CAUTI
How should the urinary catheter drainage bag be positioned relative to the bladder?
Below the bladder
What does the acronym CLABSI stand for?
Central line-associated bloodstream infection
Patients can be left alone in the bathroom if independent. True or False.
False.
If someone needs Q2 hours turns, I can use pillows instead of a pink foam wedge. True or False?
False.
What are nurse sensitive indicators?
Patient outcomes that are directly related to nursing care
What is the most effective intervention to prevent CAUTI?
Prompt removal of unnecessary catheters
What is the recommended frequency for central line dressing changes?
Every 7 Days (Mondays) and PRN
Level 2
Precautions to take to prevent breakdown.
Q2 turns, wedge, waffle cushion in chair, low air loss mattress, frequent assessments, treatment via wund care reference cards.
Examples of nurse sensitive indicators
maintenance of skin integrity
pressure ulcer prevalence and incidence
fall injury rate
medication incident rate
restraint utilization rate
client satisfaction with pain management
client satisfaction with overall nursing care
nursing satisfaction
How often should foley wipes be done?
Q shift (every 12 hours) and PRN if soiled
Which catheter securement method is recommended to prevent CLABSI?
Transparent dressing with stabilization device
This color wrist band and sock is associated with falls risk.
yellow
I need to chart the POA and type of wound when adding a wound. True or False.
True
What is NDNQI (National Database of Nursing Quality Indicators)
-The oldest and largest comprehensive database of nurse-sensitive quality indicators
-"A proven nursing quality improvement tool used to monitor and benchmark nurse-sensitive patient outcomes and RN workforce engagement measures in acute and ambulatory care" (Press Ganey,2022).
-Originally initiated by the American Nurses Association in 1998 and managed by the University ofKansas School of Nursing.
To obtain a urine specimen for culture from a patient with an indwelling urinary catheter
Aseptically obtain from the sampling port
Q Shift
What does the acronym ETARR stand for?
Educate, toilet, alarm, respond, round
Steps to take if you find a wound on a patient.
Take a photo, add an LDA, measure the wound, chart it, use wound care reference cards for treatment, consult wound care if needed, and notify CPL.
What is Quality in relation to NSIs?
The degree to which health services for individuals and populations increase the likelihood ofdesired health outcomes and are consistent with current professional knowledge (National Academyof Medicine).
-Quality improvement is framework used to systematically improve care. Quality improvement seeksto standardize processes and structure to reduce variation, achieve predictable results, and improveoutcomes for patients, healthcare systems, and organizations
What is the primary risk factor for developing a CAUTI?
Duration of catheterization
What dressing do you use if a patient has a CHG allergy?
Sorbaview dressing
Strategies for Patient Decline of Bed Alarm
Educate the patient
Explain the reasoning
Build trust
If refusal continues
Document interventions, patient response to interventions & escalate to nursing leadership and clinical care team.
How to find wound care reference cards.
Go to the ONE, clinical tab, TJUH, clinical support resources, clinical reference cards.
The Role of Magnet Designation
Hospitals seeking Magnet recognition from the American Nurses Credentialing Center are required to collect nurse-sensitive quality indicators at the unit level and benchmark that data against a national database. They must contribute their own patient satisfaction scores, clinical nurse-sensitive indicators, and nurse satisfaction data so the organization’s performance can be compared against similar facilities nationwide. Magnet status signals that a hospital takes nursing quality seriously enough to measure it rigorously, but the indicators themselves are used far beyond Magnet hospitals.