Indwelling medical device management: Infection Prevention and Control Principles

Indwelling medical devices include items such as urinary catheters, vascular access devices, endotracheal tubes, tracheostomies, enteral feeding tubes and wound drains. Indwelling medical devices can be associated with an increased risk of healthcare associated infection.

Prevention of healthcare associated infection, including those associated with the use of indwelling medical devices, is a high priority patient safety issue covered under Preventing and Controlling Infections standard of the National Safety and Quality Health Service Standards.

General recommendations

Include:

  • Insert indwelling medical devices only when clinically indicated, after considering benefits, need and risks.
  • Insertion and management of indwelling medical devices should only be undertaken by trained and competent healthcare workers.
  • use aseptic technique when inserting, managing and removing indwelling medical devices
  • Perform hand hygiene and wear appropriate personal protective equipment (PPE) when accessing or manipulating indwelling medical devices
  • Perform dressing changes for all indwelling medical devices in accordance with best practice and local policy, ensuring securement devices (such as adhesive or mechanical securement systems) are applied and maintained properly. Also refer to the SA Health Peripherally Inserted Central Catheter (PICC) dressing management guideline (PDF 585KB).  Monitor patients regularly for any signs and symptoms of infection  refer to local policies and procedures.
  • Provide patients and consumers  with information on the potential infection risks associated with the insertion of devices and importance of proper maintenance and care.
  • Remove the indwelling medical device as soon as it is no longer needed as per clinical advice and/or orders.
  • Document all the procedures involving the indwelling medical device in the patient's records.

Further information

For further information on the management of indwelling devices, contact SA Health's Infection Control Service on (08) 7425 7161.

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