The "Why"
This is the minimum number of days a central line must be in place before an infection is officially classified as a CLABSI?
What is 2 days
During every shift, the nurse is responsible for assessing the dressing to ensure it meets these three CDI criteria
What is clean dry and intact?
A systemic early warning sign that may indicate a CLABSI if the site appears normal
What is unexpected fever and tachycardia?
The specific question nurses should ask during every shift and handoff to prevent CLABSI?
What is "does this patient still need this line?"
To maintain sterile field the nurse must keep their hands and sterile equipment above this anatomical level at all times
What is the waist?
This term describes the protective "shield" or community of bacteria that grows inside a catheter, making it resistant to antibiotics.
What is Biofilm?
The standard number of days required for dressing change, for a CHG impregnated transparent dressing
What is 7 days? or What is 7 days unless soiled?
A diagnostic procedure a nurse should be prepared for if CLABSI may be suspected?
What is blood smear?
A safer intravenous alternative to a central line if high-risk or caustic meds are no longer needed
What is Peripheral IV?
The area of a sterile drape that is consider contaminated
What is the 1 inch border?
What is a single case of CLABSI estimated to cost the healthcare system?
what is $48,000?
These are the two primary conditions that require an immediate dressing change
What is soiled or loose dressing?
Which laboratory valve often trends upward in a patient developing an early CLABSI?
What is WBC?
The nurses role to ensure lines are pulled as soon as they become non-essential?
What is advocacy?
Equipment that must be used by patient and nurse to prevent respiratory droplets from contaminating sterile dressing change
What is a mask?
Which etiology of CLABSI allows bacteria into the vessel by hitching a ride via the skin surface during insertion
What is Extraluminal?
A passive way to maintain antiseptic seal and lower risk of accidental contamination
What is a cap or CUROS, or BD Pure hub
While assessing the CVAD site these two signs may indicate potential CLABSI
What is erythema and edema? or
What is erythema and warmth?
When a patient with a central line develops a new fever, why must the nurse perform a head-to-toe assessment to check for other sources of infection?
what is to verify primary source?
The minimum duration of time for vigorous scrubbing from clean to dirty used during dressing change.
what is 30 seconds?
The etiology of introducing bacteria via the HUB or needless connector?
What is Intraluminal?
To eliminate the biofilm that accumulates on the needless connector, the nurse must preform this action for at least 15 seconds before assessing each time
What is scrub the Hub
If CLABSI is expected what is the first intervention of the nurse?
What is stop infusion and report
When a patient is educated to observe their nurse "scrub the hub," it empowers the patient to serve as as a safety partner and activity engage in their
what is Patient Centered Care?
When a colleague observes a breach in the sterile field during CVAD dressing change, and immediately stops procedure to restart, what QSEN competency is being demonstrated?
What is Safety?