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Central Venous Line Insertion ChecklistPre-ProcedureConfirm hand hygieneFill out Universal Protocol Checklist and verify consentReview current labs and medications before time outGather correct line tray and sterile suppliesSet up Pressure Transducer System to verify any central line placementPerform a time-out with Burn Attending presentMD/RN Prepare ultrasound for line placement with sterile coverLine inserter to wear: cap, mask, sterile gown/gloves, eye protectionAssistant to wear: cap, mask, non-sterile glovesCheck patient position before prep and drapeChlorhexidine prep with proper technique Drape in sterile fashionDuring ProcedureMaintain sterile field**Obtain qualified second operator after 3 unsuccessful attemptsAspirate blood from each lumen, connect transducer and then flushVerify placement with two view ultrasound(After guidewire placement, prior to dilation)Ask MD if IV extension or angiocath is needed for pre-dilation CVP assessmentVerify placement with CVP transductionPost-ProcedureObtain x-ray for Subclavian or Internal Jugular placement, Abd x-ray for peds.Clean site with chlorhexidine and allow to dry for 2 minutesApply sterile dressing with labelas appropriateDocument procedure**Watch for: loss of adhesion to drape and if it moves, contamination when spreading full drape, glove contamination, guide wire contamination, contamination of field by assistant, etc. ................
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