CAUTI/CLABSI
Name the elements of the CAUTI Bundle
Securement, no dependent loops, CHG bathing, Off the floor, daily necessity, keeping a closed system.
What is the minimum MORSE scale to qualify for high risk fall criteria
46 and above
2 assessments that identify patients at high risk for skin breakdown
Braden and BMAT
What BMAT level required patients to ambulate 100 ft.
BMAT 4
How often should you brush your teeth at home?
at least twice a day
Name the elements of the CLABSI bundle
Daily necessity, occlusive dressings, line securement and bio-patch utilization, curos caps, IV tubing labeling, daily CHG bathing.
What should be included in the post fall huddle ad hoc form?
Reassessment of mobility, pre-fall precautions in place, what happened, participants, provider notified, orders received
How often should high risk patients be repositioned? When should 4-eyes be completed?
every 2 hours/shift change and anytime the patient returned to the room from another unit/procedure.
Name 3 mobility aides available to you in the department...
Walker, wheelchair, sit to stand, turn tables, lifts, gait belts
How often should your patient’s teeth brushed
2xday/1x per shift
What is the latest time (in a 24 hour period) a CAUTI assessment can be documented to prevent a fall out
23:59
Of all falls in PCU, what is the activity with the highest fall occurrence noted for 2023?
Toileting, being left alone in the bathroom.
3 interventions for preventing skin breakdown
turning, bathing, mobility, nutrition, detailed skin assessment
What BMAT require patients to be up in the chair and how often?
BMAT 3 & 4, x3
What interventions count as oral care for a patient?
teeth brush, mouth swabs, oral rinse w/ mouthwash or water
What days are tubing changes?
Thursday and Sunday
Top 3 interventions in place for high risk fall patients
bed alarm, belongings/call light within reach, hourly rounding, bedside report, yellow socks, yellow band
What are the impacts of a patient with a Hospital Acquired Pressure Injury?
Increased length of stay
Increase cost of hospital visit
Immobility
Pain
Depression
What are the interventions for BMAT 0-2?
repositioning/turning
Who can complete oral care on a non-intubated patient and by what is the latest time (in a 24 hour period) can it need to be documented without a fallout?
everyone and by 23:59
What is the total CAUTI/CLABSI events in PCU for 2023?
CAUTI :3, CLABSI: 5
What is the criteria for “pre fall huddle”?
Admitted with hx of fall, fall during current stay, going through substance withdrawal, impulsive, overestimate their ability, altered mental status, nurse has a “bad feeling.”
What were the total number of pressure injuries for 2023 in PCU?
89
What time is your BMAT score/assessment due to be documented each shift?
10am/PM
Name the 3 interventions that are a part of the HAP bundle and need to be documented every shift.
oral care 2x per day, aspiration, HOB elevated 45 degree, IS for surgical/respiratory patients