IC Practice
You do this before and after every patient contact
What is Hand washing or foam
SSI, UTI, BSI, CAUTI
What are hospital acquired conditions?
This education needs to be completed for all patients with a diagnosis of sepsis
What is One View sepsis education?
Completed daily on every POD 3 OHS patient using soap and water
What is incision care?
POD 35 OHS patient Midsternal incision dehisced, surrounding skin warm, purulent drainage from incision, cultures growing bad stuff
What is a deep incision surgical site infection?
Perioperative use for selected surgical procedures, hourly assessment of urine output in patients in an ICU, management of acute urinary retention, assistance withing healing open pressure ulcers
What is the CDC guidelines for indwelling catheter use?
11 superficial, 3 deep, 8 organ level
What are SSIs for FY 20 attributed to 5EW?
Sepsis care bundle and provider documentation
What is CMS core measures?
Completed daily on all surgical patients
What is CHG treatment?
Life-threatening organ dysfunction caused by a dysregulated host response to infection
What is Sepsis?
Changed every 96 or 24 hours?
What is continuous or intermittent IVF tubing?
costs $20,000-$200,000
What is sternal wound infections?
Collected before antibiotics are given
What is blood cultures or urine cultures?
Daily and prn care is done on this device
What is foley catheter?
Fever > 38 C, Rigors, Delirium, Hematuria, Costovertebral angle tenderness, pelvic discomfort
What is UTI/CAUTI?
You enter room, empty urinal, give IV push med, set up food tray, leave room. How many times do you perform hand hygiene?
What is 5 times?
Infection Preventionist for 5EW
Who Shelly Reheard?
Initial lactate level drawn, blood cultures, broad spectrum antibiotics administered
What is severe sepsis orders within 3 hours of presentation?
PA ACT 52 required documentation
What is indwelling catheter necessity?
Temp >38.3 or <36, pulse >90, Respiration >20, WBC >12,000, Lactate >2
What is severe sepsis?
Dressing changes & incision assessment findings ( appearance of incision, wound edges, any drainage, redness)
What is documentation that is completed daily or per MD order?
51 of these conditions were attributed to 5EW
What is Hospital acquired conditions for FY 20?
Predictor of mortality and cellular hypoxia, anaerobic metabolism
What is lactate acid?
Cleanse incision using 4% CHG or sterile saline and reapply a sterile dressing
What is changing dressing prior to the second post op day?
A subset of sepsis in which underlying circulatory and cellular/metabolic abnormalities which include persistent hypotension and lactate >4
What is septic shock?