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Cindybr76
Central Venous Catheter Insertion Checklist

 Question regarding Central Venour Catheter Insertion Checklist.  Is the checklist you are currently using built in to your EMR?  Does anyone have a sample of there checklist that hits the requirements of Joint Commission.  We are looking ar revising ours.  Any help is greatly appreciated.

Cindy

Chris Cavanaugh
Arrow includes in their kits

ARROW includes a CVC insertion checklist in thier CVC and PICC kits.  It is based on the IHI guidelines and the CA CLIP form, very comprehensive.  The checklist should be completed during the insertion, so if you are to include it in your EMR, you would need to access your computer during your procedure, or print it out to review during the procedure.   A checklist is supposed to remind the inserters and assistants of steps to follow for sterile insertion.  Completing it after the fact defeats this purpose.

Chris Cavanaugh, RN, BSN, CRNI, VA-BC

lynncrni
 The 2014 SHEA Compendium

 The 2014 SHEA Compendium CLABSI chapter states that all checklist must be completed by someone other than the inserter. As Chris said, it must also be done during the procedure, not after.  Lynn

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

JackDCD
Observer

If that is an official ruling...then what happens with the one man Vascular Access Teams?.....It just is not practical to expect a staff nurse on the floor to stop what they are doing and come into the room while you insert a PICC. I know it's easy to say.."Well they will have to"...but I can assure you...they won't. So, if they are unable to drop everything and stay with you during the procedure, what is the logical workaround?

 

Jack Diemer VA-BC

lynncrni
 I have always thought that

 I have always thought that any CVAD insertion, PICC included, requires 2 people - one to do the procedure and one to take care of the patient's needs during the procedure. This does not need to be another PICC inserter. I know of many teams that use a trained assistant to do these tasks including completion of the checklist. You can never observe yourself and completion of the checklist after the procedure defeats the purpose of it. All standards and guidelines are voluntary. There is no mandate that they be followed. However, these documents are used by all QI processes to measure your performance and they are always used in a lawsuit to measure what you did or did not do. Lynn

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Gina Ward
 

 

so, this  checklist needs to become a part of the chart then?  Or.....  if there is a checklist ( in the computer charting of line insertion  )  that includes the line insertion bundles  can the inserter then check off all as met  and document who observed?? and the paper checklist becomes just a tool utilized during insertion.  Maybe keep the checklist for performance improvement  data?

 

What about when the inserter does contaminate gloves or a supply and stops the procedure and remedies the situation?  does that event need to be documented or since it was corrected and sterility maintained all is checked off as met?

Thanks, Gina

   

Gina Ward R.N., VA-BC

PICCNurse
CVC Insertion Checklist

Cindy - I believe all manufactures have a check list. check with your sales Rep.

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