CLABSI Prevention Bundle Implementation
Key Points
- CLABSI prevention relies on consistent execution of core bundle elements.
- Core elements include hand hygiene, barrier precautions, optimal insertion-site selection, and daily review of line need.
- The bundle is evaluated with all-or-none completion.
- Daily necessity review is critical to reduce unnecessary central-line exposure.
Equipment
- Hand-hygiene supplies and sterile barrier kit
- Central-line insertion/maintenance checklist
- Daily line-necessity review documentation tool
Procedure Steps
- Perform hand hygiene before any central-line procedure or manipulation.
- Ensure maximal barrier precautions during insertion activities.
- Confirm optimal catheter site selection per policy and patient factors.
- Maintain aseptic line access technique during all handling.
- Complete daily review of line necessity with provider/team.
- Promptly escalate and remove line when no longer clinically indicated.
- Document completion of each bundle element using checklist format.
- Mark bundle complete only when all required elements are met.
Common Errors
- Skipping daily necessity review → prolonged line exposure risk.
- Inconsistent barrier practice → contamination risk increase.
- Partial checklist completion documented as complete → false adherence signal.
- Delayed line removal after indication ends → preventable CLABSI risk.
Related
- ihi-evidence-based-practice-bundles - All-or-none bundle implementation framework.
- ana-nursing-documentation-principles - Accurate checklist documentation standards.
- quality-assurance-and-donabedian-model-in-nursing-evaluation - QA monitoring for bundle adherence and outcomes.