CAUTI
Infection Prevention
HAPI
SSI
BH
Misc.
100
CHG is used for peri-urethral cleansing in patients with indwelling catheters this often.
What is once every shift?
100
Hand sanitizer or scrubbing with soap and water must be done for a minimum of this long?
What is 20-30 seconds?
100
How can UAPs help with nutrition and hydration to prevent pressure injuries?
Encourage oral fluid intake and report poor appetite or weight loss. Malnutrition and dehydration can impair skin integrity and healing.
100
List the wet/dry times for the approved Mercy sanitizing wipes.
100
What items are patients on suicide precautions allowed to use for meals?
Paper dishes and plastic utensils only AKA Safe Tray
100
This team should be called for Behavioral Emergencies, such as escalating behaviors or violence.
What is BIRT Response?
200
You are collecting a specimen from an existing foley catheter. You have ensured the foley has been inserted less that 72hours. Before collecting the urine specimen, this must be done to the sample port. (This skill is for PCT/NT only)
What is scrub the hub with disinfectant?
200
This type of isolation requires soap and water only.
What is Enteric Isolation (C-diff)?
Bonus: Anytime hands are visibly soiled!
200
Why are UAPs critical in preventing pressure injuries?
UAPs are often the first to notice skin changes during daily care tasks like bathing, repositioning, and toileting. Their observations and timely reporting are essential for early intervention.
If you see something, tell your nurse!
200
If a patient refuses CHG bathing, this must be done in addition to notifying the charge nurse and provider.
What is documenting the refusal in the patient’s chart?
200
You should do this if your patient tells you they want to harm themselves.
What is tell the nurse (so they can complete a suicide risk assessment)?
200
The last set of vital signs for a blood transfusion is completed at this time.
What is within 60 minutes of the end of the transfusion.
300
These are the three approved methods for collecting urine specimens according to Mercy policy.
What is clean-catch, intermittent/straight catheterization, and from an indwelling Foley catheter (inserted for less than 72 hours)?
300
While completing a CHG bath on your patient with a PICC Line, you notice the dressing is loose and soiled. This should be your next action.
What is tell the nurse (so they can change the dressing)?
300
Pressure injuries most commonly develop over these areas of the body.
What are the bony prominences, sacrum, heels, hips, and elbows?
300
The OR just called to say they coming to get your patient in 30 minutes and asks you to tell the nurse to start the pre-op antibiotics. Why might a patient receive antibiotics prior to surgery?
Antibiotics are effective when given before surgery as prophylaxis. Post-surgical use should be for treating actual infections, not as prevention.
300
How often must sitters document on patients under suicide precautions in the EHR?
Every 15 minutes
300
This result on the Nova Meter would prompt unlicensed staff members to notify a nurse immediately and enter a comment with the nurse's name or badge scan before accepting.
What is a red/critical result? (less than 55 or greater than 400)
400
You have assisted your patient with a foley catheter back to bed. When securing the collection bag, you do this to help prevent infection.
Ensure the catheter tubing is not kinked or pulled and has no dependent loops, and that the drainage bag remains below bladder level at all times.
400
This is a infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin, and mucous membranes. They are applied to all patients, regardless of their infection status, to ensure safety for both staff and patients.
What is Standard Precautions?
(If its wet and it's not yours, don't touch it!)
400
Moisture-associated skin damage from incontinence can increase the risk of pressure injuries. This type of product helps protect the skin.
What is a barrier cream or skin protectant?
400
To begin emphasizing the importance of infection prevention, UAPs should do this action upon admission.
What is Admission CHG Bath?
400
Items that must be removed from a patient's room who is under suicide Precautions.
What are personal belongings, room phone, plastic trash bags, potential hazards (crucifix, etc), call EVS to secure emergency cords, etc
400
Describe the proper placement of telemetry leads on a patient.
White on the right, Clouds over grass. Smoke over fire. Chocolate is near the heart.
500
This is the order of draw for urine specimen tubes.
What is Grey, Speckled, then Yellow/Clear top.
500
These Vital Signs turn red in EPIC, and prompt and unlicensed staff member to notify a nurse.
What is abnormal/critical vital signs?
Temp: >100 F
Blood Pressure: Systolic >150 or <90
Diastolic >100 or <60
Heart Rate/Pulse: >110 or <60
Respiratory Rate (RR): >28 or <12
Oxygen Saturation: <90%
500
This type of surface is recommended for patients with high risk for developing PI or with existing pressure wounds.
What is specialty surface? (ie, waffle mattress, umano bed, agility bed, low air-loss mattress, dolphin bed, etc)
500
You might encourage a patient with a surgical incision NOT to do this.
What is touch the site or pick at the dressing?
500
What must be done if a patient under suicide precautions needs to leave the nursing unit for diagnostic evaluation?
They must be accompanied by an assigned escort under continuous observation AND the transport personnel
500
Your patient is on a PCA pump. You must obtain VS this often.
What is Every 2 hours?
(Upon initiation: Q 15min X 1, Q 30min X 1, Q 1 HR X 8, then Q 2 HR until D/C & 2 HR after D/C X 1)
600
What are signs of urine infection which a UAP should report to the nurse?
Fever, foul-smelling or cloudy urine, pain or discomfort, or redness around the catheter site
600
You see another staff member enter an isolation room to drop off a meal try without any PPE. Is this correct?
NO! What would you do?
600
What patients on your team might be considered "at-risk" for pressure injuries, and how often should they be repositioned?
Patients with a Braden score <18, immobilized patients, or patients with existing pressure wounds.
Turned at least every two hours
600
True or False: All skin care products are compatible with CHG?
FALSE! But most of your hospital skin products are compatible, such as barrier creams, perineal cleansers and the pink-top hospital lotion (sween cream).
600
What belongings can an SI sitter bring into a room with them?
NOTHING!
(Badge and Zebra phone only)
600
What might cause a discrepancy when using a bed scale for obtaining a daily weight?
Inconsistent Bedding or Equipment
- Extra blankets, pillows, or medical devices (e.g., IV pumps, trays) added or removed from the bed can affect the weight.
Improper Zeroing
- If the scale isn’t properly zeroed before weighing, it may include the weight of linens or equipment.
- Always zero the scale with the bed empty or with the correct tare weight.
Patient Movement
- Movement during weighing can cause fluctuations in the reading.
- Weigh the patient when they are calm and still.
Patient Positioning
- If the patient is not fully on the scale or is positioned differently than the previous day, the reading may be inaccurate.
- If the head of bed is greater than 30 degrees or the bed is touching the wall
Time of Day
- Weighing at different times (e.g., before vs. after meals, voiding, or dialysis) can lead to natural weight variation.
Fluid Shifts
- Changes in fluid status (e.g., edema, diuresis, IV fluids) can cause real weight changes that may appear as discrepancies.
- Make sure drains and foleys are empty before weighing a patient.