CLABSI Prevention
When a patient has a central line, the patient should receive a CHG skin treatment this frequently.
What is daily?
This algorithm can be used to manage patients experiencing acute urinary retention by using bladder scanning and straight catheterization.
What is the Trial of Void Algorithm?
At NYP, patients with C. diff are isolated using this transmission-based precautions category.
What is Specialplus Contact Precautions?
A healthcare worker should always perform hand hygiene before and after donning this form of barrier protection for their hands. This item is never a substitute for hand hygiene.
What are gloves?
This is the correct answer if asked whether skin can be rinsed after a patient has received a CHG skin treatment (Note: your response should be either "What is true?" or "What is false"?)
What is false?
Central line dressings should be changed this frequently.
What is every 7 days or immediately if loose, soiled or damaged?
If a patient fails their trial of void, this procedure should be done indefinitely if appropriate and tolerated, as an alternative to indwelling urinary catheter placement.
What is intermittent straight catheterization?
At NYP, before exiting the room of a patient with C. diff, it is recommended that you perform hand hygiene with this antimicrobial agent.
What is CHG soap?
Generally, handwashing and the use of hand sanitizer are both effective forms of hand hygiene. However, handwashing should be performed instead of using hand sanitizer when the hands are visibly in this condition.
What is soiled?
Using this tool, an RN can assess a patient for continued need for an indwelling urinary catheter and discontinue the device without a physician order if the patient does not meet NYP IUC indications and if there are no contraindications for removal.
What is the indwelling urinary catheter-nurse driven protocol?
When administering medication through a central line, after preparing the medication (including medication barcode scanning), this is the last activity that should be performed prior to accessing/touching the central line.
What is hand hygiene?
These devices can be used instead of indwelling urinary catheters for urinary management when patients can void spontaneously and empty their bladders (e.g., with an incontinent patient).
What are external male or condom catheters or external female incontinence devices?
For patients who are laboratory-confirmed positive for C. diff, this item should be placed on the floor inside the patient’s room near the door threshold.
What is the specialplus contact floor decal sticker?
After applying hand sanitizer, for hand hygiene to be effective, one should continue to rub hands together until this happens.
What is until their hands are dry?
Out of Bristol Stool Chart types 1 through 7, these are the 2 stool consistency types that make appropriate collection samples for C. diff testing.
What are types 6 and 7?
To cleanse the central line insertion site during a dressing change, using the Chloraprep applicator, the skin surrounding the insertion site should be scrubbed for this duration of time when the site is a dry site (e.g., an arm).
What is approximately 30 seconds?
If a patient has had an indwelling urinary catheter (IUC) in place for more than this number of hours when a urine culture is ordered, the IUC should be exchanged prior to collecting the urine culture specimen.
What is 48 hours?
After care of patients on Specialplus Contact Precautions, this is the location where hand hygiene should occur. (Specify in your answer if this location is inside or outside of the patient's room).
What is the sink inside the patient's room?
Per NYP policy, when washing hands with soap and water, one should wet their hands thoroughly with water, apply soap to the palm of one hand, and then rub their hands together, creating friction for at least this many seconds, thoroughly covering all areas.
What is 15 seconds?
When managing central lines, it is important that these items are applied to all central line lumens and that they are free of blood and medication residue.
What are needless endcaps?
To cleanse the central line insertion site during a dressing change, using the Chloraprep applicator, the skin surrounding the insertion site should be scrubbed for this duration of time when the site is a moist site (e.g., the inguinal fold).
What is approximately 2 minutes?
These are formed when poorly positioned IUC tubing falls below the level of the collection device causing accumulation of urine in the tubing.
What are dependent loops?
Hand sanitizer is not recommended after the care of a patient with C. diff because it is not effective against this inactive form of C. diff bacteria.
What is a spore?
Per the NYP fingernail policy, HCP who have direct patient contact, work in CSPD, or perform HLD, cannot have artificial fingernails, extenders, or enhancements. Also, their natural fingernails should be shorter than this length.
What is 1/4 of an inch?
Generally, this item should be present and intact between an indwelling urinary catheter and its drainage bag to indicate that a closed system is maintained.
What is a tamper evident seal?