CLABSI
Before flushing a central line, what basic infection prevention step must be completed?
Hand hygiene via soap and water or alcohol-based sanitizer
How often should ALL critical care patients have photos obtained?
Once per shift
*Wear gloves for all photos, regardless of area*
How often is the ASQ completed?
Upon admission, when patient stabilizes (extubated), and if patient expresses any new thoughts/concerns.
Dynamic Health and/or Policy Tech
Whose responsibility is it to clean out the patient's closet upon discharge from the unit?
What must be assessed and documented daily in the EHR to determine if a Central Line should remain in place?
Central Line Necessity
What is the proper sequence when turning patients.
Off their back more than on. Left, right, supine or right, left, supine. Then repeat.
How often must SI sitters chart?
What is a way to know what medication is going to what PIV/CVC lumen?
Link your lines in EPIC. Helps staff know what medication the patient was receiving through the line that has now extravasated.
Per policy, when caring for an ART line, how often is the normal saline flush bag changed?
Every 24 hours
IV tubing that is used for blood products and TPN/Lipids should be changed how often?
Every 24 hours?
Moisture associated skin damage, from incontinence, can increase the risk of a HAPI. This type of product helps protect the skin.
Barrier cream or skin protectant
What items must be removed from an SI patient's room?
Personal belongings, IV poles with tubing (if not continuous), crucifix, oxygen tubing, plastic trash bags, oxygen tubing (if not in use).
Stop infusion and aspirate and residual medication.
Do not remove the IV as the antidote can be given via that line.
Notify provider and pharmacist.
Per Policy, how often are printed telemetry strips to be printed, interpreted, and signed? (hint, there are 5).
On admission, transfer, once per shift, upon any significant change in rhythm, upon discontinuation.
Documented in EPIC every 4 hours.
When should the Central Line Dressing be changed?
Every 7 days or when the dressing is loose, soiled, or wet.
When you notice a new skin injury, what should you do?
Take a photo of the injury and consult skin team.
What belongings can an SI sitter take into the room?
Nothing. Computer or zebra phone only.
How do we document additional assessments for the extravasation?
Add a Wound LDA, consult skin team, and take photos of the wound.
Per policy for difficult IV insertions, what is the maximum PIV attempts that can be made in a 12-hour period.
4, 2 attempts per caregiver.
4 unsuccessful attempts, the consult IV team.
What 2 stickers are required to be placed on all IV tubing?
Patient ID and tubing change date
List a few ways to prevent a HAPI
Frequent Turns, proper nutrition, appropriate bed/specialty surface, changing devices (nasal o2 probe, tele patches, etc).
Who can you call for acute agitation, high risk for violence, management of another acute psychiatric concern, sleep/anxiety PRN, etc.
Probably seen more during the overnight hours.
Virtual Behavioral Health
Name 3 common critical care drugs that have a treatment when an extravasation occurs during infusion.
Vasopressors, TPN, Calcium chloride and gluconate, cardizem, amio, IVIG, vanc, chemo
When checking a glucose, what is the high and low limit that means a UAP must report to the RN and follow the notification steps.
High: greater than 400