Central Line Insertion Bundle Checklist
Follow evidence-based central line insertion bundle to prevent central line-associated bloodstream infections (CLABSI) per CDC guidelines.
- Industry: Healthcare
- Frequency: Every central line insertion
- Estimated Time: 5-10 minutes
- Role: Physician/Nurse
- Total Items: 47
- Compliance: CDC CLABSI Prevention, Joint Commission NPSG.07.04.01, CMS HAI Reduction
Hand Hygiene
Hand hygiene compliance
- Hand hygiene performed before procedure?
- All observers performed hand hygiene?
Maximal Sterile Barrier
Full barrier precautions
- Cap worn by inserter?
- Mask worn by inserter?
- Sterile gown worn?
- Sterile gloves worn?
- Full-body drape used?
- All present wearing masks?
Skin Antisepsis
Chlorhexidine skin preparation
- Chlorhexidine (>0.5%) with alcohol used?
- Scrub time adequate (30 seconds)?
- Dry time allowed (2 minutes)?
- If CHG contraindicated, alternative documented?
Optimal Catheter Site
Site selection rationale
- Subclavian site considered first?
- Femoral site avoided if possible?
- Site selection rationale documented?
Daily Necessity Review
Ongoing assessment
- Plan for daily necessity review in place?
- Removal criteria discussed?
Procedure Documentation
Complete documentation
- Insertion procedure documented?
- Any complications documented?
- Placement verified (if applicable)?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
Documentation & Regulatory Compliance
Complete assessment documentation and ensure regulatory compliance
- All findings documented with evidence?
- Corrective actions assigned with timeline?
- Staff education provided on identified issues?
- Assessor Signature
- Additional Observations
Related Healthcare Checklists
- CAUTI Prevention Bundle Checklist
- Surgical Site Infection Prevention Bundle Checklist
- Infection Control Isolation Precautions Checklist
- Hand Hygiene Compliance Audit Checklist
- VTE Prophylaxis Assessment Checklist
- Patient Handoff SBAR Communication Checklist
- Patient Restraint Assessment & Monitoring Checklist
- Medication Administration Safety Checklist
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Why Use This Central Line Insertion Bundle Checklist?
This central line insertion bundle checklist helps healthcare teams maintain compliance and operational excellence. Designed for physician/nurse professionals, this checklist covers 47 critical inspection points across 12 sections. Recommended frequency: every central line insertion.
Ensures compliance with CDC CLABSI Prevention, Joint Commission NPSG.07.04.01, CMS HAI Reduction. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Central Line Insertion Bundle Checklist cover?
This checklist covers 47 inspection items across 12 sections: Hand Hygiene, Maximal Sterile Barrier, Skin Antisepsis, Optimal Catheter Site, Daily Necessity Review, Procedure Documentation, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management, Environment of Care & Safety, Documentation & Regulatory Compliance. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every central line insertion. Each completion takes approximately 5-10 minutes.
Who should use this Central Line Insertion Bundle Checklist?
This checklist is designed for Physician/Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.