Name that Bundle
Fall Prevention
CAUTI
VTE
Decubitus Prevention
100
Patients identified as high risk population will receive a nasal swab and are placed in isolation per facility policy
What is MRSA?
100
This area is considered for prompt response to clinical alarms.
What is "No Pass Zone"?
100
A prevention method to preventing catheter associated urinary tract infection is maintaining the foley bag below the level of:
What is bladder?
100
The physician has a time frame for ordering VTE prophylaxis treatment.
What is 24 hours?
100
A head to toe and skin assessment is performed routinely on patients and should be done how often.
What is 12 hours?
200
Soap and water is the preferred method of hand hygiene to kill these spores.
What is C- Diff or Clostridium-Difficile?
200
This fall prevention level requires placing yellow armband on patient, yellow star on doorway with implementation of scheduled toileting, constant bathroom observation, gait belt with ambulation, utilization of bed and chair alarms, sitters, low bed/mats, and helmet.
What is level 2 or high injury risk?
200
This is a sure way to prevent a CAUTI.
What is removal of the foley?
200
This takes place prior to initiation of ordered VTE prophylaxis for a patient.
What is VTE risk assessment and education of patient and family?
200
The nurse will incorporating a turning schedule of every 2 hours and keeping the heels up off the bed to relieve:
What is pressure?
300
This bundle requires the nurse to keep the head of bed up 30-45 degrees, turning the patient every 2 hours, performing oral care every 2 hours and deep oropharyngeal suction every 4 hours
What is Ventilator Associated Pneumonia Bundle?
300
The nurse assess and documents this on all patients every shift.
What is fall assessment?
300
The nurse will perform this every shift while the patient has a foley. If the foley is no longer needed, then consult with physician to have the it removed.
What is daily review of necessity?
300
TED's (anti-embolism stockings), SCD's (sequential compression system), and Anticoagulation medications are items that are considered as:
What is Venous thromboembolism treatment for patients?
300
The nurse will minimize these two forces in the prevention of pressure ulcers.
What is friction and shearing?
400
Interventions for this bundle are: Orient patient (every shift/PRN) Place patient in room close to nurses station Provide ambulation or active ROM Assess and manage pain carefully Review of medications Sensory (hearing/vision deficits) and assessment of nutritional status.
What is Delirium?
400
This type of plan of care is documented and updated every 12 hours
What is fall prevention?
400
Performing this when a patient has a foley with bath each day and prn soiling.
What is catheter and perineal care?
400
Nurses perform this on admission to initiate treatment to prevent blood clots.
What is VTE risk assessment?
400
Waffle boots, pillow wedges, heel protectors, sacral mepilex borders, and speciality beds are examples that help nurses relieve pressure over patient's' bony prominence.
What is support surfaces or devices?
500
This bundle requires a CHG bath prior to insertion (if emergent then CHG bath after insertion) then daily thereafter with documentation of daily necessity.
What is Central Venous Line bundle?
500
The nurse places patients on this type of schedule for bathroom use during hourly rounding to help decrease falls.
What is scheduled toileting?
500
Daily Double
What are indication that would qualify patient to have foley?
500
This is a form that is used to document the education of Anticoagulation therapy.
What is the anticoagulation education form?
500
This is a tool that is used to assess patients at risk for developing pressure sores.
What is Braden Scale?
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