Central Line Insertion Practices Adherence Monitoring - NHSN

Form Template

This Central Line Insertion Practices Adherence Monitoring Form - National Healthcare Safety Network (NHSN) Mobile App is used to collect and report central line insertion practices for every central line insertion attempt.

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Created by: Team GoCanvas
Type: Reports
Language: English
Country: United States of America

These attempts include unsuccessful attempts, occurring during the month in the unit(s) selected for surveillance. With regard to the insertion of a central venous catheter, this form includes information pertaining to demographics of the patient, information pertaining to the inserter, information on maximal sterile barriers used, the reasons for central line insertion, whether the insertion was successful, skin antisepsis, hand hygiene practice before insertion, type of central line and insertion site, and use of a guide wire. Elements of these data will be used to calculate adherence to recommended insertion practices.

For health care providers, use this app for improved patient care, preventing avoidable infections and intensive care while promoting quality improvement of documenting and referencing medical notes when inserting a central venous catheter.

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