Intake & Output
True/False: Intake and output (I&O) assessment provide essential information about hydration level, overall health status, and response to treatments.
True
The Clean 4 You Promise Package went live May 16, 2017. It contains helpful resources to assist staff with reducing infections such as MRSA, CLABSI, and C. diff. How often should a patient receive a bath and linen change?
Clean Bed and Clean Patient is ensuring every patient across Piedmont will receive a bath or shower and fresh bed linens daily.
t is the policy of Piedmont Healthcare that that patients with a known or suspected communicable disease/infection are to be placed on the appropriate type of _______ precautions during their encounter.
Isolation
If a patient has a fall during an admission, the patient will remain a ____ fall risk regardless of the predictive model screening.
High
The typical continuous suction recommended for an external urinary catheter per manufacturer instructions.
Adjust continuous suction per manufacturer instructions (typically 40 or 60 mm Hg).
What is the recommended suction settings for external urinary catheter?
Set suction device to 40-60 mm Hg
Patient with devices (such as lines, tubes, or drains) should be bathed with __________.
Bathe hospital patients with devices every day with a special antiseptic (CHG) wipes to help remove germs and prevent infection.
Brianna is on droplet isolation following a positive test for Flu A. Name everything that should be stocked on the isolation cart or caddy for this type of precaution.
Isolation cart or caddy stocked with surgical/isolation masks with face shield, gown, and nonsterile gloves
A safety device made of cloth or plastic that is secured around a patient’s waist and used to guide a patient while walking.
Gait Belt
Perineal hygiene should be documented at least ______ per SHIFT to satisfy current shift required documentation measures.
Once
Billy, your patient, finished eating dinner. You are picking up his tray to be discarded. He at all of his chicken, half of his macaroni and cheese, half of his green bean and he drank all of his sweet tea. How much of Billy’s dinner was eaten?
Chicken (1 * (1/4) = 25) + Macaroni & Cheese (1/2 * 1/4 = 12.5) + Green Bean (1/2 * ½ = 25) = 62.5% Sweet tea =240ml
If a patient has an CHG allergy and unable to receive a bath with Hibiclens, what product could be an alternative to plain soap and water?
Vashe reduces bioburden on the skin but does not have the same efficacy as CHG.
Name the type of isolation precautions from this signage.
Enhanced Contact Precautions includes gloves, gown, hand hygiene exclusive to soap and water (no hand sanitizer), and bleach wipes to clean equipment.
Name this system that helps offloads the sacrum, minimizes friction and shear, and manages moisture. The product pictured below is part of that system.
Sage Prevalon AirTap
An external urine management system is used to manage urinary incontinence in patients. The system uses a noninvasive device to collect urine via a tube into a suction canister. It protects from ___________ related to urine exposure and may replace the need for invasive urinary catheter insertion in some patients, which lowers the risk of catheter-associated UTI.
Skin breakdown
What is the normal urinary output in mL/hr?
Normal urine output for an adult is 30-40 mL/hour.
If a person refuses a bath or linen change and you have notified the primary nurse and the charge nurse, who would be next in line to notify?
The Nurse Manager
For Airborne isolation, a fit-tested _____ should be worn when in a patient’s room.
N-95
A non-motorized patient lift device with a safe working load of 400 pounds that can move a patient from a seated position from one surface to a seated position on another, such as sitting on the edge of the bed to the toilet.
Sara Stedy
The external urinary management system should be replaced every __ hours for a male and catheter should be replaced every ___ hours for a female.
24; Replace catheter every 8-12 hours or if contaminated with stool or bodily fluids other than urine.
Name three devices that could be used to document urine output for a patient with orders for strict I&O?
Suction canister from external catheter or drainage bag from an indwelling catheter, collection hat or urinal.
Name the metric of patient perception of hand hygiene that is used to measure Clean Hands.
The Press Ganey metric of patient perception of hand hygiene is used to measure Clean Hands.
Name two resources or references where you can find out information about isolation precautions.
Dynamic Health Procedures: Isolation Precautions Guidelines
Policy Stat: Isolation Precautions Policy
PAR Infection Prevention Team: Dept. 706-475-3370 or Morgan Edmondson 706-475-3703
Fall risk reassessment will be achieved utilizing the EHR ________________ screening which updates at regular intervals beginning 12 hours after admission.
predictive fall risk
Name a contraindication of the application of an external urinary catheter.
Allergic reaction or latex allergy
Penile genitalia
Uncooperative or agitated patient
Frequently recurring bowel incontinence unless a fecal incontinence device is used
Heavy menstrual flow when tampon cannot be used