Please help me with central line education

[CVICU RN 513, BSN]

Hi everyone,

I'm a 5 year CV nurse working on my clinical ladder project. I am awful at writing EBP material so I decided to make a poster of central line placement for regional orientation of new nurses. It'll be pretty basic showing the vessels and the route they take to the SVC. The "project" has to meet 3 objectives and then have evidence of each to support. My 1st thought is education of staff. 2nd CLABSI prevention- I'll show proper dressing with securement and biopatch in place. Then I don't know what else to say.

Please help and thanks for any input?

[offlabel]

Complications? Pneumothorax, arterial dilation, air embolism?

[Wuzzie]

Proper flush and maintenance of close vs open-ended catheters. This confuses people all of the time.

[Mavnurse17, BSN, RN]

Maybe trouble shooting the line? If you're unable to flush or keep getting occlusion alarms on a pump, maybe techniques you can use to clear the line before officially calling it occluded? Just spitballing ?

[NRSKarenRN, BSN, RN]

ICU FAQS website has excellent outline of Central Venous Lines (word document) to guide your presentation.

Search for "central line education for nurses" will lead you to hundreds of articles on topic; look for "Purpose and objectives" . Tailor items to fit your presentation.

Quote

Upon completion of the course, participants should be able to:
• Describe protective measures to guard against malpractice suits
• List reasons for use and advantages of central lines
• List veins used for central venous device placement and proper tip position
• Identify the various types of central lines
• Identify symptoms and prevention of complications
• Describe assessment criteria and documentation required for patients with central venous catheter.

• Understand Algorithm for Determining Essential and Non-Essential Central Venous Catheters
• Educate the client on the reason for and care of a venous access device
• Access venous access devices, including tunneled, implanted and central lines
• Understand Acessing Venous Access Devices, Including Tunneled, Implanted and Central Lines
• List types of IV fluids and medications that should only be administered via central venous catheter.

[Rosie_one]

Maybe when dressings and lumen changes are due routinely and when dressing soiled, coming off.

How long to wipe with alcohol wipe before accessing, approx 15 secs then allow to dry to reduce infections including clabsi.

Maybe a reasoning behind why some sites are chosen over others and highest risk for pnuemothorax also.

How to assess if in artery or in vein by mistake. Checking placement on cxr etc. Also what to do when suspect an infected line and sending tip for culture and how to do that.

Maybe even correct removal.