MaxPlus Clear helps to achieve standardization and compliance with best practice guidelines established by our industry.

CDC:
The CDC issued MMWR “Guidelines for the Prevention of Intravascular Catheter Related Infection” in August 9, 2002 Vol.51/No. RR-10.  These guidelines are intended to provide evidence-based recommendations for preventing catheter-related infections.

IX. Replacement of administration sets and needleless systems
A. Administration sets
1. Replace administration sets, including secondary sets and add-on devices, no more frequently than at 72-hour intervals, unless catheter-related infection is suspected or documented (23,
149–151). Category IA
2. Replace tubing used to administer blood, blood products, or lipid emulsions (those combined with amino acids and glucose in a 3-in-1 admixture or infused separately) within 24 hours of initiating the infusion (158,226–229). Category IB If the solution contains only dextrose and amino acids, the administration set does not need to be replaced more frequently than every 72 hours (226). Category II
3. Replace tubing used to administer propofol infusions every 6 or 12 hours, depending on its
use, per the manufacturer’s recommendation (230). Category IA

B. Needleless intravascular devices
1. Change the needleless components at least as frequently as the administration set (160–162,
164–167). Category II
2. Change caps no more frequently than every 72 hours or according to manufacturers’ recommendations (160,162,165,166). Category II
3. Ensure that all components of the system are compatible to minimize leaks and breaks in the
system (163). Category II
4. Minimize contamination risk by wiping the access port with an appropriate antiseptic and
accessing the port only with sterile devices (162,163,165). Category IB

X. IV-injection ports
A. Clean injection ports with 70% alcohol or an iodophor before accessing the system (164,235,236). Category IA

For more information regarding these guidelines please visit CDC website
http://www.cdc.gov/nhsn/

Joint Commission
Current Goals focus on patient identification, communication among caregivers, safe use of medications, effective clinical alarm systems, reduction of health care-associated infections, reconciliation of medications, and patient falls, among others.
National Patient Safety Goals 2010
Goal 7 – Reduce the risk of health care-associated infections
National Patient Safety Goal 07.04.01-Implement evidence-based practices to prevent central line-associated bloodstream infections.
The National Patient Safety Goals and related information are available on the Joint Commission website http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/

INS (Infusion Nursing Society)

20.  Hand Hygiene

1. Hand hygiene shall be preformed before and immediately after all clinical procedures, and before donning and after removal of gloves.
2. The nurse shall not wear artificial nails or nail products when performing infusion therapy procedures.
3. In cases where the nurse’s hands are visibly contaminated with blood or body fluids, hand hygiene with either non-antiseptic or antiseptic (preferably antiseptic-containing) liquid soap and water shall be performed.

50.  Flushing

1. Vascular access devices shall be flushed at established intervals to promote and maintain patency and prevent the mixing of incompatible medications and solutions.
2. Positive fluid displacement shall be used according to administration system requirements.
3. Flushing with preservative-free 0.9% sodium chloride (USP) or other flush solutions according to organizational policies and procedures, and as recommended by the manufacturer shall be performed before and after administration of incompatible medications and solutions.
4. Single-use flushing systems shall be used.

35.  Injection and Access Caps
35.1  Protocols for disinfection, accessing, and changing of injection and access caps shall be                        established in organizational policies and procedures and practice guidelines, and shall be in accordance with manufacturer’s labeled use(s) and directions.
35.2  Injection or access caps attached to a catheter shall be of Luer-Lok design.

You can visit the INS website  http://www.ins1.org/i4a/pages/index.cfm?pageid=1

Association for Vascular Access- AVA

SAVE That Line! Campaign highlights key factors in prevention of CRBSI.
SAVE stands for:

S – Scrupulous hand hygiene
A – Aseptic technique during catheter insertion and care
V – Vigorous friction to catheter hub prior to entry
E – Ensuring patency of the device

For more information regarding SAVE That Line! Campaign
http://www.avainfo.org/website/article.asp?id=40777

Institute for Healthcare Improvement – IHI
Protecting 5 Million lives from Harm Campaign
Goal:  Prevent central venous catheter-related bloodstream infection (CR-BSI) and deaths from CR-BSI by implementing a set of interventions known as the “Central Line Bundle” in all patients requiring a central line.
A bundle of 5 care steps to prevent CRBSI:

1. Hand hygiene
2. Maximal barrier precautions
3. Chlorhexidine skin antisepsis
4. Optimal catheter site selection, with avoidance of using the femoral vein for central venous access in adult patients
5. Daily review of line necessity with prompt removal of unnecessary lines

For more information on the 5 Million Lives Campaign please visit the IHI website http://www.ihi.org/IHI/Programs/Campaign/CentralLineInfection.htm

American Society of Health-System Pharmacists - ASHP
0.9% Sodium chloride for injection is a safe and effective indwelling solution for maintaining catheter patency of peripheral indwelling intermittent infusion devices (PIIDs) in adults. 
ASHP Therapeutic Position Statement on the Institutional Use of 0.9% Sodium Chloride Injection to Maintain Patency of Peripheral Indwelling Intermittent Infusion Devices. American Journal of Health-System Pharmacy, 2006; 63:1273–5 is available online http://www.ashp.org/s_ashp/docs/files/BP07/TPS_NaCl.pdf 

World Health Organization - WHO
Save Lives Clean Your Hands World Wide Campaign.  Launched May 5, 2009
SAVE LIVES: Clean Your Hands initiative aims to support health-care workers to improve hand hygiene and stop the spread of infection.
Hand hygiene is the primary measure to reduce health care-associated infection

For more information on this initiative please visit the WHO website http://www.who.int/gpsc/5may/en/index.html