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June 2010, Volume 40 Number 6 , p 61 - 63


  • Nancy L. Moureau BSN, RN, CRNI, CPUI
  • Robert B. Dawson MSA, BSN, RN, CRNI, CPUI


IN A PREVIOUS COLUMN, we discussed central line-associated bloodstream infections (CLABSIs) and methods to reduce CLABSIs, including proper disinfection of devices before accessing them. (Not using a disinfectant before accessing the needleless connector lets bacteria on the connector enter the bloodstream.) Guidelines aren't always consistent on the best solution to use with each device, so you should know which solution your facility's protocol specifies, how that solution works, and how to apply it correctly.Let's take a closer look at two disinfection protocols: the wipe method and the disinfecting cap method.The wipe method is an active scrubbing process in which the healthcare provider uses a fabric pad soaked with alcohol (prep pad) and applied to a surface for cleaning. This method is best for multiple quick connector accesses (such as flushing) and multiple medication administrations. A sterile prep pad is used on the needleless connector before access.Friction and

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