Lather, Rinse, Repeat!
This is the single most important measure to prevent the spread of infections in hospitals.
What is hand hygiene?
This is how often urinary catheter care should be completed.
What is every shift (q12h)?
These are risk factors for patient falls.
The minimum amount of time recommended for scrubbing your hands with soap and water.
What is 20 seconds?
These are indications for a centrally placed IV line vs a peripherally placed IV line.
What is TPN, vasopressors, hemodynamic monitoring, dialysis, long-term IV therapy (>1 week), vesicant medications, concentrated electrolyte solution, or all peripheral access exhausted?
At DPH, this is the most common activity that patients are attempting when they fall.
What is toileting?
These practices & procedures should be implemented for patients with a Braden score of 18 or below (at-risk for pressure injury formation).
What is the Pressure Injury Prevention Protocol (PIPP) and the pressure injury clinical practice guidelines?
You must do this before putting on gloves and after taking them off.
What is hand hygiene (e.g. clean hands with sanitizer or soap & water)?
This is the correct method for collecting a urine culture.
What is clean catch, sterile sample from foley port, or straight cath?
These are Fall Risk Interventions that can be selected in Epic.
What is Alarm On, Fall Armband On, Gait Belt Used for Transfers, Hourly Visual Checks, Room Door Open, Toileting/Diapered Every 2 Hours - In Advance of Need?
This is the frequency at which skin should be assessed per OH Policy #2620: Skin Care/Skin Integrity (Adult and Pediatric Inpatient).
What is on admission, when any dressings are removed or changed, when transferred to another unit, and every shift?
This condition is indicated by the presence of any two of the following: temperature >100.4F, HR >90, RR >20, or WBC >12k.
What is systemic inflammatory response syndrome (SIRS)?
This is our hand hygiene campaign slogan at DPH.
Spread Kindness Not Germs!
This is how frequently you should change IV tubing for a patient receiving piggyback IV antibiotics.
What is every 24 hours?
After a fall, this must be completed to document what happened, how it was managed, and what interventions were implemented.
What is an event report?
The steps of this bundle include checking a lactate (and repeating if initial is >2), obtaining blood cultures, starting broad-spectrum antibiotics, and initiating 30 mL/kg IVFs for hypotension or if lactate >/=4.
What is the sepsis bundle?
The percentage of alcohol that hand sanitizer must contain to be effective against most germs.
What is 60%?
This is how often a neutral displacement valve (microclave) should be changed.
What is every 96 hours (4 days)?
For a severely septic patient who is not being treated, this is how often their survival rate decreases by ~8%.
What is every hour?