Isolation
Precautions
Precautions
CAUTI Prevention
CLABSI Prevention
Wild
Card
Card
CLABSI
100
This is the number one way to prevent the spread infections.
What is Hand hygiene (hand washing, hand sanitizing)?
100
Device used to keep the urinary catheter in place and prevent movement.
What is a urinary catheter securement device?
100
The day of the week central line dressings are changed.
What is Wednesday?
100
The length of time you must lather your hands with soap
What is 15-20 seconds
100
The patient has a central line in place with a dressing that is loose and has visible drainage. The nurse plans to ________.
What is change the central line dressing?
200
These are the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in every setting where healthcare is delivered.
What are standard precautions?
200
Documentation in the EHR when 2 nurses are present during the aseptic insertion of an urinary catheter to aide in the identification of breaks in aseptic technique.
What is the "buddy system"?
200
This is included on all IV tubing labels.
What is a date?
200
True or False: Gloves are a substitute for hand hygiene and you do not need to decontaminate your hands after wearing gloves?
What is: False
200
These cover all unused ports on IV tubing.
What are alcohol caps?
300
PPE that must be worn to enter a patients room in "Contact or Contact Plus" Isolation Precautions.
What is gown and gloves?
300
These are alternative methods to facilitate urinary drainage to prevent urinary catheter insertion.
What are ...
1. Bedside commode, urinal, or incontinence garments to manage incontinence
2. Timed toileting every 2-4 hours while awake
3. Bladder scan prior to straight catheterization to assess for urinary retention unless contraindicated and follow urinary retention algorithm
4. Intermittent straight catheterization
5. External urinary catheters-unless contraindicated
6. Use scales for assessment of urine volume to avoid urinary catheter placement for hourly urine output
300
When the patients is receiving a continuous infusion the IV administration set in use is replaced no more frequently than every 96 hours but at least every 7 days. (excluding blood, blood products or fat emulsions)
What is how frequently to change a primary and secondary continuous IV administration infusion set (IV tubing)?
300
When a patient/visitor presents coughing or sneezing you should offer a mask, educate and encourage frequent _____________.
What is Hand Hygiene?
300
This PPE is provided to the patient and all others including family/care members and healthcare workers who are in patient’s room during central line dressing change.
What is a surgical mask?
400
PPE that must be worn to enter a patients room in "Droplet" precautions.
What is a mask?
400
These are elements of the CAUTI Prevention Maintenance Bundle.
What are...
Catheter Care with soap and water at least every 12 hours, after every bowel movement and PRN.
A continuous, closed (sealed) drainage system.
Securement device in place
Tubing without kinks or dependent loops using the sheet clip.
The drainage bag attached to the foot of the bed or other non-movable part of bed.
Collection bag is positioned below the level of the bladder to facilitate drainage
Collection bags emptied at least every 8 hours and PRN when move than half full.
400
These 2 things must be included on the central line dressing, communicating when the dressing was changed.
What are date and initials?
400
Hand hygiene is performed______________ in addition to wearing clean gloves during any manipulation of central venous access devices (CVAD) while maintaining aseptic technique.
Before and after contact with a CVAD
500
Eye protection (goggles or face shield), procedure mask, gown and gloves is worn in a patient's room who is in this Isolation Precaution.
What is "DROPLET PLUS" precautions.?
500
The removal of an indwelling urinary catheter that has been in place for 3 or more calendar days (unless contraindicated) and a new urinary catheter is placed before the aseptic collection of urine from the sampling port of the device.
What is UTI Evaluation in a patient with an urinary catheter?
500
Patients who are admitted with central line in place will have the dressing, any tubing and end caps will be assessed and changed with the site condition documented in the EHR within ____________.
What is 24 hours of admission?
500
This policy is located on BSMH Central, provides guidelines for healthcare workers who insert, manage, maintain and/or remove central venous access devices (CVAD) within a BSMH hospital.
What is "Adult Central Venous Access Device: Care and Management"?
500
These are criteria for insertion and/or continued use central line.
What is/are ...CVP monitoring, Pulmonary artery catheterization, Fluid resuscitation (including blood products), Emergency venous access, Administration of vesicant medications, Nutritional support, Hemodialysis, Apheresis or Plasmapheresis, No peripheral access, Cooling/Warming Catheters?
600
This Isolation is ordered when a patient is admitted when with concerns for Tuberculosis.
What Airborne Isolation?
600
The assessment/reassessment of the indwelling urinary catheter finds it no longer meets indication for use and is promptly discontinued.
What is nurse drive foley catheter removal protocol?
600
The purpose and need for central line is documented every ________ . If no longer essential, the provider is consulted for an order to remove any unnecessary lines as soon as possible.
What is every shift and prn ?
600
Computer key boards and telephones have more ______ on them than Public toilets
What are GERMS?
600
All-inclusive dressing change kits are available for central line. The kit with a purple circle is for ____________.
What is PORT access?
The kit with an orange square is for Central line access.
The kit with a yellow triangle is for PICC access.