Aseptic Technique
Chlorhexidine skin antisepsis has been proven to provide better skin antisepsis than other antiseptic agents such as povidone-iodine solutions.
Step 1Prepare skin with antiseptic/detergent chlorhexidine 2% in 70% isopropyl alcohol.
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Step 2Pinch wings on the chlorhexidine applicator to break open the ampule (when ampule is included). Hold the applicator down to allow the solution to saturate the pad.
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Step 3Press sponge against skin, and apply chlorhexidine solution using a back-and-forth friction scrub for at least 30 seconds. Do not wipe or blot.
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Step 4Allow antiseptic solution time to dry completely before puncturing the site (~ 2 minutes). 7
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- Ceballos, K., Waterman, K., Hulett, T., & Makic, M. F. (2013). Nurse-driven quality improvement interventions to reduce hospital acquired infection in the NICU [Continuing Education]. Advances in Neonatal Care, 13(3), 154-163. http://dx.doi.org/10.1097/ANC.0b013e318285fe70
- Doellman, D. (2012, Fall). The litigation environment for central line-associated bloodstream infections: Hospitals face greater risk when they fail to follow standards of care. Journal of Legal Nurse Consulting, 24(2), 31-34. Retrieved from http://www.aalnc.org
- Jeong, I. S., Park, S. M., Lee, J. M., Song, J. Y., & Lee, S. J. (2013, February 5). Effect of central line bundle on central line-associated bloodstream infections in intensive care units. American Journal of Infection Control, 41(8), 710-716. http://dx.doi.org/10.1016/j.ajic.2012.10.010
- O’Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., ... Saint, S. (2011). Guidelines for the prevention of intravascular catheter-related infections. Retrieved from http://www.cdc.gov/hicpac/BSI/BSI-guidelines-2011.html
- Williams, D. W. (2015, January/February). Use of a policy-driven education program to reduce central line-associated bloodstream infection rates. Journal of Infusion Nursing, 38(1), 63-68. http://dx.doi.org/10.1097/NAN.0000000000000076
- How-to Guide: Prevent Central Line-Associated Bloodstream Infections (CLABSI). Cambridge, MA: Institute for Healthcare Improvement; 2012. (Available at www.ihi.org)
- https://www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf
- Adapted from US Centers for Disease Control and Prevention. National Healthcare Safety Network. DeviceAssociated (DA) Module. Protocol and Instructions: Central Line– Associated Bloodstream Infections (CLABSI) Event. Jan 2012. Accessed Mar 20, 2012. http://www.cdc.gov/nhsn/PDFs /pscManual/4PSC_CLABScurrent.pdf.