Question

A nurse is observing a graduate nurse (GN) perform a dressing change on a client's femoral central line. Which action by the GN requires an intervention by the nurse?

Puts on a mask prior to performing the dressing change

Cleans the skin around the site with CHG solution

Applies clean gloves after opening the dressing kit

Uses an alcohol pad to remove the adhesive stabilization device

Answer 1

The graduate nurse needs intervention when using an alcohol pad to remove the adhesive stabilization device, as it may contaminate the central line site. Proper aseptic technique is essential to prevent infections and maintain sterility during a central line dressing change.

Step-by-step explanation:

The action by the graduate nurse (GN) that requires an intervention by the observing nurse is the use of an alcohol pad to remove the adhesive stabilization device. This practice could potentially lead to contamination of the site and compromise the sterility required during a dressing change for a central line. Instead, aseptic technique should be strictly followed, and the proper disinfectant should be used on both the central line site and on any equipment that comes into contact with it to maintain a sterile environment and prevent infection.

It is critical that health-care workers, especially in situations where invasive procedures such as central line insertions are performed, adhere to strict infection control practices. This includes the appropriate use of personal protective equipment, such as masks and gloves, and following guidelines meant to reduce the risk of infection, like those developed by Dr. Peter Pronovost, which involve a checklist to ensure no steps are omitted during critical medical procedures.