scrub the hub the basic infection control measure for bacteremia.#Nurses

1. By
SN Jennifer Asha
Infection control Link Nurse
Intensive care unit
Hospital Sungai Buloh

2. Definition of Scrub The Hub
Scrub :
Rub hard so as to clean them, typically with a
brush and water.
Hub :
its refers to the end of the invasive catheter that connects to the
blood lines or cap.

3. SCRUB THE HUB IS VERY
IMPORTANT
WHY ???

4. Importance Of Scrub The Hub
Get rid of
contamination
HUB
Maintain the
sterility
patency.
To avoid from
catheter
related
infection

5. How To Scrub The Hub
SQUEEZE LIKE
LEMON
DURATION SCRUB THE HUB
15 SECONDS

6. Evidence Based Practice
Study at Johns Hopkins reveals
decontamination effectiveness of 70%
isopropyl alcohol scrub for 5 seconds versus 15
seconds.
( Lockman, heitmiller, Ascenzi and Berkowitz,
2011, Scrub The Hub! Catheter needleled port
decontamination)

7. Procedure : Scrub The Hub
Hand Wash Wear Gloves Use Alcohol
Swab 70%
Scrub The Hub 15
Seconds ON THE
TOP OF STOPPER
Twisting Motion
Scrub The Hub 15
Seconds BEFORE
GIVE MEDICATION
OR WITHDRAW
BLOOD
Give Medication Or
Withdraw Blood
SCRUB THE HUB
AGAIN AFTER
PROCEDURE
CHANGE
STOPPER
DISCARD
GLOVES

8. SAVE MY INVASIVE LINES

10. For today…
Celebrate your contributions ~
YOUR CONTRIBUTION
improve patients outcomes!

11. References
• Centers for Disease Control and Prevention
• Oxford Dictionary , 2019
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093967/
• CRBSI DATABASE FROM INFECTION CONTROL HOSP SUNGAI BULOH
• National Nosocomial Infections Surveillance (NNIS) System report, data
summary from January 1990-May 1999, issued June 1999. Am J
InfectControl. 1999;27:520–32.
• Lorente L, Henry C, Martin MM, Jimenez A, Mora ML. Central venous
catheter-related infection in a prospective and observational study of
2595 catheters.
• Pawar M, Mehta Y, Kapoor P, Sharma J, Gupta A, Trehan N. Central venous
catheter-related blood stream infections:incidence, risk factors, outcome,
and associated pathogens. J Cardiothorac Vasc Anesth. 2004;18:304–8