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Infection Control and Hospital Epidemiology: Electronic Central Venous Catheter Counts

Sheri Chernetsky Tejedor, M.D.
Assistant Professor, Emory University School of Medicine 

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Figure 1 - Real Time report:

ICHE Journal: Electronic Central Venous Catheter Counts - Figure 1 - Real Time Report

Figure 1: Real Time report: The report ran from the EMR, was used in clinical workflow and was updated real-time.  CVC types and dwell times appeared on the report.

Figure 2: CVC-day count report

ICHE Journal: Electronic Central Venous Catheter Counts - Figure 2 - CVC Day Report

Figure 2: CVC-day count report.  The report listed all patients with a CVC, the CVC type, location and dwell time.  Patient census and CVC-day counts (via NHSN methodology) were calculated automatically by the report.

Figure 3 - CVC Status View example:

ICHE Journal: Electronic Central Venous Catheter Counts - Figure 3 - Navigator

Figure 3: CVC Status View example: This was the first screen viewed each shift when a nurse documented on a CVC.  Documentation on CVCs was required each shift.  For each CVC documentation field (A-D), it displayed any active documentation in that field.  Once the option to document in a particular field was selected (A-D), the next screen for charting in that field would open.  Several fields would carry forward the last charted value for 18 hours including the date of line insertion and line type.  Assessments and interventions would not carry forward, only information that would not change about the CVC.  Interventions included site maintenance, CVC discontinue, tubing changes, etc.  VAT RN=Vascular Access Team Registered Nurse