OR CVC Checklist
Before Insertion
After Insertion
SCOAP 1......................................Complete
Guide wire........................Removed Intact
Hand hygiene..............................Complete
All lumens..................Flushed and capped
Sterile gown & eye protection…....Donned
Skin fastener……………..….……..….Complete
Chlorhexidine prep........................Applied
Chlorhexidine dressing…………….....Applied
Sterile drape....................................Placed
CXR…………………………………………….Ordered
Compass zeroed...............................Ready
Ultrasound probe cover…………………Placed
Head down if able…………………….Complete

ECMO Procedure Note

2013 Title 24, Part 6 Compliance Forms Naming

Chlorhexidine Acetate - US Pharmacopeial Convention

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