Checkli

Template

Central Line Insertion

Central Line Insertion Checklist

Template

Before

Obtain consent

Assses allergies

Assess latex allergy

Hand hygiene

Optimal Catheter Site Selection

upper body site preferred in adults

If upper body site is not used, document reason (e.g. distorted anatomy, coagulopathy, emergency, CPR, pediatric)

Pre-procedure Ultrasound Check of internal jugular location and patency if IJ

Preparation

Skin Prep

MAXIMUM Sterile Barriers

Procedural “Time out” performed

During

This creates a private checklist in your account.