Maintenance and Removal of Central Venous Catheters
Maintenance and Removal of Central Venous Catheters
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Presenter
Karen Jones, RN, MPH, CIC
Clinical Research Project Coordinator University of Michigan
Contributions by Vineet Chopra, MD, MSc
University of Michigan
Kristi Felix, RN, BSN, CRRN, CIC, FAPIC
Madonna Rehabilitation Hospital
Len Mermel, DO, ScM, AM (Hon)
Medical School of Brown University
Russ Olmsted, MPH, CIC, FAPIC
Trinity Health, Livonia MI
Payal Patel, MD, MPH
University of Michigan
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Learning Objectives
? Discuss components of the central venous catheter (CVC) maintenance bundle
? Outline issues to address during the transition of care of a patient with a CVC
? Describe strategies to promote the removal of unnecessary CVCs
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Impact of Infection
? CLABSIs result in increased mortality and health care costs
? Of all healthcare-associated infections, CLABSIs cause the highest number of preventable deaths
? 65%-70% of CLABSIs can be prevented by implementing evidence-based practices
(APIC Implementation Guide: Guide to Preventing Central Line-Associated Bloodstream Infections, APIC, 2015)
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Targeting Maintenance and Removal
Standardize CVC maintenance care where possible Maintain awareness of CVCs that are in place Remove CVC when no longer necessary
(Meddings J, Saint S. Disrupting the life cycle of the urinary catheter. Clin Infect Dis. 2011;52(11):1291-3. PMID: 21596672)
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