Summary of infection-prevention practices

• Always use aseptic technique when inserting, exchanging, or removing any intravascular catheter. Maintain a sterile field and sterile technique throughout the procedure.
• Perform hand hygiene with an alcohol-based sanitizer or with antiseptic soap prior to catheter insertion or manipulation and after removing/changing gloves. The use of gloves does not negate performing hand hygiene.
• When inserting or exchanging an intravascular catheter, wear mask, head cover, gown, and sterile gloves. Cover the patient with a large sterile drape during the insertion procedure.
• Thoroughly prep the skin at the CVC insertion site before incision. Apply an antiseptic containing 2%–4% chlorhexidine gluconate to the skin and allow it to dry.
• Apply either gauze or a transparent sterile dressing to the catheter site after insertion. A transparent dressing allows for easy assessment of the site and less manipulation.
• Disinfect catheter hubs, injection ports, and needleless connectors, “scrubbing” with a chlorhexidine antiseptic or 70% alcohol solution prior to accessing.
• Every day, assess the patient with an intravascular catheter to determine the continued need for the device. Remove the catheter when it is no longer medically indicated.