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INTENSIVE CARE UNIT COMPETENCY CHECKLIST: Maintenance of Central Line (Dressing Changed) Name: ________________________ Date:______________

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Critical Behaviours Yes No Collect appropriate equipment. Wash hands. Explain procedure to patient. Apply non-sterile gloves. Gently remove old dressings, being careful not to place tension on the catheter and line. Inspect the catheter, insertion site, and surrounding skin. Observe for signs of infection and hematoma. Apply sterile gloves. Cleanse insertion site and skin with alcohol swabsticks first and then with the betadine swabsticks. Begin cleaning at the insertion site, cleanse in a circular motion from the site outward to approximately 3" diameter. Apply new transparent dressing using aseptic technique. Enter date and time of dressing changed and initial. Remove and discard gloves and old dressings in appropriate receptacle. Wash hands. Documentation: i) Date and time of dressing changed ii) Observation of insertion site iii) Any signs of complication iv) Patient's tolerance of procedure

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