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Current Practices in the Management of Central Lines

An online continuing education course for nurses, medical health care professionals, and other interested individuals.

This instructional course has been designed to provide current conceptual and operational knowledge to the licensed nurse responsible for the care of patients with central venous access devices. Ever changing technologies and the evolution of the licensed nurse’s role in the management of central lines requires up to date knowledge of changes in techniques, equipment and devices in use today. This course contains current practices for best patient outcomes and provides 5.0 contact hours of continuing education.

Many State Boards of Nursing require that the LPN/LVN have additional infusion therapy education after licensure. A link to each state board of nursing’s requirements for the LPN/LVN to manage infusion therapy and central venous catheters, within that state are listed here. Competency requirements are obtained and maintained through the nurse’s employer, facility or institution.


Upon completion of this course, the participant will be able to:

  1. Describe protective measures to guard against malpractice suits.
  2. List 3 reasons for use and advantages of central lines.
  3. List 4 veins used for central venous device placement and proper tip position.
  4. Identify the various types of central lines.
  5. Identify symptoms and prevention of complications.
  6. Describe assessment criteria and documentation required for patients with central venous catheters.


Chapter 1
Legal Issues
  • Regulatory agencies and governing bodies
  • Components of a complete physicians order
  • Legal terms and applications in nursing
  • Protective measures for guarding against malpractice lawsuits
Chapter 2
Definition of a Central Line
  • Reasons for use of a central line
  • Advantages of a central line
Chapter 3
  • Veins used for placement of central venous access devices
  • Catheter tip placement
Chapter 4
Assessment and Preparations for Central Venous Catheterization
  • Considerations for selection of the device
  • Preparations for central venous catheterization
Chapter 5
Types of Central Venous Access Devices
  • Overview of types of central lines
  • Lumens
  • Non-valved and valved catheters
  • Non-tunneled catheters
  • Tunneled catheters
  • Implanted ports
  • PICC or Peripherally Inserted Central Catheter
Chapter 6
Advances in Technology; Equipment
  • Needleless access devices
  • Flush solutions and syringes
  • Securement devices
  • Dressings
Chapter 7
Care and Maintenance of the Central Line
  • Dressing changes
  • Assessment
  • Needleless access device changes
  • Flushes
  • Administration set changes
Chapter 8
Step By Step Guide
  • Central venous catheter dressing change
  • Needleless access device change
  • Central venous catheter flushing
Chapter 9
  • Catheter related complications
  • Systemic complications
  • Insertion related complications
Chapter 10
Discontinuation of Therapy
  • Removal of devices
  • Step by step instructions for removal of a central line
Chapter 11
Assessment and Documentation
  • Documentation of insertions, removal, infiltration or extravasations
  • Assessment, monitoring, documentation by type of therapy
Chapter 12

Course Snapshot

Cost: $ 50.00
Contact Hours: 5


After successful completion the licensed nurse: RN, LPN/LVN will receive 5.0 contact hours.  Provider approved by the California Board of Registered Nursing, Provider # CEP 15467 and by the Florida Board of Nursing, CE Broker Tracking # is 20-315841.

 LPN, RN, Nurse Practitioner, and Clinical Nurse Specialist will receive 5 contact hours. Provider approved by the District of Columbia Board of Nursing, CE Broker Tracking # is 20-315841.

This document must be retained by the licensee for a period of four years after the course concludes.

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