CLABSI
If a patient is admitted with an existing central line, or HD catheter what must be done on admission?
Change the dressing
What is the best way to prevent a CAUTI?
Remove foley catheters when unnecessary.
What type of hand hygiene is required after caring for a patient with C.diff?
Soap and water; hand sanitizer does not kill C.diff spores.
What does MRSA stand for?
Methicillin-resistant staphylococcus aureus
What types of staff should be observed for hand hygiene practices?
Everyone.
How long do you need to scrub the hub with alcohol?
15 second scrub and 15 second dry
What should be documented on the foley bag when it is inserted?
Date and time inserted
Is it okay to go into a c diff room and not wear PPE if you are not going to touch the patient?
No, there are spores in the air and can land on your uniform and be spread to the next patient
Why is it important for the hospital to screen patients for MRSA upon admission?
To prevent MRSA bacteremia, and further spread
What application is used to submit hand hygiene observations?
Hand watch app
How many days can a central line dressing go before it has to be changed?
7 days
What should be done if a patient has a foley and is incontinent of stool?
Place a barrier between the foley and the stool source
If a patient has liquid stools on admission, do they need to meet all the requirements of the ticket to test for a specimen to be sent to lab?
The only requirement is that they have a liquid stool, the lab equipment cannot test formed stool.
Are dialysis patients more or less proned to be colonized and infected with MRSA than the regular patients?
More due to having HD catheters, 5-6% more prevalent.
When should hand hygiene be performed?
Before touching a patient, before a procedure, after touching a patient, after a procedure of body fluid exposure risk, after touching a patient's surroundings.
How many hours can a regular IV tubing go before it has to be changed 96 hours
72 hours
What timeframe would a positive C.diff result be considered community acquired/ present on admission?
The first 3 hospital days
What is the difference in the type of isolation for a patient that has an active MRSA infection (such as wound) vs. a nasal colonization?
Active infection requires full contact precautions (gown in gloves when inside the room doing anything) and nasal colonization requires Modified Contact (only wearing gown/gloves while doing patient care).
Is it suitable to wear gloves instead of performing hand hygiene?
No, gloves may have micro perforations in them which can contaminate your hands
If a patient gets a CLABSI with a skin contaminate, name a possible source of contamination?
For patients with urinary retention, how often should a bladder scan and straight cath be done before considering replacing the foley?
Every 4-6 hours for 48 hours
Is it okay for a patient with c diff to have visitors that do NOT wear PPE, go to other areas of the hospital?
No because the visitors can spread the c diff spores throughout the hospital. They must wear PPE in the room and wash their hands with soap and water prior to leaving the patient's room.
Name the 4 high risk of the MRSA high risk criteria that would flag a patient to be screened with a nasal swab for MRSA.
Name at least one possible source of contamination that a patient may get an infection from?