A nurse is assisting the health care provider in inserting a central line. Which action indicates the nurse is following the recommended bundle protocol to reduce central line-associated bloodstream infections (CLABSI)?
a. Preps skin with povidone-iodine solution.
b. Suggests the femoral vein for insertion site.
c. Applies double gloving without hand hygiene.
d. Uses chlorhexidine skin antisepsis prior to insertion.
ANS: D
A recommended bundle at insertion of a central line is hand hygiene prior to catheter insertion; use of maximum sterile barrier precautions upon insertion; chlorhexidine skin antisepsis prior to insertion and during dressing changes; avoidance of the femoral vein for central venous access for adults; and daily evaluation of line necessity, with prompt removal of non-essential lines. Povidone-iodine is not recommended.
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