HAPI
This is what needs to be done with every admission or transfer.
What is 2 nurse skin assessment?
This is the color associated with all patients at risk for fall.
What is yellow?
This staff member should be consulted any time a C. Diff order is placed.
Who is the charge nurse?
Catheter care should take place at these times.
What is at least once per day and with each incontinence episode.
This is required prior to use of a central line (once the central line is in place).
What is a chest x-ray?
This is used to protect patients who are oxygen dependent.
What is an ear cushion?
This tool should be utilized when ambulating patients at high risk to fall.`
What is a gait belt.
Name criteria for C. Diff Testing.
(2-Part Answer)
What is:
1. Three or more stools in 24 hours.
2. Stool must be liquid/unformed and take the shape of the specimen container
A urinary catheter bag should be emptied at this time.
What it when it is no more than 2/3 full?
CHG dressings are routinely changed after this amount of time has elapsed.
What is 7 days.
This is what can be used to prevent bed sores while waiting for a specialty bed
What is a waffle overlay?
This tool is used to assess a patient's risk to fall.
What is the Morse Fall Scale?
Name 5 signs and symptoms of C Diff.
What are:
1. Fever.
2. Abdominal cramping/pain/tenderness.
3. Nausea.
4. Loss of appetite.
5. Elevated WBCs)
Many of the germs that cause a catheter-associated infection can be found here.
What are the intestines?
A blood stream infection can occur when ______.
What is when bacteria or other germs travel down a central line.
Part 1: This item can prevent sheer and skin injury and used in multiple locations.
Part 2: Five areas in which this item would be used are:
What is Mepilex?
What is sacrum, elbow, heels, back, hips?
When assisting a patient to the bathroom, staff should _____.
What is remain at arm's reach?
When evaluating an order for C Diff testing, the nurse should verify the following 9 items are not present.
What are:
1. Laxatives/stool softeners.
2. GI Prep.
3. Enemas.
4. Lactulose.
5. Oral contrast.
6. Oral magnesium supplements.
7. Opioid antagonists (Relistor, Movantik, Entereg)
8. Order for comfort measures/care.
9. Tube feeding, liquid diet, or no diet ordered.
The following must be documented with each indwelling catheter insertion.
(Eight answers)
What are:
1. Insertion site.
2. Catheter type and size.
3. Indication.
4. Catheter secured.
5. Drainage system.
6. CAUTI Bundle.
7. Patient's response.
8. Education.
A central venous catheter is a flexible hollow tube inserted into a vein with the tip terminating _____.
What is the median superior vena cava?
These are required when Braden Score is less than 12.
(2 Answers required)
What is a WOCN consult and Nutrition Consult?
The four types of falls are _____.
What is:
1. Assisted fall.
2. Witnessed fall.
3. Anticipated physiological fall.
4.Unanticipated physiological fall.
Your patient has been tested for C-Diff within 72 hours of admission. The patient has been asymptomatic for days but now complains of abdominal pain and cramping. The appropriate time frame for retesting is _____.
What is 7 days?
The elements of the CAUTI Bundle are ____.
(Six answers required.
What is:
1. STAT Lock in Plac.
2. Red Seal Unbroken.
3. Tubing/Clip Secure/In Place.
4. Drainage Bag Below Bladder
5. Drainage Bag not 2/3 Full or More.
6. Drainage Bag off Floor.
Name the 5 elements included in the CLABSI bundle.
What are:
1. Occlusive dressing.
2. Dressing change date and time.
3. Biopatch present.
4. Green caps on all hubs.
5. Daily antiseptic bath.