Central Venous Catheter Site Care
PREREQUISITE NURSING KNOWLEDGE
• Understanding of the principles of aseptic technique is needed.
• Knowledge of the signs and symptoms of catheter-related infection and sepsis is necessary.
• Most serious catheter-related infections are associated with central venous catheters (CVCs), especially those that are placed in the intensive care setting.7
• Bloodstream infections related to the use of CVCs are an important cause of patient morbidity, mortality, and increased healthcare costs.2
• Topical antibiotic ointment or creams are not recommended on the catheter insertion site. The use of antibiotic ointment or cream can potentially promote fungal infections and antimicrobial resistance.7,8
EQUIPMENT
PATIENT AND FAMILY EDUCATION
• Explain the dressing change procedure. Rationale: Explanation prepares the patient and decreases patient anxiety.
• Explain the importance of patient positioning during the dressing change. Rationale: