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laboratory and clinical booklet - Fort Scott Community College

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Name: ____________________<br />

Date: __________________<br />

PERFORMANCE CHECKLIST<br />

PROVIDING SITE CARE FOR A CENTRAL VENOUS CATHETER<br />

1. Assessed for allergy to betadine.<br />

2. Gathered information regarding last dressing change &<br />

condition of insertion site.<br />

3. Ensured that all tubing connections are securely<br />

fastened.<br />

4. Explained procedure to client & helped client<br />

assume supine or semi-Fowler‟s position.<br />

5. Washed h<strong>and</strong>s. Asked client to turn head away from<br />

insertion site. Put on clean gloves.<br />

6. Opened sterile supplies & placed within easy reach.<br />

7. Removed dressing from insertion site & disposed of<br />

properly.<br />

8. Assessed condition of insertion site & inspected<br />

condition of catheter. Remove gloves.<br />

9. Applied sterile gloves.<br />

10. Cleansed skin properly around insertion site.<br />

11. Cleansed proximal tubing correctly.<br />

12. Removed gloves & applied new pair of sterile gloves.<br />

(Optional – not necessary if sterile technique is<br />

maintained)<br />

13. Applied sterile occlusive dressing correctly.<br />

14. Removed & discarded gloves. Washed h<strong>and</strong>s.<br />

15. Labeled dressing correctly.<br />

16. Documented procedure correctly.<br />

S U<br />

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