CAUTI Prevention
Central line dressings should be changed this frequently.
every 7 days or immediately if a dressing becomes loose, soiled or damaged
When a patient has a central line, the patient should receive a CHG skin treatment this frequently.
Daily
What is the single most important practice to reduce infectious agent transmission?
What is hand hygiene
This is the first step in preventing a CAUTI
ensuring the catheter is necessary before insertion
This antimicrobial agent, often used for skin antisepsis, is recommended for reducing the risk of CLABSI
Chlorhexidine Gluconate (CHG)
3 Common Blood Borne pathogens contracted from needle sticks
Hepatitis B, C and HIV
Which of the following is not a part of care & maintenance for the CAUTI bundle:
- Maintain urinary drainage bag < 2/3 full
- Empty drainage bag prior to transport
- Maintain a closed system/seal of tubing catheter
- Provider orders for manual irrigation are not required. Use sterile technique and the same supplies with each irrigation.
- Provider orders for manual irrigation are not required. Use sterile technique and the same supplies with each irrigation.
Which of the following is not a part of line maintenance for the CLABSI Bundle:
- Daily site assessment
- Scrub the hub for 15 seconds with CHG wipes
- Change needless connectors Tuesdays and Fridays or PRN when soiled (every 72 hours or PRN for critical care)
Change needless connectors Tuesdays and Fridays or PRN when soiled (every 72 hours or PRN for critical care)
Needless connectors are switched on M and T
What are the 5 moments of hand hygiene?
What is:
1. before touching a patient?
2. before clean/aseptic procedure?
3. after body fluid exposure risk?
4. after touching a patient?
5. after touching patient surroundings?
If a patient has had an indwelling urinary catheter (IUC) in place for more than this number of hours when a urine culture is ordered, the IUC should be exchanged prior to collecting the urine culture specimen.
What is 48 hours?
Among central venous catheter sites, this location is associated with the highest infection rate due to its proximity to the groin and higher risk of bacterial contamination
the femoral line
Out of Bristol Stool Chart types 1 through 7, these are the 2 stool consistency types that make appropriate collection samples for C. diff testing.
What are types 6 and 7?
What is the next step if a patient has a bladder scan >500ml OR after two straight catheter catheterization
Obtain an order for a Foley
What are the reasons for escalation for Central Lines?
What is:
- IJ or SC catheter present for ten or more (10) days
- Femoral CVC present for > 48 hours
- Accessed Port or tunneled catheter on admission
- History of previous line infection
- Bleeding at site – greater than 24 hours
- Blood draws from CVC
- Trialysis lines on med surg units
The most common HAI, 33,000 patients die each year from this which is preventable
What is a Central Line Site Infection-Associated Blood Stream Infection (CLABSI)?