Prevent Central Line Infection

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• Central Line Insertion Checklist
  Implementing a central line checklist at the time of insertion will help to ensure a reliable process.
• Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
  The Compendium distills current guidelines for the prevention of healthcare-associated infections and includes recommendations for implementation in the clinical setting, along with metrics and indicators of success.
• How-to Guide: Prevent Central Line-Associated Bloodstream Infection
  This How-to Guide describes key evidence-based care components of the IHI Central Line Bundle which has been linked to prevention of central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
• Implement the IHI Central Line Bundle
  The IHI Central Line Bundle is a series of interventions that helps to decrease the incidence of catheter-related bloodstream infections.

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• Changes to Prevent Healthcare-Associated Infections
  Organizations must test and implement changes to existing processes in order to prevent healthcare-associated infections (HAIs).
• IHI Central Line Bundle: Chlorhexidine Skin Antisepsis
  Ensure chlorhexidine skin antisepsis to prevent contamination of central line sites and bloodstream infections.
• IHI Central Line Bundle: Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
  Ensure daily review of line necessity with prompt removal of unnecessary lines to prevent bloodstream infections.
• IHI Central Line Bundle: Hand Hygiene
  Ensure adequate hand hygiene to prevent contamination of central line sites and bloodstream infections.
• IHI Central Line Bundle: Maximal Barrier Precautions Upon Insertion
  Ensure application of maximal barrier precautions to prevent contamination of central line sites and bloodstream infections.
• IHI Central Line Bundle: Optimal Catheter Site Selection, with Avoidance of the Femoral Vein for Central Venous Access in Adult Patients
  Whenever possible, and not contraindicated, the femoral site should be avoided and the subclavian line site should be preferred over the jugular and femoral sites for non-tunneled catheters in adult patients to reduce the likelihood of infectious complications.
• Implement the IHI Central Line Bundle
  The IHI Central Line Bundle is a series of interventions that helps to decrease the incidence of catheter-related bloodstream infections.

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• Central Line Bundle Compliance
  The compliance measure is an assessment of how well the team is adhering to the entire Central Line Bundle, not just parts of the bundle.
• Central Line Catheter-Related Bloodstream Infection (CR-BSI) Rate per 1,000 Central-Line Days
  The catheter-related bloodstream infection rate is defined as the number of central line catheter-related blood stream infections per 1,000 central line days.
• Measures: Prevent Central Line Infection
  Care teams should measure each of the evidence-based interventions recommended by the How-to Guide: Prevent Central Line Infection.

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• Scrub the Hub: Example Posters
  
  These example posters are used to remind staff to scrub the hub of a central line prior to accessing the line to instill medications or draw blood, in an effort to reduce potential central line-associate bloodstream infections.
• Central Line Insertion Checklist
  
  Implementing a central line checklist at the time of insertion will help to ensure a reliable process.
• Patient Guides on Healthcare-Associated Infections
  
  These fact sheets for patients and families provide answers to frequently asked questions about various healthcare-associated infections.
• Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
  
  The Compendium distills current guidelines for the prevention of healthcare-associated infections and includes recommendations for implementation in the clinical setting, along with metrics and indicators of success.
• How-to Guide: Prevent Central Line-Associated Bloodstream Infection
  
  This How-to Guide describes key evidence-based care components of the IHI Central Line Bundle which has been linked to prevention of central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
• How-to Guide: Prevent Central Line-Associated Bloodstream Infection (Pediatric Supplement)
  
  This How-to Guide is specifically tailored for pediatrics and describes key evidence-based care components for preventing central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
• How-to Guide: Prevent Central Line-Associated Bloodstream Infection (Rural Hospital Supplement)
  
  This How-to Guide is specifically tailored for rural hospitals and describes key evidence-based care components for preventing central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
• Central Line Insertion Care Team Checklist
  
  Care teams can use this checklist to work together to decrease patient harm from catheter-related bloodstream infections.