IV Safety
Blood Transfusions
Infection Control
Wound Assessment
Miscellaneous
100
How often do you check an IV while a continuous infusion is running?
PEDS/NICU- Every Hour
OB Adults - Q Shift
100
What do you need to have in place before you begin a blood transfusion?
Consent, order, T&S, working IV, 2nd RN to verify, a set of vitals done within the past hour
100
How long should you be washing your hands?
2 happy birthdays
100
Describe and classify this wound. What could have caused it?
100
How do you activate the Massive Transfusion Protocol?
1. Activate MTP: Announce to Team
2. Provider places an order in EPIC "Massive Transfusion Protocol"
3. Dial Ext. 57041 & Activate MTP
4. Designate a Runner to Blood Bank
200
What are the elements of an IV assessment
Touch
Look
Compare
200
What are some s/s of a blood transfusion reaction?
Fever, hives, flank pain, itchiness, difficulty breathing, etc.
200
When should you use alcohol based sanitizer vs. soap and water?
Purell for in/out of rooms, between patients, any time gloves are removed, before applying sterile gloves,
Soap & Water: enteric precautions, when in contact with body fluids
200
Describe and classify this wound. What caused this wound?
200
What does B.E. F.A.S.T. stand for
Balance, Eyes
Face, Arms, Speech, Time
300
How often do you assess an IV while it's saline locked?
Peds/NICU: Q 4 hours
Adults: Q Shift
300
How do we define "fever" for a febrile blood transfusion reaction?
An increase of 2 or more degrees Fahrenheit (1 C) above pre-transfusion value
Fever >100.4 F orally and a change of at least 1.8 degrees F (1 C) from pre-transfusion vitals OR chills/rigors are present
300
In what order do you don PPE?
Gown
Mask
Goggles
Gloves
300
What is the standard format for measuring wounds?
LxWxD
300
When and where do we properly dispose of narcotic waste?
Waste additional and unneeded narcotic promptly (asap)
Waste narcotic in the incinerator grey bin (located med room)
2 RNs are needed to waste a narcotic
400
What is the difference between an infiltration and an extravasation?
An infiltration involves the vein only and an extravasation means the fluid/medication has leaked in to the tissues
400
When can we stop worrying about a blood transfusion reaction?
NEVER!
400
In what order do you remove PPE?
Gloves
Goggles
Gown
Mask
400
What do you do if you find a wound on your patient?
Assess, add it to the LDA and link a photo, measure it, add it to your integumentary flowsheet, complete an HRP, use strategies to offload the pressure
400
What does the CAUTI bundle consist of?
Daily review of catheter indication, M-Care hygiene, red seal remains intact, utilization of StatLock, no dependent loops or kinks, green clip is utilized, urine collection bag is below the bladder, urine collection bag is emptied prior to transport.
500
What do you do if you suspect your IV has infiltrated?
Remove the IV, assess the site, assess distal pulses, assess perfusion, assess skin integrity, notify the provider, provide interventions as ordered, complete an HRP (only for Peds/NICU), document in EPIC
500
What would you do if your patient were showing s/s of a transfusion reaction?
STOP THE BLOOD, assess the patient, vitals, remove the IV, draw labs, re-verify all info with 2 different RNs. Notify blood bank, start a new IV, address s/s, notify provider, call an RRT if needed, send everything back to blood bank, complete an HRP.
500
What PPE is required for a patient with a respiratory virus?
Gown, gloves, mask
500
How often do you need to rotate devices for PI prevention?
A minimum of every 8-hours
500
Daily Double:
CLABSI: How often should you change a central line dressing? How often to you perform CHG bath on a patient with a central line?
Dressing change as needed if soiled and q 7 days with intact dressing. CHG bath Daily.