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Bundle of Care 2
Bundle of Care 2
WHAT IS BUNDLE?
• Methodology to spread the use of generally
accepted science
• Provide a “pressure” for teamwork
• Simple, memorable checklist
• Audit tool
• All aspects should be done to get the maximum
benefit
LIST
• CVC bundle
• Ventilator bundle
• VAP bundle
• Sepsis bundle
Central Line Care Bundle
1. Hand hygiene
7
Venous line maintenance
❖ Replacing administration sets no more frequently than 72 hours after initiation of
use is safe and cost-effective
❖ Blood, blood products, and lipid emulsions (including parenteral nutrition and
propofol) risk factors for catheter-related infection, tubing used to administer
these products should be replaced within 24 hours or immediately after the end
of Administration.
❖ aseptic technique is very important when accessing the system
❖ Catheter, tubing, or syringe manipulations must be done only after cleaning hands
with an alcohol based hand rub solution.
❖ Hubs and sampling ports should be disinfected with chlorhexidine-based
antiseptic solutions before accessing
Venous line maintenance
❖ Continued need and removal considered evereday when the catheter is no longer
essential for medical management.
❖ Exchanging catheters with the use of a guide wire increases the risk of bloodstream
infection, while replacement involving insertion of catheters at new sites increases
the risk of mechanical complications