HAPI
This skin assessment tool helps identify pressure injury risk
What is the Braden Scale
This color wipe is used for foley care and how ofter
What is the green wipes every 12H or PRN?
This wipe is used on patients with central lines and all in the ICUs
What is Orange
Along with turning every 2 hours, this is one of the easiest things nurses can do for patients
Oral care
According to the handwashing policy, these are not allowed in bedside nursing
What are artificial nails including gel and dip?
This is used to assist with transfers and repositioning and can be costly
What is the Air Tap?
This form is used prior to inserting ANY foley catheter
What is the foley insertion decision tree?
This method is used to flush PICC and central lines
What is push-pulse?
The HOB should be at this degree in a vented patient
30-45 degrees
I wear a yellow gown, non-slip socks and a special bracelet, what am I?
What is a Fall Risk?
The most common sites for HAPI in ICU patients
What are sacrum and heels?
This technique must be used during catheter insertion to prevent CAUTI
What is sterile technique?
The central line dressing is done when and by who?
Wednesdays, PRN and ICU nurse or PICC team
Done twice daily for appropriate patients that are on sedatives/analgesic infusions
What is Sedation Vacation?
Alcohol based hand rubs are ineffective against this
You would look here to find what product to use with dressing wounds
What is wound care orders?
These are 3 reasons NOT to dc a foley catheter
What is
1. 3 way irrigation 2. placed by MD 3. Active DO Not Remove order?
This is done a total of 32 times once daily
What Nozin swab rotation?
These 2 medications are ordered prophylactically for vented patients
Lovenox and Pepcid
This is the position a patient should be placed in for removing IJ or subclavian line
What is Trendelenberg?
You would notify these 3 people if a new wound/skin abnormality/pressure injury is noted
What is physician, wound care team and family?
This is the next step in a patient that has not voided in 6 hours
What is bladder scan?
A potentially life threatening complication that can occur during CVL removal
What is an air embolism?
VAP is diagnosed after how many hours of mechanical ventilation?
What is 48 hours?
These data driven initiatives can decrease LOS, improve patient care and help devise a plan of care
What is QI/PI?