Patient | Ned Nuclear | ||
Date of birth | July 14, 2014 | Sex | Male |
Race | White | Ethnicity | Not Hispanic or Latino |
Contact info | address not available Telecom information not available |
Patient IDs | 12345 (2.16.840.1.113883.19.5) |
Document Id | 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2) |
Document Created | August 15, 2014 |
Author | anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2) |
Encounter Date | From , | ||
Encounter Location | 9W (2.16.840.1.113883.3.117.1.1.5.1.1) (Medical/Surgical Critical Care) |
Document maintained by | 2.16.840.1.114222.4.3.2.11 |
Legal authenticator | aLegalAuthenticatorID (2.16.840.1.113883.3.117.1.1.5.1.1.2) signed date/time: August 16, 2014 |
Type of procedure | Central-line Insertion |
Procedure date | August 15, 2014 |
Procedure site | Femoral vein structure (body structure) |
Role of performer | Physician assistant |
Catheter type | Non-tunneled (dialysis) |
Recorder was performer | Yes |
Inserter was a member of PICC/IV Team | Yes |
Reason for procedure | To address a new indication for a central line |
Hand hygiene | Yes |
Skin preparation solutions | Alcohol: Yes povidone-iodine: No chlorhexidine gluconate: No (contraindicated) |
Contraindication type | Patient has a documented/known allergy/reaction to chlorhexidine gluconate-based products that would preclude its use |
Contraindication type | Facility restrictions or safety concerns for chlorhexidine gluconate use in premature infants precludes its use |
Use of Sterile Technique | Mask Large sterile drape |
Solution(s) had dried | Yes |
Antimicrobial coated catheter used | Yes |