Hand Hygiene
What is the best way to prevent infections?
Hand Hygiene!
What isolation is required for flu?
True or False: Foley securement, keeping the foley bag less than 2/3 full, and daily foley care are ways to prevent a CAUTI
True
How long should you scrub the hub for?
15 seconds!
What is an example of a high touch surface?
surfaces that easily become very contaminated (bell rails, call buttons, tray tables)
True or false: Gloves are a substitute for hand hygiene
False!
What isolation is needed for MRSA?
None! Unless draining wound
What can be used as an alternative to a foley catheter?
bed pan, external cath, condom caths, intermittant straight cath, urinals
How often does a central line dressing get changed?
every 7 days, 48hrs if gauze
What does contact time mean?
The amount of time a product must be on a surface in order to disinfect it (wet time)
How long should you wash your hands?
20 seconds
What is the difference between contact and ENHANCED contact?
enhanced contact requires dedicated equipment, staff, UV cleaning
True or false: cloudy urine and altered mental status alone are indications for a urine culture?
False!
False! should assess need at least daily
How would you know how a device/equipment needs to be cleaned?
The manufacturers instructions for use
What is the perferred in the health care setting- hand sanitizer or soap and water?
hand sanitizer! (exception: After using the restroom, Before eating, Whenever visibly soiled, c diff/norovirus)
A patient completes treatment for c diff and is feeling much better! His stools are getting better but still softer than his normal. Can isolation be removed?
No! Not until the patient is back to baseline stools
When should you assess if a foley can be removed?
1.No longer indicated
2.Rounding with providers
3.At shift change
4.At transfer/handoff
5.If the Nurse-Driven Indwelling Urinary Catheter Protocol is ordered and the patient does not meet the criteria to keep the Foley, then the Foley should be discontinued and no further discussion is necessary with the provider.
True or false: if you are drawing blood cultures, it is best to draw form the central line if possible
False! two peripherals is perferred
What is Blu 62 used for?
Point of use pre-treatment spray
According to the WHO, what are the five moments of hand hygiene in a patient room?
Before touching a patient, before clean/aseptic procedure, after body fluid exposure, after touching a patient, after touching patient surroundings
How long does someone with an MDRO require contact isolation?
At least 1 year! and no abx for treatment of MDRO and a negative culture from same site
What is a true indication for a foley cath?
urinary retention, strict I&Os, urologic surgery, sacral wound, chronic foley, prolonged immobilization, comfort care, gross hematuria
Which of the following is not considered a central line?
-A temporary dialysis catheter
-A mediport
-A external jugular intravenous catheter
-A single lumen PICC
external jugular intravenous catheter
What is the Spaulding classification?
the classification scheme that categorizes items as critical, semi critical and non-critical based on risk for infection