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Prevention of Intravascular Catheter-Related Infections Guideline at a Glance (Nursing Practice Guideline)

Prevention of Intravascular Catheter-Related Infections Guideline at a Glance (Nursing Practice Guideline) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Nursing Practice Guidelines




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Guideline Title: Prevention of Intravascular Catheter-Related Infections
Effective Date: April 2017
Approved By: Nursing Practice Guidelines Committee; Nursing Practice Council

Statement of Review, March 2017
This externally adopted guideline, Guidelines for the Prevention of Intravascular Catheter-Related
Infections, authored by O’Grady, et al (2011) has been reviewed by UW Health’s internal content
experts and the Central Line Associated Blood Stream Infection (CLABSI) Reduction Workgroup.
This guideline remains the best available evidence to guide nursing practice related to the
insertion and maintenance of intravascular catheters. The Nursing Practice Guidelines Committee
and the Nursing Practice Council approve the continued use of this document. This guideline topic
will be reviewed again in March 2020 or sooner if new evidence becomes available.

I. Guideline Overview
This content is extracted from the adopted source document: O’Grady, N. P., Alexander, M.,
Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Healthcare Infection Control Practices
Advisory Committee (HICPAC), & et al. (2011). Guidelines for the prevention of intravascular
catheter-related infections. Please refer to the source guideline for complete information.

II. Pertinent Resources
A. UWHC Policy
• Policy 1.56AP Central Vascular Access Device Use, Maintenance and Removal (Adult &
Pediatric)
• Policy 1.11A Arterial Catheter/Insertion, Maintenance, Blood Drawing and
Discontinuation (Adult)
• Policy 1.14AP Invasive and Non-invasive Hemodynamic Monitoring
• Policy 1.23AP Continuous Peripheral Intravenous Therapy
• Policy 1.28AP Care of Hemodialysis/Apheresis Catheters
• Policy 1.55 A Midline Intravenous Peripheral Catheters: Use, Maintenance and
Removal (Adult)
• Policy 3.26 Arterial Puncture
• Policy 2.2.6 Blood and Blood Component Transfusion (Requiring Pre-Transfusion
Testing)
• Policy 11.11 Arterial Blood Specimen Drawing via Direct Radial Artery Puncture
• Policy 1507.P014 Blood Culture Collection

B. Patient Education Resources
• Health Facts For You (HFFY) 4237 Port – An Implantable Vascular Access Device
• HFFY 4324 Hickman® Catheter Care
• HFFY 4558 Groshong® Catheter Care
• HFFY 5093 Understanding your Peripherally Inserted Central Catheter (PICC)
• HFFY 5754 Port Removal in the Breast Clinic
• HFFY 5879 Drawing Blood Through Your Child’s Central Line Using a Vacutainer

University of Wisconsin Hospitals and Clinics
Nursing Practice Guideline At-a-Glance



Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Last Revised: 04/2017EArsenaultknudsen@uwhealth.org
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• HFFY 5958 Port Placement – Interventional Radiology
C. Clinical Tools
• UW Health Guidelines for Flushing / Locking of Venous Access Devices- Adult /
Pediatric – Inpatient/Ambulatory Clinical Practice Guideline
• CLABSI Prevention Website on U-Connect:
i. Infusion Nursing Society’s Infusion Therapy Standards of Practice
ii. Click on “Resources” tab to see multiple documents on the insertion,
maintenance and practices for CVADs and Midline Catheters
• PIV, Midline, PICC-Catheter Comparison
• TRIP: CVAD Occlusion Management
• TRIP: IV Extravasation Prevention and Management
• TRIP: Petroleum Jelly for CVAD Removal
• TRIP: Two-person Adult Central Vascular Access Device Dressing Change
III. Key Reference
O’Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Healthcare
Infection Control Practices Advisory Committee (HICPAC), & et al. (2011). Guidelines for the
prevention of intravascular catheter-related infections. CDC, Retrieved from
https://www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines.pdf