Central Lines Essentials
How often should end caps be changed on a central line ?
What is every 96 hours
PPE necessary for contact precautions
What are gloves and a gown.
Mask and eye protection are additionally required if contact with bodily secretions is possible.
All patients that require a foley catheter must have this.
What is a provider order
Head of bed elevation at 30-45 degrees
Daily sedation vacation and SBT
Peptic ulcer prophylaxis
DVT Prophylaxis Daily oral care with CHG
What is the VAP bundle of care
When is the orange alcohol port protector used?
What is : when the port on a central line is not in use.
In addition to standard precautions of wearing gloves and a gown, an N95 respirator mask is also required.
What are airborne precautions
Examples may include:
Acute urinary retention or bladder outlet obstruction
Critically ill and need for accurate measurements of I&O
To assist in healing open sacral or perineal wounds in the incontinent patient
What are indications for an Indwelling Urinary Catheter (IUC)
The spontaneous awakening trial is commonly known as
What is a sedation vacation
Name 3 things that describe the correct integrity of a central line dressing
What is clean dry and intact
In addition to standard precautions, personnel should wear protective surgical masks
What are droplet precautions
Securement device that should be placed on the patient's thigh for all patients with a foley catheter
What is a StatLock
How often should an intubated patient have their teeth brushed each day?
What is twice daily
The task placed in EPIC for a port that is accessed.
What is re-access port every 7 days
Hand hygiene
Personal protective equipment
Respiratory hygiene/cough etiquette
Sharps safety
Safe injection practices.
What are standard precautions.
1. Secure IUC to prevent urethral irritation.
2. Position drainage bag below the bladder (but not resting on the floor).
3.Check system for closed connections and no obstructions/kinks or dependent loops
What is the Triple Action for maintenance of the IUC drainage system
Where in EPIC is mouth suctioning documented for patients that are orally intubated?
What is Daily Cares/Safety flow sheet under category Hygiene choose oral care (drop down box)
A task that can be delegated to a PCT for patient with a central line, and should also be added to EPIC as a once daily task.
What is a CHG bath
Gowns, gloves, N-95 mask and goggles.
Frequency that perineal (foley care) needs to performed and documented in EPIC
What is daily, or once every 24 hours.
Any condition or complication that occurs in patients receiving mechanical ventilation.
Examples may include VAP, ARDS, sepsis.
What is VAE (Ventilator Associated Event)