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Crosby - Checklists & bundles

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Academic year: 2021

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(1)

Ideal Intravascular Access

Checklists?

(2)

The Checklist Manifesto

•  Simple Checklist help eliminate mistakes

ü  Identifies and outlines necessary steps

(3)

Possibly

(4)
(5)
(6)

BUT…other technology

u  Open systems (manifolds and stopcocks) to closed systems

u  Needle-free connectors

u  Postive vs Negative

u  Caps

u  Disinfectant (alcohol)

u  Securement

u  Secure-a-Cath

u  Antimicrobial Lock Solutions

(7)
(8)

Ideal – both CVC and Peripheral

u  TRANINED personnel

u  Maximal Sterile Barriers (YES, even for Peripheral Cannulation) u  Skin Antisepsis (Chlorhexidine-Alcohol)

u  Medicinal Drug registration (not a biocide) u  Choice of site

u  CVC (subclavian, jugular, femoral)

u  PVC (with extension set) u  Needle-less free connector

u  Closed system is the ideal u  Securement

u  Many dressing and devices (what is appropriate for your patient) u  Single-dose, sterile medications

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