CLABSI
Trouble Shooting
Blood Collection

CAUTI
More Infection Prevention
100

This is what CLABSI stands for

What is a central line-associated bloodstream infection (CLABSI)?

100

During a routine flush, you notice resistance and the patient reports pain. What could be the cause, 

and what steps should you take?

What is catheter occlusion or thrombosis? Steps include stopping the flush, assessing for mechanical

issues, and possibly using a thrombolytic agent as ordered.

100

This is the reason for discarding the initial blood sample when drawing from a CVAD

What is to remove any heparin or saline that could contaminate the sample?

100

This is what CAUTI stands for

Catheter-Associated Urinary Tract Infection

100

This is the primary reason for labeling a Foley bag (With the orange sticker provided in the foley kit) after insertion

What is to track the duration of catheter use?

200

Name one potential complication of a Central Line that requires immediate medical attention

What is infection or catheter occlusion

200

You observe that the Port-A-Cath is leaking fluid during an infusion. What are the potential causes,

and what should you do next?

What are catheter dislodgement or rupture? Stop the infusion, assess the site, notify the healthcare 

provider, and prepare for possible catheter removal or repair.

200

Describe the steps to take if blood flow is sluggish or stops during a blood draw from a CVAD

What are checking for kinks. repositioning the patient, and flushing the line with saline?

200

This is the primary cause of CAUTIs

Prolonged use of a urinary catheter

200

Name one potential consequence of not labeling a Foley bag correctly

What is increased risk of infection or incorrect patient care?

300

This is the technique used to access a Central Line

What is sterile technique

300

Describe the proper technique for flushing a Central Line to maintain patency and

prevent complications

What is using a pulsatile (Push-pause) technique with normal saline, followed by heparin if ordered

to maintain patency and prevent clot formation?

300

What do you need to do before obtaining blood from a central line that is infusing TPN, Lipids, or medication?

Turn off IV for full 5 minutes before obtaining blood from the line

***first and foremost avoid lines with TPN or lipids

Do not draw Labs from a TPN or LIPID Central Line :) 

300

This is the recommended duration for leaving a urinary catheter in place to minimize the risk

of CAUTI

As short as possible. Ideally less than 48 hours

300

After insertion of the Foley, the orange sticker provided in the kit will need this information written on it before placing on the Foley bag

Time and date of catheter insertion

400

This is how often a Central Line  gets assessed

What is every 12 hours with each AM/PM assessment and during infusion and interventions

400

Describe the process for removing a central line and the precautions you should take to ensure patient safety

What are performing hand hygiene, using sterile technique, removing the catheter gently, and applying a sterile dressing to the site?

400

This prevents hemolyzing the blood specimen

What is pull back blood 1ml at a time

400

You observe that the catheter insertion site is red and swollen. What are the possible causes

and what should you do next?

What are infection or catheter related trauma? Next steps include assessing the site

notifying the healthcare provider, and possibly removing or replacing the catheter

400

This is needed before you can insert a Foley

What is a physician order?

500

Explain the rationale for using cholrhexidine-impregnated dressings on central line sites

What is to reduce the risk of infection by providing continuous antimicrobial protection

500

A patient with a Central Line develops shortness of breath and chest pain. What serious complication could this indicate, and what is your immediate response?

What is a pulmonary embolism or pneumothorax? Immediate response includes stopping any infusions, placing the patient in a position of comfort,  administer o2, and notifying the healthcare provider immediately

500

List one infection prevention practice that is recommended immediately after blood is drawn

Flushing the residue blood from the injection cap-

Residue  can provide an environment for bacterial growth if left in the injection cap

500

This catheter can help decrease the risk of urnary tract infections

Coude


How? Reduced trauma: Curved tip is designed to navigate around obstructions such as enlarged prostate

with less friction and trauma to the urethra. This reduces the risk of microtrauma, which can be a pathway for bacteria to enter and cause infection-Curved tip up with insertion

Complete bladder emptying

500

Indwelling unrinary catheters will only be used when the following criteria are met

urinary retention or bladder outlet obstruction (Evaluate after 48 hours and consider removal following the nurse-driven Foley removal protocol unless placed by urology)

  • anticipated large-volume infusions or diuretics during surgery
  • anticipated prolonged duration of surgery
  • epidural anesthesia/prolonged effect of epidural anesthesia
  • healing of open sacral or perineal wounds in incontinent patients
  • improved comfort for end of life care
  • intraoperative monitoring of urine output
  • prolonged immobilization (e.g.potentially unstable thoracic or lumbar spine, multiple traumatic injuries, pelvic fractures)
  • urologic surgery or other surgery on continuous structure of GU tract, or Foley is placed by a Urologist
    • Follow urologist recommendation for removal
  • chronic indwelling catheter- (must have supporting documentation) (medical record, LIP documentation, etc.)
M
e
n
u