Keep It Clean
15 seconds
How long to scrub the hub
BSI
What is a blood stream infection?
Placed on the ends of unused ports/PRN adaptors.
What are curos caps?
SPS guidelines for prevention of CLABSI
What is a CLABSI Prevention Bundle?
Most CLABSIs can be avoided with proper hygiene, aseptic techniques, and surveillance. This is called
What is prevention?
30 Seconds
How long to scrub the site of an IJ, clean are?
These lines can stay in for 28 days and will never cause a CLABSI.
What are midlines?
Used to protect central line dressings from moisture of being saturated.
SPS Standard Elements: Hand Hygiene CHG Scrub No iodine ointment Prepackaged or filled insertion cart, tray, or box Insertion checklist with staff empowerment to stop non-emergent procedure Full sterile barrier for providers and patients Insertion training for all providers
What is Bundle elements of Insertion?
Anyone with a central line is at risk, but the elderly and those with weakened immune systems are especially vulnerable. This is called
What are risk factors?
2 Minutes
How long to scrub the site of a femoral line or an excessively moist area?
Staphylococcus capitis and Staphylococcus auricularis are coagulase negative Staphylococci Epidermis
What are common commensals?
This device is used to administer TPN, long term antibiotics, or chemotherapy.
What is a central line?
SPS Standard Elements: Daily discussion of line necessity, functionality and utilization including bedside and medical care team members Regular assessment of dressing to assure clean/dry/occlusive Standardized access procedure Standardized dressing, cap, and tubing change procedures/timing Daily CHG treatments for all patients > 2 months adjusted age with central venous catheters (SPS strongly recommends the use of 2% CHG wipes) (Recommended element for Hem-Onc population only
What are bundle elements of Line Maintenance?
Fever, chills, and soreness, swelling, redness, or drainage around the central line insertion site. These are called
What are signs/symptoms of infection?
Antimicrobial Bath
What is a CHG Bath?
Identifies BSIs that are believed to be the result of the patient’s weakened immune state and the accompanying alterations of the gut.
What is an MBI-LCBI?
I need 1-3 ml to make sure you get accurate results.
What is a pediatric culture bottle?
An in-depth review of all identified CLABSI with multidisciplinary involvement AND the intent to change the process if needed.
What is a systematic approach to review all hospital acquired CLABSIs?
$46,000.
What is the average casue of a CLABSI?
30 Days
How often should we move a patient and perform a terminal clean of a room
If a BSI is identified outside of this time period, a new event is identified and must be investigated as being primary or secondary in nature.
What is 14 days?
I may need anywhere between 5-10 ml of blood to make sure your results are accurate AND which of me goes first?
What is Aerobic then Anaerobic culture bottles?
We are 140+ children’s hospitals working together to help each individual hospital make progress on a journey to zero harm. SPS is the only such effort in the nation that is specifically focused on improving pediatric and employee safety.
What is SPS, Solutions for Patient Safety?
12–15%
What are the mortality rate of CLABSIs?