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IVs are assessed every hour. Central line tubing and continuous drip tubing is changed (sterile procedure) every 5 days. Lipid and med tubing is changed (clean change) every day. We utilized tri-fuse extensions between the central line and the tubing. All unused ports and med line needle-less caps are capped with Curos alcohol caps, which are changed whenever the line is done being accessed.
Unfortunately, a few days after my initial post, we had our first CLABSI. Over 3000 central lines without a CLABSI.
On 5/3/2020 at 9:30 AM, NICU Guy said:IVs are assessed every hour. Central line tubing and continuous drip tubing is changed (sterile procedure) every 5 days. Lipid and med tubing is changed (clean change) every day. We utilized tri-fuse extensions between the central line and the tubing. All unused ports and med line needle-less caps are capped with Curos alcohol caps, which are changed whenever the line is done being accessed.
Unfortunately, a few days after my initial post, we had our first CLABSI. Over 3000 central lines without a CLABSI.
We do all those same things as well. I was a little harsh with saying 45 days. Our longest ever was 130 days, which we just had another one so we're back to 0. I wonder what the variance is.
NICU Guy, BSN, RN
4,161 Posts
I am happy to announce that my NICU has been able to go two years without a CLABSI. It is an amazing accomplishment.