All About C. Diff
Your patient has formed stool should a C. Diff specimen be sent?
A stool specimen should NOT be sent for C. diff if the stool specimen is solid or formed and does not take the shape of the specimen container
You have a patient on a Medsurg floor with foley indication listed as I&O, is this an accurate indication for a foley?
No.
This indication can only be used for Critical Care or PCU level of care.
How often should dressing changes be done?
Every 7 days or PRN is compromised or soiled
Contact
How often should we assess bowel function?
Patients should be assessed every shift for bowel function.
What are steps 1-4 of foley insertion after determining it is clinically necessary?
•Verify patient identity.
•Explain the procedure to the patient
•For insertion of catheter, follow manufacturer’s directions for use located in/on the insertion kit.
•Ensure thorough cleansing of the perineum.
This antimicrobial agent, often used for skin antisepsis, is recommended for reducing the risk of CLABSI
Chlorhexidine Gluconate (CHG)
There is a patient on the unit that tested + for Influenza. What type of isolation should they be placed on?
Droplet
No
Patients should not be re-tested for C. diff if they have tested negative in the last 7 days or positive in the last 30 days.
You have a patient who does not feel like getting up to use the restroom throughout the day. The provider places an order for a foley. Should the foley be placed?
No, convenience is not an indication for a foley.
Which of the following is not a part of line maintenance for the CLABSI Bundle:
- Daily site assessment
- Scrub the hub for 15 seconds with CHG wipes
- Change needless connectors Tuesdays and Fridays or PRN when soiled (every 72 hours or PRN for critical care)
Change needless connectors Tuesdays and Fridays or PRN when soiled (every 72 hours or PRN for critical care)
Needless connectors are switched on M and Thurs
You have a patient who is C. diff PCR + and Toxin +. What type of isolation do they require?
Enteric
You just got back lab results for a C. Diff rule out, that read:
C. Diff PCR +
C. Diff Toxin A/B Negative
Does this patient have C. Diff?
If PCR is positive BUT Toxin A/B is negative, THEN patient is colonized and does not need to be treated but does need to be isolated.
A patient has had a foley in for 5 calendar days and develops a fever of 100.6F. Ucxs are collected that grew 80K CFU/ml of E.coli. Is this a CAUTI?
No, because the patient did not grow greater than or equal to 100,000 CFU/ml.
When do we add a high-risk banner to a femoral line?
After it has been in place for more than 48 hours or if the patient has it in place on admission.
How long is Candida Auris isolation?
Lifelong
What is the primary reason that improper stool specimen storage and delayed transport to the laboratory can result in false-negative C. difficile toxin results?
The C. diff toxin is very unstable and degrades at room temperature in a short amount of time.
A patient is admitted to unit and had a foley placed on Day 1. On DAY 4 they develop a fever of 101F. Ucxs are collected that grew 100K CFU/ml of Candida parapsilosis. Is this a CAUTI ?
No, since they grew candida, it would not meet CAUTI criteria.
Your patient has a CVC Triple Lumen IJ placed on 1/26 and on 2/8 the patient develops leukocytosis and fever. ID recommends culturing the catheter tip, would this result in a CLABSI?
No.
Culturing catheter tips does not result in a CLABSI.
Yes, CRE is lifelong iso.