- Reusable medical equipment should be cleaned, disinfected or sterilized between client use in adherence to national and provincial regulations and requirements (e.g., Health Canada or Provincial Ministries of Health).
- Any single use item (e.g., tourniquets, vacutainers) will remain with the client.
- Routine practices include:
- Hand hygiene;
- Hand hygiene also includes maintaining hand health, avoiding nail polish, artificial nails or jewellery and keeping nails trimmed and clean.
- Hand hygiene is the single most important infection prevention and control practice.
- Assessment of client risk factors;
- Assessing client risk factors helps the nurse to determine the level of protection required by the client.
- Factors to consider include:
- Signs and symptoms of infection;
- History of exposure to infectious disease; and
- Client response during site assessment.
- The nurse should also screen families and visitors for illness in order to protect the client from potential risk.
- Client screening for infectious diseases is ongoing and encompasses client feedback (e.g., verbalized concerns regarding discomfort from IV site, chills, etc.)
- Hazard or risk reduction; and
- Risk reduction strategies begin at the source (e.g., having the client who is coughing wear a mask during CVAD care); and can include procedural changes to the care performed by the nurse to reduce the risk (e.g., using safety engineered devices, proper disposal of infectious waste.
- Application of personal protective equipment (PPE)
- Application of personal protective equipment (PPE) is used to reduce or control any of the risks identified as a result of the screening and risk assessment.
- PPE includes, but is not limited to: gloves; eye protection; gowns; and masks.
Care and Maintenance to Reduce Vascular Access Complications
Point of Care Resources