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Perform CLABSI Prevention Bundle Inspection using eAuditor

A CLABSI Prevention Bundle is a set of evidence-based practices designed to reduce infections related to central venous catheters. It includes strict hand hygiene, maximal sterile barrier precautions, chlorhexidine skin antisepsis, proper catheter site selection, and daily review of line necessity to minimize infection risks. Implementing these standardized measures improves patient safety and reduces healthcare-associated infections.

Performing a CLABSI (Central Line-Associated Bloodstream Infection) Prevention Bundle Inspection using eAuditor ensures that infection control protocols, catheter maintenance standards, and patient safety measures are consistently followed. This inspection is critical in reducing healthcare-associated infections (HAIs) and ensuring adherence to best practices for central line insertion, care, and removal. By using eAuditor, healthcare professionals can streamline the auditing process, identify compliance gaps, and implement corrective actions effectively.

Key Areas of Inspection

1. Hand Hygiene Compliance

• Verify adherence to the “Five Moments for Hand Hygiene” during central line insertion, maintenance, and dressing changes.
• Ensure that healthcare workers use alcohol-based hand rubs or soap and water before and after handling catheters.
• Check for hand hygiene stations available near patient care areas.
• Assess compliance with hospital infection control protocols related to handwashing.

2. Maximal Sterile Barrier Precautions

• Confirm the use of full barrier precautions during catheter insertion, including:
  • Sterile gloves
  • Sterile gowns
  • Masks and caps covering hair and mouth
  • Full sterile drapes around the insertion site
• Ensure that only trained personnel perform central line insertions using an aseptic technique.
• Check if assistants and observers also maintain sterile conditions during the procedure.

3. Chlorhexidine Skin Antisepsis

• Verify that chlorhexidine gluconate (CHG) antiseptic solution is used to disinfect the skin before insertion.
• Ensure staff follow proper application techniques, including:
  • Using a back-and-forth scrubbing motion
  • Allowing the antiseptic to air dry completely before proceeding
• Confirm availability of CHG wipes or swabs for routine catheter site care.

4. Catheter Site Selection and Dressing Maintenance

• Inspect catheter insertion sites and avoid femoral veins whenever possible to reduce infection risk.
• Verify that sterile dressings are intact, clean, and dated.
• Check for signs of infection, redness, swelling, or leakage around the catheter site.
• Ensure that dressing changes follow hospital guidelines, typically every 7 days for transparent dressings or 48 hours for gauze dressings.

5. Daily Review of Line Necessity

• Confirm and document daily central line necessity assessments.
• Verify and promptly remove unnecessary lines to minimize infection risks.
• Ensure that medical teams discuss catheter necessity during daily rounds.

6. Proper Line Flushing, Medication Administration, and Hub Disinfection

• Assess and ensure adherence to catheter flushing protocols using sterile normal saline or heparinized solution.
• Verify that healthcare workers use aseptic technique when accessing the line for medication administration.
• Confirm scrubbing the hub (“Scrub the Hub” protocol) with alcohol or CHG for at least 15 seconds before access.

7. CLABSI Monitoring, Surveillance, and Reporting

• Ensure proper tracking of infection rates, bloodstream infections, and contamination incidents.
• Verify that infection control teams perform routine surveillance of CLABSI cases.
• Ensure that CLABSI data is reported to hospital administration and quality assurance teams.
• Confirm documentation of corrective actions taken after a CLABSI incident.

Inspection Process Using eAuditor

1. Pre-Inspection Preparation

• Upload the latest CLABSI Prevention Bundle Checklist into eAuditor.
• Verify that all inspectors have access to hospital protocols and CLABSI prevention guidelines.
• Notify clinical staff about the upcoming audit and provide them with training materials if necessary.

2. Conducting the Inspection

• Use eAuditor to assess compliance with each section of the CLABSI prevention checklist.
• Record observations and capture photos of catheter sites, dressing issues, or contamination risks.
• Use the app’s real-time scoring and compliance tracking features to identify non-compliance.
• Assign corrective actions to responsible personnel directly through eAuditor.

3. Generating Reports and Taking Corrective Actions

• Automate report generation with detailed compliance scores and flagged issues.
• Share reports with infection control teams, nursing supervisors, and hospital administrators.
• Implement corrective measures, such as staff retraining or increased monitoring in high-risk units.
• Schedule follow-up audits in eAuditor to ensure continued compliance.

Summary

A CLABSI Prevention Bundle Inspection using eAuditor ensures strict compliance with infection control protocols, catheter care best practices, and safety measures. By conducting regular audits, healthcare facilities can reduce bloodstream infections, improve patient outcomes, and maintain adherence to hospital policies and regulatory standards. The use of eAuditor enhances real-time tracking, documentation, and corrective action management, helping hospitals create a safer, infection-free environment for patients requiring central line access.

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