Which nursing intervention is an evidence-based component of the central line insertion bundle designed to prevent Central Line-Associated Bloodstream Infections (CLABSI)?
Answer and explanation
Correct answer: A. Using 2% Chlorhexidine in 70% alcohol skin antisepsis with maximal sterile barriers
- Step 1: CDC and SHEA guidelines outline evidence-based insertion bundles to eliminate CLABSI.
- Step 2: Essential bundle practices include strict hand hygiene, maximal sterile barrier precautions (cap, mask, sterile gown, sterile gloves, full-body drape), chlorhexidine skin prep, and avoiding the femoral vein in adult patients.
Answer
Using 2% Chlorhexidine in 70% alcohol skin antisepsis with maximal sterile barriers.
Why not the others: Routine scheduled line replacement does not decrease infection and carries mechanical risks; femoral sites have the highest infection rates; antibiotic ointments promote fungal infections.
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