Central Line Care

No.	Competency Item	NAC	DEV	COM	DTE	EXC
BC-04-01	Demonstrate ability to apply critical thinking and clinical judgment throughout the nursing process when caring for client with a central line.
	Demonstrate knowledge of different types of central lines and the terminology used by the agency such as:
BC-04-02	central venous catheter (CVC)
BC-04-03	implanted
BC-04-04	non-valved or open ended
BC-04-05	midline catheter (not a CVC)
BC-04-06	percutaneous
BC-04-07	peripherally inserted central catheter (PICC)
BC-04-08	tunneled
BC-04-09	valved or closed ended.
	Demonstrate knowledge of risks associated with central lines such as:
BC-04-10	abnormal heart rhythm
BC-04-11	air in bloodstream
BC-04-12	bleeding around site and into chest
BC-04-13	blockage (blood clots)
BC-04-14	brachial plexus injury
BC-04-15	incorrect placement
BC-04-16	sepsis.
BC-04-17	Demonstrate knowledge and ability to provide basic care to a client with a central line as per agency policy such as dressing change.
BC-04-18	Demonstrate ability to monitor the central line infusion.
	Demonstrate knowledge and ability to provide additional care to a client with a central line as per agency policy:
BC-04-19	cap / tubing change
BC-04-20	flush
BC-04-21	heparin/saline locks
BC-04-22	withdraw blood
BC-04-23	administration of fluids and medications as appropriate.
BC-04-24	Demonstrate knowledge and ability to maintain central venous pressure while providing care of the central line.