CENTRAL PARK
Day of the week central line dressings are changed?
What is Monday. Central line dressing should also be changed if soiled or tattered.
What should the nurse assess for after an umbilical arterial line and umbilical venous line are inserted?
What is blood loss; cardiac dysrhythmias, and blocked blood flow (blanching or cyanosis of buttocks, leg, foot/toes aka "cath toes").
How often should IV sites (all lines) be checked?
What is every hour.
Fluid loss from the skin and respiratory passages?
What is insensible water loss.
Name of cap that is applied to all ports and claves?
What is curos caps.
Type of dressing that can be applied if the infant is greater than 2 months chronological age?
What is a CHG dressing or Biopatch.
Blood and blood products cannot infuse through this type of line?
What is a PICC
What is the required documentation when an infiltration or extravasation occurs?
What is an UMMS Safe report, Extravasation & Infiltration Management Checklist, and hourly Epic documentation of wound site.
Solution usually given within the first 24 hours of life?
What is D10. Or D5 for extremely low birth weight.
Type of connector piece that is applied to all proximal access areas?
What is a nanoclave.
What is added to the fluid of a central line to ensure patency?
What is heparin.
What lines are used most often to draw blood samples from?
What are? Peripheral arterial line; umbilical arterial catheter.
What infiltrating agents should Wydase NOT be used as a treatment?
What are vasoconstrictive agents- dopamine, dobutamine, epinephrine
How soon should a glucose be checked after a change in rate/concentration has been made to maintenance fluids or TPN?
What is 1-3 hours after new fluids with a different concentration or after a rate change is completed.
Recommendations for routine flushing of peripheral lines include?
What is flush every 6-8 hours with 0.5 - 1.0 mLs of normal saline.
A major risk & non-reimbursable complication of a central line?
What is central line blood stream infection (CLABSI)
Inserted by a team of specially trained nurses and providers?
What are PICC lines.
What the nurse takes into consideration when taping/securing an IV?
What is clear visibility of insertion site, infusion site, and fingers.
Acceptable output for a neonate?
What is 1-2 mL/kg/hr.
Type of technique used when switching out IV tubing and changing fluids?
What is aseptic non touch technique (ANTT).
During daily rounds, the central line's ________ is discussed.
What is the "continued need for".
Maximum dextrose concentration to infuse via a peripheral intravenous line (PIV)?
What is 12.5%
Inadvertent administration of a medication or fluid with the potential to cause blisters, severe tissue injury, or necrosis, also known as an extravasation?
What is a vesicant.
Inadvertent administration of a non-vesicant fluid or medication is known as an infiltration.
% of expected daily weight loss?
What is -10% to -15%.
What are IV bag, tubing closest to the bag, and medication lines closest to syringe.