IV
CAUTI
Respiratory
Sepsis
CL, Port, PICC, Midline
100

How often is a peripheral IV dressing changed?

Every 7 days and PRN

100

What type of catheter do you use on a male over 40 years old?

Coude

100

What is the max delivery for a nasal canula?

6 liters

100

Name ONE word that triggers CMS criteria

-possible, Rule out, suspected, likely, probable, suspicious for, concern for

-acute abdomen/abdominal infection

-gangrene/necrotic

-infection/cellulitis

-pneumonia/empyema

-pus

-skin, soft tissue infection, wound infection

-UTI

100

What Protocol should be ordered on all central venous accesses?

Adult IV Flush Protocol

200

Needless connectors are changed every ___ days?

Every 4 days

200

What are the 2 options for urine specimen collection?

-Clean catch (pt can void, midstream catch)

-Straight Catheterization

200

What should the flowmeter be set at for a NRB mask?

10-15 liters

200

What is classified as sepsis?

Documentation of suspected clinical infection plus 2 or more SIRS

200

Who can remove a midline?

May only be removed by RN

300

How often is the tubing changed for parenteral nutrition (TPN,Lipids)?

Every 24 hours 

300

Name the 3 protocols that are available for nursing use to help reduce indwelling catheterization usage

1. Intermittent Catheterization Protocol

2. Present on Admission (POA) Catheter Protocol

3. Indwelling Urinary Catheter Removal Protocol

300

When can patients take CPAP mask on and off themselves? 

ONLY IF IT IS THEIR HOME MACHINE

300

What type of Sepsis has initial lactic acid >4 or Persistent Hypotension after 30 ml/kg of crystalloid fluids

Septic Shock

300

When do we access and deaccess ports?

Every 7 days with dressing changes

400

What is the best process for back priming secondary tubing? 

Avoid disconnecting the secondary tubing from the primary set.  Back priming into the primary set is preferred

400

List 3 Foley Criteria for indwelling catheter usage

Retention

Critically ill

Pre/post GU procedure

Difficult Catheter placement

Existing sacral/perineal wound

Prolonged immobility (from trauma, fracture)

Pt/family refusal

Intraoperative monitoring of UO

400

How often does RT suction trach patients?

Every 4 hours

400

What is the hour window for Completing Sepsis Criteria A, B and C 

6 hour window

400

When Educators are doing a bedside audit on Central Lines, what does this include (Must list at least 3 things)

-IV tubing dated and timed (not past due)

-Date on Dressing

-Antimicrobial caps on all ports

-Dressing D/I

-CHG disc present

-inserted to hub


500

Assess the IV site using this acronym

A=assess

C=compare

T=touch

500

What is order of draw for tubes for BD Urine Kit Collection?

Options: Yellow/Red Speckled-Clear Top-Gray

1st: Gray (Culture Tube)

2nd: Yellow & Red Speckled _Urinalysis)

3rd: Clear top (non-additive)

500

What is the most important thing with trach safety? Must identify one thing on list

Always suction through inner cannula

Make sure room has suction set up and it works

Ambu bag present

Spare trach at bedside

Disposable suction at bedside

500

What should you do if pt refuses or if there is noncompliance or a failed attempt to get labs for sepsis protocol?

Tell Mercy Sepsis and they will file a note


Patient refusal=case is excluded

Failed lab attempt=credit given for sepsis lab bundle

500

What is included in a chart audit for central lines? Must list at least one thing listed

-Connectors change date

-Insertion Checklist completed

-MW Flush Protocol ordered


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