Pseudomonas NICU_CA

Form Approved
OMB No. 0920-1011
Exp. Date 03/31/2017

Appendix 3: Central line-associated bloodstream infection prevention checklist

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Checklist for Prevention of Central Line 
Associated Blood Stream Infections  
Based on 2011 CDC guideline for prevention of intravascular catheter-associated bloodstream infections:
http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf

For Clinicians: 
Promptly remove unnecessary central lines 

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Perform daily audits to assess whether each central line is still needed 

Follow proper insertion practices 

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Perform hand hygiene before insertion 
Adhere to aseptic technique  
Use maximal sterile barrier precautions (i.e., mask, cap, gown, sterile gloves, and sterile full­body drape) 
Perform skin antisepsis with >0.5% chlorhexidine with alcohol 
Choose the best site to minimize infections and mechanical complications 
o Avoid femoral site in adult patients 
Cover the site with sterile gauze or sterile, transparent, semipermeable dressings 

Handle and maintain central lines appropriately 

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Comply with hand hygiene requirements 
Scrub the access port or hub immediately prior to each use with an appropriate antiseptic (e.g., chlorhexidine, povidone 
iodine, an iodophor, or 70% alcohol) 
Access catheters only with sterile devices 
Replace dressings that are wet, soiled, or dislodged  
Perform dressing changes under aseptic technique using clean or sterile gloves 

For Facilities: 
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Empower staff to stop non­emergent insertion if proper procedures are not followed 
“Bundle” supplies (e.g., in a kit) to ensure items are readily available for use 
Provide the checklist above to clinicians, to ensure all insertion practices are followed 
Ensure efficient access to hand hygiene 
Monitor and provide prompt feedback for adherence to hand hygiene 
http://www.cdc.gov/handhygiene/Measurement.html 
Provide recurring education sessions on central line insertion, handling and maintenance 

Supplemental strategies for consideration: 
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2% Chlorhexidine bathing 
Antimicrobial/Antiseptic­impregnated catheters 
Chlorhexidine­impregnated dressings 

National Center for Emerging and Zoonotic Infectious Diseases 
Division of Healthcare Quality Promotion