Central Lines
Peripheral IVs
Infection Prevention
Urinary Catheters
Misc.
100

Your patient wants to shower with his newly placed central line, you should ...

What is wrap it up with clear plastic and tape ensuring that all edges of the dressing are sealed.

100
Patients with a GI bleed or that are at risk for hemorrhage must have a minimal of this many PIVs.
What is 2.
100

All hubs for all lines should be scrubbed for at least this amount of time.

What is 15 seconds.
100
Foley catheter care should be performed and documented every _________.

What is every shift.


100
If a patient has an allergy to tegaderm, this can be used instead.
What is IV 3000.
200
Central lines placed from OSH require this before they can be used.
What is x-ray confirmation of placement and a physician order that it is okay to use.
200
Blood for POC glucose and lab draws can never be taken from a ________ or __________.
What is PIV or midline.
200
You walk into your pt's room and the IV tubing is not labeled and it is time to hang an antibiotic. You should ...
What is discard the unlabeled tubing and primary bag and use new tubing and bag ensuring the fresh set is labeled.
200
TRUE or FALSE: Urine specimens can be collected from the urinary drainage bag.

What is false.

200
This is the correct PPE that should be worn for changing end caps.
What is mask and clean gloves.
300
Power port central lines are this color and should be flushed with this many mls of saline per shift.
What is purple and 20mls.
300
Dressing changes should be performed on all PIVs every _________ days.
What is 7 days.
300

If gauze is in place on a central line dressing, the dressing must be changed within ________ hrs.

What is 24hrs.

300
Reassessment of the reason for continuing urinary catheterization should be documented every ______.
What is every shift.
300
This is not considered a central line but is a more stable form of access than a PIV and can be placed by VAT.
What is a midline.
400
If your patient has TPN and it gets interrupted for a procedure, you should __________.
What is get a new bag and new tubing when it is time to restart the TPN.
400
TRUE or FALSE: It is okay to leave in a PIV that was placed by EMS.
What is false. All PIVs placed by EMS should be removed within 24hrs. A physician order to keep a PIV from EMS is not acceptable since it was placed in an unclean environment.
400

A RN can remove a PICC and midline once checked off to do so and should wear this PPE during the procedure.

What is sterile gloves.

400
The green clamp on the indwelling urinary catheter drainage bag can be used to ____________.
What is prevent dependent loops by attaching the green clamp to the sheets.
400
These 2 medications should never be ran through a midline.
What is vancomycin and potassium.
500
Your patient has a dialysis catheter and you noticed that the dressing needs to be changed. As the primary nurse you should...
What is change the dressing using sterile technique.
500

TRUE or FALSE: PIVs can become infected and be a source of infection.

List the causes of PIV infection.

What is true.

poor hand hygiene, site contamination after skin disinfecting, poor dressing adherence, phlebitis, occlusion (poor or absent flushing)

500
Your patient has an allergy to CHG. This should be used to clean the site of the central line instead of CHG.
What is sterile alcohol swabs or povidone-iodine swabs.
500
TRUE or FALSE: Strict I/Os is a valid reason for keeping in a indwelling urinary catheter.
What is false. An adequate reason would be for a hemodynamically unstable patient (meaning SBP<100, HR>100, and/or elevated creatinine >1.5) AND requiring strict I/O.
500
Tubing and bags for insulin drips should be changed every _________ hours. Why?
What is every 24hrs because after 24hrs the insulin will begin to adhere to the tubing.
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