A nurse is implementing the central-line bundle to prevent CLABSI. Which set of practices reflects current evidence-based standards?
1Hand hygiene, maximal sterile barrier precautions, chlorhexidine skin antisepsis, avoid femoral site when possible, and daily review of line necessity with prompt removal✓ Correct answer
2No daily site review
3Femoral site preferred for ease
4No barrier precautions for routine lines
Explanation
Correct (2): CLABSI prevention bundle (IHI): hand hygiene, maximal sterile barrier (full body drape + cap/mask/gown/gloves), chlorhexidine skin prep, optimal site selection (subclavian > IJ > femoral), and daily review of line necessity with prompt removal. Also chlorhexidine bathing in ICU. (1) Femoral has highest CLABSI risk. (3,4) Required practices.
In-depth explanation
Memory Tip CLABSI bundle 5 elements = "Hands·Barrier·Chlorhexidine·Site·Daily review". Disinfect hub before each access (scrub the hub × 15 sec, allow to dry).
Clinical scenario
Scenario ICU placing a new central venous catheter; nurse implementing CLABSI prevention bundle.