The CLABSI carousel
Can you Guide me?
Who said it?
The Proof is in the Pudding
Name that Author!
100
Although the primary focus of attention over the last two decades has been on the ICU setting the majority of CLABSIs occur in these areas
What is Non ICU and Outpatient settings?
100
The recommendations in the SHEA guidelines focus on these catheter types.
What is all central line catheters?
100
This study was cited as a reference in the SHEA guidelines when questioning age standards and CHG.
What is Garland study?
100
Studies have shown that this specific team in place at a hospital can help reduce Bloodstream infection rates.
What is an IV team?
100
The authors of this study state, "Inflammation at the insertion site is not indicative of infection."
Who is Safdar/Maki?
200
Two outcomes associated with Hospital Acquired CLABSIs
What is increased length of stay and cost?
200
These are the lead authors for the SHEA guidelines. (Name at least one)
Who are Mermel, Marshal, or Rupp?
200
These groups provided recommendations for public reporting of HAIs.(Name at least 1)
Who is HICPAC, The Healthcare Associated Infection Working Group of the Joint Public Policy Committee and the National Quality Forum?
200
This tool can be used to establish baseline compliance with evidence based practices for line maintenance such as the presence of clean and intact dressings.
What is Point Prevalance Program?
200
This study states, "PIVs inserted in the Emergency department are associated with 61% of early infections.
What is Rickard Editorial?
300
These are 2 government public health and professional organizations that have published evidence based guidelines regarding prevention of CLABSI.
What is HIPAC, CDC, JC,APIC,INS?
300
This is where our customers can find updated SHEA practice recommendations.
What is Infection Control and Hospital Epidemiology?
300
This association recommends CHG use but states that "care should be taken in using chlorahexadine in neonates and premature infants because of increased risk of skin irritation and risk of systemic absorption.
Who is the American Pediatric Surgical Association?
300
These outcomes are associated with hospital acquired CLABSIs.
What is increased length of stay and increased cost?
300
This study stated, "The care bundle approach can inspire, motivate, and empower staff to improve patient outcomes in real time.
Who is Boyd?
400
This type of bundle has been proposed to ensure optimal catheter care and monitioring of CLABSIs.
What is the maintenance bundle?
400
According to SHEA these lines are not included in most surveillance systems although they are associated with risk of BSI.
What are PIV and arterial lines?
400
These nurses were listed as an author of the SHEA recommendations. Name one.
Who are Lynn Hadaway or Ann Marie Pettis?
400
Swelling, redness, tenderness, and drainage at the site are clinical signs and symptoms.
What is phlebitis?
400
This study showed 30-50% of PIV BSIs are associated with peripheral vein Phlebitis.
Who is Gabriel Mestre?
500
These factors contributed to an increased risk for CLABSIs.(Name at least 3)
What is Prolonged hospitalization before catheterization, prolonged duration of catheterization, heavy microbial colonization at the insertion site, heavy microbial colonization of the catheter hub, Internal jugular as insertion site, femoral as insertion site for adults, Neutropenia, prematurity, reduced nurse to patient ratio in ICU, Total Parental Nutrition, Substandard Catheter Care (excessive manipulation of the catheter), Tranfusion of blood products
500
The population of patients remains an unresolved issue in regards to optimal choice of antiseptic agents.
What is children under 2 months of age?
500
This manual is used by infection preventionists for information on the appropriate surveillance methodology including info about Blood specimen collections and for surveillance definitions of CLABSIs.
What is NHSN? (National Healthcare Safety Network Manual
500
Some institutions have used THIS for CVC insertion sites in children with minimal risk of dermatitis.
What is CHG containing sponge dressing?
500
This study showed 15-25% of THIS invasive device was colonized with bacteria at the time of removal.
What is Hadaway and PIVs?
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