1. Empower nursing to enforce use of a central line checklist to be sure all processes related to central line placement are executed for each line placement.
2. Include hand hygiene as part of your checklist for central line placement.
3. Keep soap/alcohol-based handwashing dispensers prominently placed and make universal precautions equipment, such as gloves, only available near hand sanitation equipment.
4. Post signs at the entry and exits to the patient room as reminders.
5. Initiate a campaign using posters including photos of celebrated hospital doctors/employees recommending handwashing.
6. Create an environment where reminding each other about handwashing is encouraged.

7. Signs often become "invisible" after just a few days. Try to alter them weekly or monthly (color, shape size). [Submitted by Cynthia Valentine]

Central Line Insertion Checklist

Daily Goals Worksheet

How-to Guide: Improving Hand Hygiene