CLABSI
What does the acronym CLABSI stand for?
Central Line-Associated Bloodstream Infection
C.Diff patients should be placed on (blank) precautions which requires (blank) and (blank) to be donned and doffed when a nurse enters and exits the patient’s room.
SPECIALplus Contact; gown & gloves
Indication for catheter use should be assessed at least (blank)
daily
Testing for C.Diff is generally not indicated for fever or leukocytosis in the absence of (blank).
clinically significant diarrhea (≥3 unformed stools in 24 hours
We should scrub the hub for at least (blank) seconds before accessing a patient line.
ten
How often should patients in the ICU, or patients with central lines, receive CHG treatment?
At least once every 24 hours (daily).
A patient has had 2 watery stools during your shift, should we recommend testing for C.Diff?
No
True or False:
IUC bags must be above the level of the bladder and cannot be more than ¾ full.
False
If feasible, we should avoid obtaining blood cultures from the (blank).
central line
True or False: Visitors do not have to gown-up when entering patient’s rooms on contact isolation.
False
CLABSIs contribute to adverse outcomes including, but not limited to, increased risk of (blank) ?
Mortality
Your patient has had more than 3 watery stools in 24 hours and has been hospitalized for more than 4 days. What are some clinical interventions in the past 48 hours that would show that testing is not indicated?
Patients on laxatives or stool softeners (bowel regimen)
Enemas
Initiation of tube feeds or changes in tube feeding
Oral Contrast
Acute IUC orders have a limit of (blank) days.
two
How much blood should be collected for each blood culture bottle?
8-10 mL
Blood cultures should always be obtained prior to the initiation of (blank).
antibiotic therapy
What type of dressing is used for central lines and how often do we change them?
CHG-impregnated dressings; changed every 7 days
Name three risk factors for C.Diff
- Antibiotic use within past 3 months
- History of C. difficile in past 6 months
- Age > 70 years
-Current hospitalization or hospitalization within past 6 months
-Proton pump inhibitor use within past 4 weeks
- Inflammatory bowel disease
- Immunocompromised state
Name 3 indications for indwelling urethral catheters
Perioperative use for selected surgical procedures
Urinary output monitoring for critically ill patients
Management of urinary retention due to anatomical blockage
Gross hematuria and/or CBI
Immobilization due to unstable thoracic or lumbar spine
End of life care/Comfort Care
Reasons patient does not qualify for intermittent straight catheterization? (name 3)
acute renal failure due to urinary obstruction
neutropenia
anatomic difficulty
bleeding risk
patient declined despite counseling
List three alternatives to an indwelling catheter for documentation of a patient’s urine output
male/female external urinary device
intermittent catheterization
condom catheter