Central Lines
Your patient wants to shower with his newly placed central line, you should ...
What is wrap it up with clear plastic and tape ensuring that all edges of the dressing are sealed.
Patients with a GI bleed or that are at risk for hemorrhage must have a minimal of this many PIVs.
What is 2.
All hubs for all lines should be scrubbed for at least this amount of time.
What is 15 seconds.
Foley catheter care should be performed and documented every _________.
What is every shift ; using purple wipes and/ or soap and water.
If a patient has an allergy to Tegaderm, this can be used instead.
What is IV 3000.
Central lines placed from OSH require this before they can be used.
What is x-ray confirmation of placement and a physician order that it is okay to use.
Blood for POC glucose and lab draws can never be taken from a ________ or __________.
What is PIV or midline.
You walk into your pt's room and the IV tubing is not labeled and it is time to hang an antibiotic. You should ...
What is discard the unlabeled tubing and primary bag and use new tubing and bag ensuring the fresh set is labeled.
TRUE or FALSE: Urine specimens can be collected from the urinary drainage bag.
What is false.
This is the correct PPE that should be worn for changing end caps.
What is mask and clean gloves.
Power port central lines are this color and should be flushed with this many mls of saline per shift.
What is purple and 20mls.
Dressing changes should be performed on all PIVs every _________ days.
What is 7 days.
If gauze is in place on a central line dressing, the dressing must be changed within ________ hrs.
What is 24hrs.
Reassessment of the reason for continuing urinary catheterization should be documented every ______.
What is every shift.
This is not considered a central line but is a more stable form of access than a PIV and can be placed by VAT.
What is a midline.
If your patient has TPN and it gets interrupted for a procedure, you should __________.
What is get a new bag and new tubing when it is time to restart the TPN.
TRUE or FALSE: It is okay to leave in a PIV that was placed by EMS.
What is False. All PIVs placed by EMS should be removed within 24hrs, though.... A physician order to keep a PIV from EMS is acceptable since it was placed in an unclean environment. Especially if patient is a difficult stick.
A RN can remove a PICC and midline once checked off to do so and should wear this PPE during the procedure.
What is sterile gloves.
The green clamp on the indwelling urinary catheter drainage bag can be used to ____________.
What is prevent dependent loops by attaching the green clamp to the sheets.
These 2 medications should never be ran through a midline.
What is Vancomycin and potassium.
Your patient has a dialysis catheter and you noticed that the dressing needs to be changed. As the primary nurse you should...
What is change the dressing using sterile technique.
TRUE or FALSE: Midlines are ok without a blood return.
What is false. A Midline without a blood return signifies that line is no longer any good. Consult VAT immediately. If unable to get blood return, remove site.
Your patient has an allergy to CHG. This should be used to clean the site of the central line instead of CHG.
What is sterile alcohol swabs or povidone-iodine swabs.
TRUE or FALSE: The Prima fit should be changed every 24 hours.
What is False? It should be changed every 12 hours and suction should be no more than 60-80mm pressure. Canister and suction tubing should be changed every 24 hours.
Tubing and bags for insulin drips should be changed every _________ hours. Why?
What is every 24hrs because after 24hrs the insulin will begin to adhere to the tubing.