Central Line Assessment

Central venous access device assessment and CLABSI bundle.

For educational use only. Always verify with clinical judgment and facility protocols.

Central Line Assessment

Central venous access device assessment and CLABSI bundle documentation.

Line Details

Type

Location

Insertion Date

External Length

Site Assessment

Dressing

Site Appearance

Dressing Change

Dressing Type

Cleansed With

Lumens Flushed

ProximalMedialDistal

Flush Solution

Caps ChangedNew Date/Time Label

CLABSI Bundle

Hand hygiene performedClean gloves removal / sterile applicationCHG skin antisepsisLine necessity reviewed with providerScrub the hub 15 seconds before access

Daily Necessity

Status

Live Preview

CENTRAL LINE ASSESSMENT LINE: PICC at R IJ. Inserted [Date]. External length: [Length]. SITE: Dressing CDI/intact. Site No redness or swelling. DRESSING CHANGE: CHG-impregnated + transparent film. Cleansed with CHG solution. Lumens flushed: None documented. Flush: NS 10mL. CLABSI BUNDLE: No items documented. DAILY NECESSITY: Line still needed.

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