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)?
At DPH, this is the most common activity that patients are attempting when they fall.
What is toileting?
Who can enter an order for a specialty bed?
What is bedside RN?
How do you call rapid response?
The minimum amount of time recommended for scrubbing your hands with soap and water.
What is 20 seconds?
These are the indications for a central line.
What is TPN, vasopressors, hemodynamic monitoring, dialysis, long-term IV therapy (>1 week), vesicant medications, concentrated electrolyte solution, or all peripheral access exhausted?
These are risk factors for patient falls.
This prevention dressing needs to be lifted to assess underneath every shift.
What is Mepilex?
For best outcomes, this is the recommended time frame to administer epinephrine during cardiac arrest.
What is less than 5 minutes?
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?
This tool is used to assess fall risk during your nursing assessment.
What is Morse Fall Scale?
This is the frequency at which skin should be assessed?
What is on admission, when any dressings are removed or changed, when transferred to another unit, and every shift?
What measures meet SIRS criteria?
SIRS criteria met with any two of the following: temperature >100.4F, HR >90, RR >20, or WBC >12k or <4k.
The percentage of alcohol that hand sanitizer must contain to be effective against most germs.
What is 60%?
This is how frequently you should change IV tubing for anything other than a continuous drip.
What is every 24 hours?
This is what you do if your patient is refusing fall prevention interventions.
What is
Escalate to charge nurse/ANOM/NOM
Complete Refusal of Treatment form and place in the chart?
These areas should be closely monitored to prevent hospital acquired pressure injuries.
What is boney prominences and beneath devices?
These are the roles during a code blue.
What is
Team leader (CCM/ICU provider)
Compressor
Airway manager
Medication nurse
Recorder
Defibrillator/crash cart manager?
This is our hand hygiene campaign slogan at DPH.
Spread Kindness Not Germs!
This is how often a neutral displacement valve (microclave) should be changed.
What is every 96 hours (4 days)?
These are the fall risk interventions necessary for a high fall risk score (greater than 45).
What is Bed 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, Non-Skid Socks?
These practices & procedures should be implemented for patients with a Braden score of 18 or below (at-risk for pressure injury formation).
What is
Repositioning
Mepilex-coccyx, heels
Prevalon boots, pillows for heels
Turning wedge
Barrier cream
Grey SAGE wipes
Check layers, medical devices?
Specialty mattress
What are the components of the sepsis bundle?
What is
Lactate drawn (repeat in 3 hours if >2)
Obtain blood cultures
Start broad-spectrum antibiotics (after blood cultures are drawn)
Initiate IVF 30 ml/kg for hypotension or if lactate >/=4
Recheck BP 1 hour after IVF
Initiation of vasopressors
Repeat lactate if >2
Central line insertion
Invasive monitoring?