CAUTI
What is included in the CAUTI maintenance bundle?
Foley bag off the floor and below the level of the bladder, <3/4 full, no dependent loops, StatLock/securement present, red seal intact, bag labeled with date and time, pericare provided each shift, daily review of necessity
When should you change a central line dressing?
Every 7 days or PRN (not C/D/I, bloody, bloated biopatch)
What type of isolation should a patient with C. diff be on?
Contact plus
If a patient is on contact precautions, what is required?
Gown and gloves, wipe down equipment with purple top wipes, terminal clean after discharge
Name some indications for a Foley.
Some surgical procedures, acute urinary retention, pressure ulcer healing & wounds in peri area, hematuria/bladder irrigation, urine output monitoring, prolonged immobilization, palliative care
Soap and water
Give some examples of following standard precautions.
Wearing PPE for expected exposure to blood and body fluids, performing hand hygiene, following respiratory hygiene/cough etiquette, properly disinfecting devices and cleaning the patient care environment, appropriate patient placement, handling textiles and laundry carefully, safe injection practices, wearing a surgical mask when performing lumbar punctures, sharps safety [CDC]
What are some signs and symptoms of a CAUTI?
Fever, suprapubic tenderness, flank pain, urgency, frequency, and dysuria
What should you use to wipe down equipment, and what is the kill (wet or contact) time?
Bleach wipes, 4 minutes
What type of isolation is required for chickenpox?
Contact and airborne
Give some examples of when a urine culture is not indicated.
Foul smelling urine, cloudy urine
What type of isolation is required for pertussis?
Droplet
What is the most common organism found in urine cultures?
E. coli
Name some patient groups that are at risk for C. diff.
Elderly patients, people with frequent visits to healthcare facilities, patients on broad spectrum abx and PPIs, immunocompromised individuals
What percentage of healthcare workers properly wash all surfaces of their hands?
7%
Why is isolation important?
It protects other patients and healthcare workers by preventing the spread of infection.