The content of the care bundles featured here has been superseded by the targeted literature reviews undertaken by HPS in 2011/12.
Please refer to these literature reviews and summary of key recommendations.
NHS Boards are strongly encouraged to map the content of their bundles and tools against the recommendations presented within the links provided.
Central Vascular Catheters (CVC) are a leading cause of device-related blood stream infections. The risk increases however with duration of line use, the more CVC manipulations required and the greater the number of infusions.
Organisms can enter at any manipulation point, ie hub/connection or insertion site. Organisms gaining entry are frequently skin organisms from the HCW or the patient. Poor drug preparation can result in infusate contamination - causing a direct BSI. Organisms from a distal site of infection can travel via the blood and affect the CVC.
This is the CVC Statement of Commitment - Insertion Checklist. For further information and resources, please see the CVC Maintenance Care Bundle page.