Stickers• Goal: Increase Central line awareness• Every central line (PICC, Broviac, Umbilical line) should start

with a green sticker• VCH to the right of the name plate• Stahlman on luggage tag• Proceduralist should place green sticker after successful insertion

and give sticker guide to resident/NNP/hospitalist taking care of the infant

• Resident/NNP/Hospitalist place the sticker guide with attached additional stickers on the corresponding baby folder and fills out the dates

Stickers

Sta

hlm

an

Childrens, BG

• Stickers in VCH will be on doorplate• Left side of the name will be the team color

and the right side of the name will be the central line sticker

• Stickers in Stahlman will be on luggage tags

Team color

Central line

Stickers Projected date to 120mL/kg/day

based on feeding protocol

Enteral feeds on date of insertion

(typically 0)

Date varies depending on possible increased infection risk. 7 days for umbilical lines, 35

days for PICCs

Gestational age of infant

Yellow Date - Projected

• Days to 120mL/kg/day per feeding protocol if starting at no feeds

• Where they are supposed to be based on feeding protocol not where they are at.

23-25 wks 12 days26-28 wks 9 days29-31 wks 7 days32-34 wks 6 days> 35 wks 4 days

Stickers• During rounds every baby that has a sticker should have the

central line addressed.• Examples

• Baby A has a UVC that has been in for 3 days, we will need the UVC for IV access

• Baby B has a UVC that has been in for 6 days and is now yellow, we still need the UVC for tpn and have not reached 120mL/kg/day because of feeding intolerance

• Baby C has a PICC that has been in for 37 days and is now purple, but had no enteral feeds due to esophageal atresia.

• Sticker color should be a macroscopic view of how long a central line has been in and give awareness not only to the day team but cross-covering teams when they need quick information on access.

Questions?• Please email allen.g.wu@vanderbilt.edu with any questions,

suggestions, or comments.