1. CVC Insertion
Prerequisites (checklist)
Organization
Patient installation
Preparation of the equipment
Actions before CVC insertion
CVC insertion
CVC fixation
Dressing
Patency test
X-ray to verify catheter tip location
2. Preparation of infusates and CVC manipulations
Prerequisites
Equipment
Disinfection
Infusate preparation
Patency test
Connecting the infusate
Disconnection
3. Dressing change
Indications
Preparation of the equipment
Preparation of sterile equipment
Patient installation
Dressing removal
Inspection of the exit site
Inspection of the catheter fixation
Disinfection of the exit site
Application of the new dressing
4. CVC removal
Indications for CVC removal
Preparation of the equipment
CVC removal
Application of the new dressing
5. Clinical surveillance and documentation
Clinical surveillance
Fever and blood culture sampling
Inspection of the exit site
CVC fixation
Patency test
Replacement of administration sets
CVC removal
Training
Central Venous Catheter (CVC)
Patient installation
To remember
Bed elevation is adjusted to the height of the healthcare worker
The head of the patient is turned away from the exit site
The risk for contamination at the point of care must be minimal