent Central Line Infections. Getting Started Kit. Bashar Alzghoul, Ayoub Innabi, Aditya Chada, Ahmad R. Tarawneh, Krishna Kakkera, Khaled Khasawneh, "Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management", Case Reports in Critical Care, vol. 2017, Article ID 3218063, 6 pages, 2017. https://doi.org/10.1155/2017/3218063 Bowdle A. Vascular complications of central venous catheter placement: evidence-based methods for prevention and treatment. J Cardiothorac Vasc Anesth. 2014 Apr;28(2):358-68. doi: 10.1053/j.jvca.2013.02.027. Epub 2013 Sep 2. PMID: 24008166. Cho, Ho Bum MDa; Kim, Sang Hyun MDa; Yoo, Jae Hwa MDa; Gong, Hyung Youn MDb; Seo, Yong Han MDb; Park, Sun Young MDa; Chung, Ji Won MDa; Kim, Mun Gyu MDa; Chung, Jin Hun MDb; Kim, Sang Ho MD, PhDa,* Malfunction of a central venous multilumen access catheter caused by kinking, Medicine: July 2018 - Volume 97 - Issue 30 - p e11622 doi: 10.1097/MD.0000000000011622 David L.
Dornbos, Shahid M. Nimjee, Tony P. Smith. Inadvertent Arterial Placement of Central Venous Catheters: Systematic Review and Guidelines for Treatment, Hibbard, J., Mulberry, G., Brady, A. (2002). A clinical study comparing the skin antisepsis and safety of ChloralPrep, 70% Isopropyl Alcohol, and 2% Aqueous Chlorhexidine. Journal of Infusion Nursing. 25(4), 244-249. Hodzic, S., Golic, D., Smajic, J., Sijercic, S., Umihanic, S., & Umihanic, S. (2014). Complications Related to Insertion and Use of Central Venous Catheters (CVC). Medical archives (Sarajevo, Bosnia and Herzegovina), 68(5), 300–303. https://doi.org/10.5455/medarh.2014.68.300-303Tarja J. Karpanen PhD et al. 2016). Clinical evaluation of a chlorhexidine intravascular catheter Gibson, F., Bodenham, A. Misplaced central venous catheters: applied anatomy and practical management. British Journal of Anaesthesia, 2013, 110(3) 333-346. Ullman AJ, Cooke ML, Mitchell M, Lin F, New K, Long DA, Mihala G, Rickard CM. Dressings and securement devices for central venous catheters (CVC). Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD010367. DOI: 10.1002/14651858.CD010367.pub2. When you change the central line dressing?Dressing changes for central lines should occur every 5 to 7 days with a transparent dressing or every two days with a gauze dressing. [9] However, if the dressing has a break in the seal or becomes visibly soiled, it should be changed.
What will the nurse do after removing the soiled dressing from a patient's Cvad device?Cleanse the site with soap and water.. Use 2% chlorhexidine swabs to cleanse the site.. Apply a skin protectant.. Remove the catheter stabilization device, if present.. Is a central line dressing change sterile?You will change your dressings in a sterile (very clean) way. Follow these steps: Wash your hands for 30 seconds with soap and water. Be sure to wash between your fingers and under your nails.
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