Not only from the CDC but also in the new Infusion
Nursing Standards of Practice, 2006
"Infection Control and Safety
Compliance
19. Infection
Control
Standard
19.3 Maximal sterile barrier
precautions shall be required for insertion of midlines, all types of central
vascular access devices and all methods of catheter exchange." Page
S37
&
"Site Selection and Device
Placement
41. Access Site
Preparation
Standard
41.2 Maximal barrier precautions
including sterile gown, powder-free sterile gloves, cap, mask, protective
eyewear, and large sterile drapes and towels shall be used for midline and
peripherally inserted central catheters and all other central catheter
insertions." Page S41
Although it does not specify "head-to-toe" drapes, those
facilities that have instituted "central line bundles", which includes maximal
sterile barrier precautions, use head-to-toe drapes. PICCs are central
lines, we should be using maximal barrier precautions.
Besides with the use of micro-introducers we are dealing
with wires now that have a tendency at times to do spring here and
there.
Timothy Royer, BSN, CRNI
Nurse Manager / Vascular Access / Diagnostic
Service
VA Puget Sound Health Care System
Seattle, WA
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Friday, March 17, 2006 1:18 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: maximal barrier precaution
Please help me explain to a colleague what "maximal barrier precautions"
are--right now we are using just the small drapes that come in the BARD PICC kit
and making a jigsaw configured sterile field--she thinks
this adequate and wants to know by what standard/guideline/authority it is
stated that we are required to use a full body drape--Thank you in advance for
your help
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
