When assisting with bedside central venous catheter (CVC) placement, which nursing intervention is appropriate? Select all that apply
a. Don sterile gloves and mask (and possibly gown).
b. Scrub the insertion site with antibacterial soap for 1 min.
c. Verify that informed consent has been obtained.
d. Place the patient in low-Fowler's position.
A, C
Maximum barrier sterile technique is used for CVC insertion (sterile gloves, mask, and gown), although some agency policies do not include sterile gown for the nurse. This is an invasive procedure, so informed consent is required. The nurse should confirm that this has been obtained. The scrub is not done with antibacterial soap. The scrub is done with chlorhexidine–alcohol solution or, alternatively, first with 70% alcohol and then with povidone detergent. The patient is placed in Trendelenburg position with a rolled towel between the shoulders for best site access.
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