Bundle for Preventing Central Line Infection

DateShift M E N M E N M E N MFollow proper insertion practices Perform hand hygiene before insertion

Perform skin antisepsis with >0.5% chlorhexidine with alcohol

Choose the best site to minimize infections andmechanical complications

o Avoid femoral site in adult patients

Handle & Maintain central lines properly Comply with hand hygiene requirements

Access catheters only with sterile devices

Replace dressings that are wet, soiled, or dislodged

Perform dressing changes under aseptic technique using clean or sterile gloves

Supplemental strategies for consideration:

2% Chlorhexidine bathing

Antimicrobial/Antiseptic impregnated catheters

Chlorhexidineimpregnated dressings

Patient Name : UID / IPD N o. : Age / Sex : Consultant : Department :

Use maximal sterile barrier precautions (i.e., mask, cap, gown, sterile gloves, and sterile fullbody drape)

Cover the site with sterile gauze or sterile, transparent, semipermeable dressings Handle and maintain central lines appropriately

Signature of Staff / ICN

Bundle for Preventing Central Line Infection

E N M E NFollow proper insertion practices

Handle & Maintain central lines properly

Supplemental strategies for consideration:

Patient Name : UID / IPD N o. : Age / Sex :

Phlebitis Scale

GradeDate

Canu

la C

hang

e (

Yes /

No)

Shift M E N M E N M E N M E NGrade 0 No symptomsGrade 1 Erythema at access site with / without pain

Grade 2

Grade 3

Grade 4

NAME / SIGNATUREAction Taken ( If required ) :

Pain at access site with erythema and / or oedemaPain at access site with erythema and / or oedema, streak formation, palpable venous cordPain at access site with erythema and / or oedema, streak formation, palpable venous cord greater than one inch in length & purulent drainage

Phlebitis Scale

M E N M E N

Action Taken ( If required ) :

Bundle for preventing catheter related infections

Date

Shift M E N M E N M E N M E N

Meatal hygiene has been performed?

Patient Name : Reg N o. : Age / Sex : Department :

Does patient still require indwelling urinary catheter? Remove if possible

Is the indwelling urinary catheter continuously connected to the drainage system and changed in line with manufacturers recommendations?

Is hand hygiene performed immediately prior to access or manipulation of the indwelling urinary catheter?

Is the drainage bag situated below the bladder level and the tap is not in contact with any surface e.g. floor?

Bundle for preventing catheter related infections

M E N

Patient Name : Reg N o. :

Ventilator Bundle Checklist

Patient Name Admission Date ...

Date and Time of Intubation Dade & Time Vvantilator off .

Age / Sex ... IPD NoHUID NoS.No Bundles Day-1 Day-2 Day-3 Day-4 Day-5

1 Head of bed 30-45 degree2 Daily Sedation Vacation

3 Daily Assessment of readiness to wean

4 Daily Spontaneous Breathing Trial

5

6

7 Oral hygiene(Mouth Care)

8 Signature of Evaluator

Ventilator Bundle Checklist

Patient Name Admission Date ...

Date and Time of Intubation Dade & Time Vvantilator off .

Age / Sex ... IPD NoHUID NoS.No Bundles Day-1 Day-2 Day-3 Day-4 Day-5

1 Head of bed 30-45 degree

2 Daily Sedation Vacation

3 Daily Assessment of readiness to wean

4 Daily Spontaneous Breathing Trial

5

6

7 Oral hygiene(Mouth Care)

PUD Prophylaxsis(Peptic Ulcer Disease)DVT Prophylaxis(Deep Vei nThrombosis)

PUD Prophylaxsis(Peptic Ulcer Disease)DVT Prophylaxis(Deep Vein Thrombosis)

8 Signature of Evaluator

Ventilator Bundle Checklist

Admission Date ...

Dade & Time Vvantilator off .

IPD NoHUID No Day-6 Day-7 Day-8

Ventilator Bundle Checklist

Admission Date ...

Dade & Time Vvantilator off .

IPD NoHUID No Day-6 Day-7 Day-8

CenterlinePhlebiticCathterVAP