Table 2. Adapted CDC Checklist for Prevention of CLABSI
a
(cont'd)
Insertion Maintenance
☐ Place a sterile gauze dressing or a
sterile, transparent, semipermeable
dressing over the insertion.
☐ For patients ≥18 years of age, use a
CHG-impregnated dressing with
an FDA cleared label that specifies
a clinical indication for reducing
CLABSI for short-term non-
tunneled catheters unless the facility
is demonstrating success at preventing
CLABSI with baseline prevention
practices.
a
☐ Immediately replace dressings that are wet,
soiled, or dislodged.
☐ Perform routine dressing changes using
aseptic technique with clean or sterile
gloves:
☐ Change gauze dressings at least every
2 days.
☐ Change semipermeable dressings at
least every 7 days.
☐ For patients ≥18 years of age, use a
chlorhexidine impregnated dressing with
an FDA cleared label that specifies a
clinical indication for reducing CLABSI
for short-term non-tunneled catheters
unless the facility is demonstrating success
at preventing CLABSI.
a
☐ Change administrations sets for
continuous infusions no more frequently
than every 4 days, but at least every 7 days.
☐ If blood or blood products or fat
emulsions are administered, change
tubing every 24 hours.
☐ If propofol is administered, change
tubing every 6-12 hours or when the
vial is changed.
☐ Perform daily audits to assess if central line
is still needed.
a
is is the complete CDC checklist. Some recommendations are different from those in this pocket
guide or are not pertinent because they are specific to older patients. e recommendations in this
pocket guide reflect the nuances of care in the NICU.
