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When a patient no longer requires central venous access, CVP monitoring, frequent blood gases or close blood pressure monitoring, consider changing a central venous line to a PICC or conversion to peripheral IVs.Positional arterial lines, colonization/contamination of peripheral or arterial catheters, inadequate line anchoring with catheter movement, inadequate flushing and thrombosis are all important risk factors for central venous blood stream infections.Insertion and Q Shift Vascular Device Assessment and DocumentationTo identify lines at risk for central line infection, accurate document of a patient with established lines is essential