Central Line Insertion Practice (CLIP) Reporting Requirements
All general acute care facilities are required to begin reporting of Central Line Insertion Practices (CLIP) through NHSN effective July 1, 2008. The facility may choose either option below plus the added requirement below. The
CLIP form may be downloaded from the NHSN website (PDF) at the following link:
Submit the complete CLIP data set (all asterisked data fields) to NHSN as set forth by the CDC for
all ICUs including adult, pediatric and NICUs within their facility. If a facility does not have an ICU, another area such as a medical/surgical unit where patients have central lines inserted should be selected for reporting.
All of the following subset of CLIP process measures must be reported to NHSN for
all ICUs including adult, pediatric, and NICUs within their facility. The mandatory process data set includes:
- Occupation of the inserter
- Whether the inserter performed hand hygiene prior to central line insertion
- Whether and which sterile barrier precautions were used
- Type of skin preparation
- Location of insertion site
- Type of Central Line inserted
*With Option 2, the CLIP module will be "off plan", meaning it is not to be submitted as a part of the monthly surveillance plan to NHSN. Data must be entered into the module. So as to maintain enrollment in NHSN, the facility must submit in its plan and report catheter-related bloodstream infections (BSIs) per the NHSN data set and rules for at least one ICU. If a facility does not have an ICU, another area such as a medical/ surgical unit where patients have central lines should be selected for reporting. BSI outcome data are not required to be reported to CDPH at this time.
Additional reporting requirement:
All hospitals are required to develop and implement a process to ensure daily assessment of central line necessity for all patients with central lines on units under surveillance and to be able to present results of that process to CDPH surveyors. Daily assessment of line necessity by a licensed care giver (defined as a person with the authority to order insertion or discontinuation of a central line) is strongly associated with reduction of infection risk because it prompts the removal of lines sooner rather than later. This activity is separate from inspection of the line insertion site which is a routine part of daily nursing care.