The nurse is inserting a peripherally inserted central catheter (PICC) into the patient. Aware of the potential for health care–associated infection, the nurse is careful to
a. Prepare the skin with 2% chlorhexidine gluconate.
b. Select a catheter of appropriate size for the appropriate vein.
c. Use nonallergenic tape and dressings on the patient.
d. Utilize local anesthetic on the site as ordered.
A
One of the sites for health care–associated infection is the bloodstream. Bloodstream infection can be caused by improper care of the needle insertion site. Two percent chlorhexidine gluconate is an antiseptic solution that when applied properly and allowed to dry reduces microbial counts at the insertion site. Selecting the correct catheter size, using nonallergenic tape and dressings, and utilizing local anesthetic are important steps for individualized patient care and are typically part of the procedure, but they do not affect the cause of a health care–associated infection by, for example, decreasing microbial counts at the insertion site.
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