CLABSI
This is what CLABSI stands for
What is a central line-associated bloodstream infection (CLABSI)?
During a routine flush, you notice resistance and the patient reports pain. What could be the cause,
and what steps should you take?
What is catheter occlusion or thrombosis? Steps include stopping the flush, assessing for mechanical
issues, and possibly using a thrombolytic agent as ordered.
This is the reason for discarding the initial blood sample when drawing from a CVAD
What is to remove any heparin or saline that could contaminate the sample?
This is what CAUTI stands for
Catheter-Associated Urinary Tract Infection
This is the primary reason for labeling a Foley bag (With the orange sticker provided in the foley kit) after insertion
What is to track the duration of catheter use?
Name one potential complication of a Central Line that requires immediate medical attention
What is infection or catheter occlusion
You observe that the Port-A-Cath is leaking fluid during an infusion. What are the potential causes,
and what should you do next?
What are catheter dislodgement or rupture? Stop the infusion, assess the site, notify the healthcare
provider, and prepare for possible catheter removal or repair.
Describe the steps to take if blood flow is sluggish or stops during a blood draw from a CVAD
What are checking for kinks. repositioning the patient, and flushing the line with saline?
This is the primary cause of CAUTIs
Prolonged use of a urinary catheter
Name one potential consequence of not labeling a Foley bag correctly
What is increased risk of infection or incorrect patient care?
This is the technique used to access a Central Line
What is sterile technique
Describe the proper technique for flushing a Central Line to maintain patency and
prevent complications
What is using a pulsatile (Push-pause) technique with normal saline, followed by heparin if ordered
to maintain patency and prevent clot formation?
What do you need to do before obtaining blood from a central line that is infusing TPN, Lipids, or medication?
Turn off IV for full 5 minutes before obtaining blood from the line
***first and foremost avoid lines with TPN or lipids
Do not draw Labs from a TPN or LIPID Central Line :)
This is the recommended duration for leaving a urinary catheter in place to minimize the risk
of CAUTI
As short as possible. Ideally less than 48 hours
After insertion of the Foley, the orange sticker provided in the kit will need this information written on it before placing on the Foley bag
Time and date of catheter insertion
This is how often a Central Line gets assessed
What is every 12 hours with each AM/PM assessment and during infusion and interventions
Describe the process for removing a central line and the precautions you should take to ensure patient safety
What are performing hand hygiene, using sterile technique, removing the catheter gently, and applying a sterile dressing to the site?
This prevents hemolyzing the blood specimen
What is pull back blood 1ml at a time
You observe that the catheter insertion site is red and swollen. What are the possible causes
and what should you do next?
What are infection or catheter related trauma? Next steps include assessing the site
notifying the healthcare provider, and possibly removing or replacing the catheter
This is needed before you can insert a Foley
What is a physician order?
Explain the rationale for using cholrhexidine-impregnated dressings on central line sites
What is to reduce the risk of infection by providing continuous antimicrobial protection
A patient with a Central Line develops shortness of breath and chest pain. What serious complication could this indicate, and what is your immediate response?
What is a pulmonary embolism or pneumothorax? Immediate response includes stopping any infusions, placing the patient in a position of comfort, administer o2, and notifying the healthcare provider immediately
List one infection prevention practice that is recommended immediately after blood is drawn
Flushing the residue blood from the injection cap-
Residue can provide an environment for bacterial growth if left in the injection cap
This catheter can help decrease the risk of urnary tract infections
Coude
How? Reduced trauma: Curved tip is designed to navigate around obstructions such as enlarged prostate
with less friction and trauma to the urethra. This reduces the risk of microtrauma, which can be a pathway for bacteria to enter and cause infection-Curved tip up with insertion
Complete bladder emptying
Indwelling unrinary catheters will only be used when the following criteria are met
urinary retention or bladder outlet obstruction (Evaluate after 48 hours and consider removal following the nurse-driven Foley removal protocol unless placed by urology)