Final answer:
Preventing CLABSI is critical and involves adhering to aseptic techniques using a checklist to ensure a sterile field during central line insertion and maintenance.
Step-by-step explanation:
The most important action to prevent Central Line-Associated Bloodstream Infections (CLABSI) in a patient who is receiving Total Parenteral Nutrition (TPN) through a central line is to maintain strict adherence to aseptic techniques. This involves using a checklist to ensure all steps for preventing infection are followed during the insertion and maintenance of the central line. The World Health Organization and studies by Dr. Peter Pronovost highlight the importance of using a checklist similar to those used by airplane pilots to reduce human error and maintain a sterile field.
To minimize the risk of CLABSI, healthcare providers must ensure they properly wash hands, use appropriate barriers, clean the skin with an effective antiseptic, avoid touching non-sterile surfaces, and replace dressings and catheters as recommended. Nurses and other care team members should be empowered to speak up if they observe a step being missed, reinforcing a culture of safety and teamwork.