This course is designed to teach healthcare workers how to properly assess, access, maintain, and remove central venous catheters (CVCs). This course also includes a section containing important information for nurses and others who are assistants during the insertion of these lines. Nurses and other allied staff involved in the care of CVCs are encouraged to complete this course. There is a separate course available from Duke Infection Control Outreach Network (DICON) for physicians who are involved in the insertion of CVCs. See main course listing.
The course consists of text, slides and video clips, post-test and evaluation form. The course has been updated to include MANDATORY and OPTIONAL sections. You will only have to complete the mandatory sections prior to taking the quiz to receive CEU credits. The course will take approximately 50 to 60 minutes to complete. You may complete your educational experience in one sitting or save your session and return to where you left off.
Release Date: 11/01/2015; Latest Review Date: 7/08/2020; Expiration Date: 7/08/2022;
Modern medicine has become progressively more complex. Examples of this complexity include the technical aspects of insertion, care and maintenance, and removal of central venous catheters. These catheters are frequently used to deliver an array of intravenous medicines and fluids. However such devices have risks. Use of short-term and long term vascular catheters is associated with important and serious risks of mechanical and infective complications. Catheter-related bloodstream infections (CR-BSIs) can cause substantial morbidity and mortality and many such infections are preventable if meticulous care is used during insertion and maintenance of these CVCs.
Prevention of vascular catheter-associated adverse events has become a cornerstone of patient safety programs at most American hospitals. Nurses and other healthcare workers have an important role in reducing the risk of adverse events due to CVCs.
The “100k Lives” and “5 Million Lives” campaigns, initiated by the Institute of Healthcare Improvement (IHI), emphasized the use of five simple and practical interventions during the insertion of CVCs in order to reduce the risk of catheter-related bloodstream infections (CR- BSIs). These five recommendations are the basis for what is now known as the “central line bundle”. These five practices should be used during and after the insertion of all central vascular catheters. The risk of developing a CR-BSIs can be decreased dramatically by utilizing a multi-faceted team approach to implementing the components of this CVC bundle (Pronovost, Needham et al. 2006 (http://www.ncbi.nlm.nih.gov/pubmed/17192537)).
The “CVC bundle” consists of:
- Strict use of hand hygiene prior to catheter insertion.
- Maximal barrier precautions during catheter insertion.
- Chlorhexidine skin antisepsis prior to catheter insertion.
- Selection of the most appropriate site for catheter insertion.
- Daily assessment after insertion to determine the need for continuing catheter use.
This course incorporates elements of the CVC bundle and trains healthcare staff about appropriate techniques for assessment, access, maintenance and removal of CVCs. Information in this course will allow you to help decrease the risk of catheter-related adverse events in your patients and improve their care.
Instructions for Completion
Complete all sections of the on-line course in sequence in order to successfully complete the course and receive credit for completion. Learners must demonstrate performance by achieving a minimum of 80% on the post-test. In addition, to be credited with completion, submit the evaluation form which follows the post-test. You may then print a certificate of completion for your records.
Statement of Joint Accreditation
In support of improving patient care, Duke University Health System Clinical Education & Professional Development is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.
Duke University Health System Department of Clinical Education and Professional Development designates this activity for up to 1 credit hour for nurses. Nurses should claim only credit commensurate with the extent of their participation in this activity
Category 1 credit for physicians is NOT
provided for this course.