Port Access, CVC drsg changes, and maintenance of lines
Must be changed every 7 days unless dirty or no longer adhering to the skin
What is Central line dressing? Port, PICC, or any long term CVC. (** Also: port needle must changed every 7 days or on accidental dislodgement)
7 Main's Cardiothoracic surgeon
Who is Dr. Daniel Gwan-Nulla?
Please call for ANY questions/ concerns about his patients.
The closed system drug transfer device that reduces health care workers exposure to hazardous drugs, from preparation to administration, and disposal.
What is the Phaseal System?
We should always make sure to have an ______ before draining from a pleurex catheter.
What is an order?
Orders should specify: how often to drain, or give specific parameters per patient condition.
Airway box and AED/Crash cart located here
Where is the front MD dictation room?
These must be checked Q Shift!
Antiseptic used in a vigorous side-to-side motion for a minimum of 30 seconds, must let completely dry before inserting the needle
What is CHG?
Must be charted every shift for the MD to evaluate the need to continue the chest tube.
What is I&O of the chest tube?
*****Daily Double Bonus****
Choose another number and if answered correctly, points will be doubled!!
Supplies needed to drain pleurex cath before entering the room
What is the Pleurex kit? Kit includes sterile gloves, alcohol wipes, suction bottle, sterile dressings, etc
**** Daily Double Bonus****
Choose another number, if answered correctly, the points will be doubled!!
This is included in the kit, used under the needle to further prevent infection, and must be changed along with the dressing every 7 days.
What is a Biopatch/ CHG disc?
Biopatch must be present on all central lines; if patient rec'd from another unit without a biopatch, one must be placed for infection prevention and documented how it was rec'd and corrected
Most commonly used chest tube on 7 main, with or without suction.
What is a water seal chest tube?
When setting up a chest tube, the solution goes into the back of the chest tube canister to create the water seal. **CHECK SPECIFIC ORDERS REGARDING SUCTION** If there are ANY questions regarding orders please call the MD.
All material used after Chemo is completed must be discarded into _____?
What is the yellow biohazard/chemo bin?
How often should the pleurex be drained?
Perform according to MD order; Usually every 1-2 days, or according to pt's condition (sometimes more or less).
Promise packages and Lippincott procedures can be found
Where is the tabs at the top in EPIC?
*Nursing learning tab and clinician portal tab
_______ is prevented by using evidence based infection prevention practices, sterile technique on insertion/needle changes/ dressing changes, and properly cleaning the insertion site, along with proper maintenance and usage of a central line.
What is CLABSI?
Used to remove air, fluid (blood, serous liquid, or pus), or solids (clots) from pleural cavity; or to re-expand a partially or fully collapsed lung.
What is a chest tube?
It is OK to remove the Phaseal device sent by pharmacy only if we are out of stock of the adaptor in the supply room. T or F
What is FALSE?
Never remove any part of the Phaseal system sent by pharmacy for safety reasons. Contact Central pharmacy if adaptors are needed for administration.
*Only exception: Injections sent with adaptor. Adaptor may be removed for needle placement and injection.
Location of Pleurex kits
Where is the Supply room?
Location of Chemotherapy Spill kit
Where is the supply room?
*Indication for usage
*Site assessment
*Lumen status
*Dressing status
*CHG bath
All must be documented EVERY SHIFT!
What is Central line maintenance Bundle?
Continuous bubbling in the water seal chamber, especially with suction.
What is an air leak?
*must be assessed by RN and leak found/corrected, otherwise the MD must be notified for further instruction.
Since we now have the Phaseal system, we no longer need a second RN check for verification. T or F
What is False?
We ALWAYS need a second RN check for all high alert hazardous drug administrations.
You opened the kit, set everything up and accidentally contaminate the sterile field. What is your next step?
Stop and obtain a new kit; this procedure must be kept sterile throughout the entire process
Location of fire extinguishers on 7 Main
Where is the wall across from the nurse's station (on wall between 706 & 707), and back hallway across from room 717?