HMS PICC Tier II CLABSI Toolkit

To reduce PICC-related CLABSIs, institutions should audit infection timing and location, assess device appropriateness using tools like MAGIC and the Michigan PICC CLABSI Score, and evaluate the use of advanced technologies for high-risk patients. Early CLABSIs often relate to insertion, while later ones stem from care and maintenance. Targeted interventions based on these findings can improve safety, optimize device use, and reduce costs.

If most CLABSIs occur within six days of PICC insertion, focus on insertion practices by auditing compliance with sterile technique, device appropriateness, and staff competencies. Use tools like MAGIC and the Michigan PICC CLABSI Score to guide decisions, minimize lumen use, and assess risk. Engaging key institutional partners ensures safer insertions and supports targeted interventions.

To prevent CLABSIs related to PICC care and maintenance, institutions should audit dressing integrity, flushing practices, and staff competencies, while promoting advanced technologies and patient education. Engaging multidisciplinary teams and ensuring proper hand hygiene, device handling, and nurse-to-patient ratios are essential for safe, consistent care. Tailored interventions based on these audits support improved outcomes and reduced infection risk.

High risk patient

Daily audits/standard utilization ratio (SUR) review (NHSN)

Ensure culturing stewardship: only order blood cultures from a PICC if CLABSI is suspected