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BC: Infusion Therapy BC-04: 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:          
  • 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:          
  • 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:          
  • 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.
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