CAUTI
What does CAUTI stand for?
Catheter Associated Urinary Tract Infection
What does CLABSI stand for?
Central Line Associated Blood Stream Infection
What must be completed before sending a stool sample for C. Dif?
STOP Huddle
and discuss with Shannon and Infection Prevention
When should a bed/chair alarm be used on a patient?
All patients scoring moderate or high fall risk need an activated bed and chair exit alarm regardless of cognitive scoring.
Any patient scoring low and has any score under the cognition section of the JHFRAT tool (altered awareness, impulsive, lack of understanding of one's own physical and cognitive limitations) require a bed alarm.
1 hour
What is a foley line holiday?
1 full calendar day without a foley
What are hospital's highest risk lines?
Non-cuffed femoral lines
Any temporary lines greater than or equal to 7 days, lines inserted from outside facilities, lines with drainage, redness, swelling, etc. at site
How many days do we have to send a stool to avoid a Hospital CDI?
3 In-patient hospital days, unlike CAUTI and CLABSIs, the clock of CDI starts when a patient is placed in an in-patient room, not upon admission date
Which patients require 2 fall mats?
All high fall risk patients require 2 fall mats (one on either side of the bed or chair)
Any patient regardless of score who are on therapeutic anticoagulants (not prophylactic DVT prevention), admission diagnosis for fall, fall during hospital stay
How often do we chart I's and O's on our patients?
What makes a patient positive for a CAUTI in addition to a positive urine culture?
Flank pain, urinary frequency and/or urgency, dysuria, fever (100.4 or higher)
How often should you flush your Central Lines?
All noncuffed lines that are not in use should be flushed every 24 hours, including pigtails on dialysis catheter.
*See Adult Vascular Access Device Flushing Protocols Chart
When should we be completing a STOP Huddle and sending a stool specimen?
What needs to be completed when you have a fall?
Assess patient immediately following the Post Fall Documentation Flowsheet. Ensure patient is safe back in bed or chair with new interventions in place. Notify the TL/UC, Shannon, Physician, family member selected, and PCS. Complete a 1 hour post fall assessment and document in EPIC. TL/UC will complete a fall deep dive form to be huddled for the next 4 days (8 shifts).
When do we chart belongings on a patient?
What is the Bladder Management Protocol?
Assessing the patient's ability to void every 4 hours, 4 hours following removal of the foley catheter, and prn
What is the CLABSI prevention bundle?
CHG treatments (bath) daily, following flushing guidelines, addressing lines with MDs to remove line if no longer needed, assess patency and alteplase when necessary, dressing changes every 7 days or prn
What treatment plan should we look for or discuss with the Physician for a patient who has a history of C. Dif?
PO Vanc
Who requires a gait belt?
Any patient scoring moderate or high fall risk need a gait belt utilized any time the patient is out of bed
What is the admission expectation for obtaining VS?
Newly admitted or transferred patients to 4East need to have a set of VS completed and charted within 1 hour and the bedside monitoring in place within 15 minutes for telemetry needs.
List at least 4 of the 7 parts of the Foley Care Bundle
Limit use and duration of foleys
Wash hands before and after handling the catheter
Perform Foley care at least once daily and prn
Maintain stabilization/securement device
Maintain a closed drainage system (red seal intact)
Maintain unobstructed urine flow (green clips, bag below the level of the bladder, no kinks of loops)
Empty collection bag regularly
What should you check on a patient with a central line?
Curos gaps on ports, dressing (dated, timed, initials, intact), tubing labeled, site
What medications are part of the exclusion criteria, or where can you find these medications if you are unsure?
metformin, magnesium oxide, kayexalate, oral contrast, lactulose, Colace, senokot, Dulcolax, miralax, enema, milk of mag, magnesium citrate, Metamucil, suppository
In EPIC STOP Huddle, under additional criteria, meds are listed there
What are optional interventions used for high fall risk patients?
Safety Partner usage, Posey Bed, Increased rounding on patient, most sensitive bed alarm settings in use.
What is the best way to help improve the quality of care from our team when we notice something was not done correctly?
Peer Coach