PROCEDURE 69 • Understanding of the principles of aseptic technique is needed. • Knowledge of the signs and symptoms of catheter-related infection and sepsis is necessary. • Most serious catheter-related infections are associated with central venous catheters (CVCs), especially those that are placed in the intensive care setting.7 • Bloodstream infections related to the use of CVCs are an important cause of patient morbidity, mortality, and increased healthcare costs.2 • Topical antibiotic ointment or creams are not recommended on the catheter insertion site. The use of antibiotic ointment or cream can potentially promote fungal infections and antimicrobial resistance.7,8 • Nonsterile and sterile gloves • Transparent dressing or sterile 4 × 4 gauze • Prepackaged sterile dressing kit (may include some of the above items) • Antiseptic solution (e.g., 2% chlorhexidine based) Additional equipment as needed includes the following: • Explain the dressing change procedure. • Explain the importance of patient positioning during the dressing change.
Central Venous Catheter Site Care
PREREQUISITE NURSING KNOWLEDGE
EQUIPMENT
PATIENT AND FAMILY EDUCATION
Rationale: Explanation prepares the patient and decreases patient anxiety.
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69: Central Venous Catheter Site Care
