Central Lines
What should you do prior to initiating IV therapy?
What is proper hand hygiene
All hubs for all lines should be scrubbed for at least this amount of time.
What is 5 seconds using Prevantics wipes or 15 seconds using alcohol wipes
It is acceptable to write on an IV bag with a felt-tip marker
What is False
If a patient has an allergy to tegaderm, this can be used instead.
Dry sterile dressing
Central lines placed require this before they can be used.
What is x-ray confirmation of placement and a physician order that it is okay to use.
Blood draws from a peripheral line are done where..
What is the ED when the IV is initially inserted
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.
When assessing an implanted port site, you observe for edema, erythema, tenderness
What is True
This is the correct PPE that should be worn for changing end caps.
What is a mask and clean gloves.
What orders do you need to access a central venous port
What is an order to access the port and an order to draw blood from the port
All peripheral IV sites should be changed..
What is 72 hours
If gauze is in place on a central line dressing, the dressing must be changed within ________ hrs.
What is 24hrs.
When accessing an implanted venous port, the patient should always wear a mask if able?
What is TRUE
What is documented on the label on the occlusive dressing, on the IV site
What is date inserted and the initials of the nurse
TPN bags and tubings are changed how often
What is every 24 hours at 8pm
When should you change an IV started under less than ideal circumstances
What is within 24 hours
A RN can remove what type of PICC line
What is non-tunneled
You can pre-mix your antibiotics at the start of your shift as long as you know that the order will not be dc'd.
What is FALSE
Name 2 medications that should always run via a pump
What is chemotherapy, thrombolytics, high alert meds
Your patient has a dialysis catheter and you noticed that the dressing is bloody. As the primary nurse you should...
What is notify the dialysis unit of the condition of the dressing, reinforce the dressing, do not remove it
What type of dressing should you have on an IV site
What is clean, dry and occlusive
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.
You always need to total your continuous IV fluids at the end of your shift
What is TRUE
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.