CLABSI
How often any patient with a PICC, TLC, Port, or dialysis catheter should receive a CHG bath.
What is daily?
How often foley necessity reevaluation should be done.
What is at least Q12 hours?
This warning device should be checked with every patient interaction & is designed to alert staff to patient movement.
What is a bed/chair alarm?
Frequency of skin assessment under a medical device.
What is Q shift?
When an NIHSS should be completed & documented.
What is on admission, transfer, with any neuro change, upon discharge?
How often a central line should be reviewed to determine necessity.
What is Q12 hours? Minimally daily.
The foley drainage bag should be below this at all times.
What the bladder?
This device should be present in every patient room & aids in mobilizing the patient.
What is a gait belt?
Three of the many available HAPI prevention interventions are...
What are Q2 turns, offloading (pillows/wedges/heel boots), waffle cushion, Mepilex/OptiView dressings, nutrition consult, PT/OT (increased mobility)?
This must be completed before giving anything PO to a suspected stroke/TIA patient.
What is a bedside swallow study?
Closed system primary & secondary IV tubing is changed...
What is every 96 hours?
The nurse driven protocol used to provide a standardized approach for when to utilize indwelling catheters, remove them promptly, and manage urinary retention.
What is CHAMP?
The catheter handling awareness management protocol
This phrase is a reminder to remain close to patients needing assistance to the BR or bedside commode.
What is WAR? Within Arm's Reach.
Four days post admit you note a blister on your patient's heel. There is no documentation of this in the chart. The first two things you do are...
What are take a picture and place a wound consult?
If the patient fails the swallow screen in ED but symptoms have resolved by admission to the unit, the nurse must...
What is not rescreen/not give anything PO (including meds) until Speech Therapy sees the patient?
For intermittent infusions that are disconnected between administration, primary and secondary IV tubing is changed...
What is every 24 hours?
Prior to obtaining a urine culture from a foley catheter, you would exchange the catheter if it had been in place for longer than...
What is 48 hours?
This is performed to review a fall and the circumstances surrounding it. It helps determine the cause and provides staff opportunity to suggest interventions.
What is a Post Fall Huddle?
On day 5 of admission, you have requested a wound consult. The Wound RN reports a DTI on your patient's sacrum & asks you to complete the following 3 tasks....
What is apply CASP, apply Mepilex/OptiView, place a NETS?
How often education is required to be completed & documented for a stroke patient.
What is Q shift?