INFECTION PREVENTION
The time of day that CHG baths are documented
2100
SecurePort IV takes this long to dry
2 mins
A Foley bag must be labeled with ___ in order to be compliant
Patient info sticker with time and date that Foley was placed
The populations that require Q4 oral care
Intubated/trached
What can be used to reinforce a dressing that is lifting and is no longer sterile
Nothing. Change the dressing.
You walk into your patient's room with your arms full of supplies. When do you perform hand hygiene?
Right after you put the items on the counter
TRUE or FALSE: CVP pressure lines should have a clear link attached to the hub.
FALSE
Foley care is done this often
Every shift and as needed
The day AND shift that suction canisters are tossed and replaced.
Central line dressing changes and line changes are always a 2 person job for these reasons
Maintain sterility, open packages, help hold limbs
The 2 rows that must be charted for CHG baths to count
Bath complete/partial AND CHG treatment
Intermittent med lines are good for ___ if they're hung during a line change. If they're disconnected, they are good for ___.
Good until the next line change if not disconnected. If disconnected, good for 24 hours
The 2 items that must be charted for Foley care to be correctly documented
Catheter care and perineum cleansed
The age that you transition from green swabs and sterile water/EBM to the 24-hour oral care kits
1 year old
Chest tube dressings are changed this often
Q 72 hours
The types of nail polish that are allowed on the unit
Bare nails or unchipped, regular nail polish (no gels, dips, acrylics, etc.)
Name 3 of the 5 circumstances where you should change a clear link
Hanging new TPN/lipids
If clear link is visibly soiled/bloody
When changing lipid-soluble medication lines (proprofol, clevidipine)
Prior to drawing blood cultures
Every 96 hours with line change
When a patient's Foley does not require a doctor's order for removal, the Foley order will say:
Remove per RN protocol
The two patient care items that are changed and dated every 24 hours. Night shift usually brings these items into the room for day shift
Sterile water and little sucker/Yankauer
Identify what's wrong with this dressing? (See mannikin)
Silverlon is upside down
The 5 moments of hand hygiene
Before touching the patient, before a clean/aseptic procedure, after body fluid exposure, after touching patient, after touching patient surroundings.
Demonstrate where Curos caps should be placed on this central line setup.
On all the open ports.
Your patient spikes a fever. The provider orders a UA and culture if indicated from a Foley that's been in place for >72 hours and is still indicated. What should you send?
UA only (yellow top)
Demonstrate oropharyngeal suctioning
Must do the oropharyngeal suctioning last, to prevent any fluids from entering lungs
Silverlon and sterile gauze (can be changed up to Q48 hours). Often done once a shift with the burn dressing changes. Ok to use CHG.