Cauti/Foley Care
CLASBIs/CVADs
SSI/Surgical Readiness
C-Diff
Sepsis
100

What is the 5th most common healthcare-associated infection, which is 100% related to an indwelling catheter.

CAUTI - Catheter Associated Urinary Tract Infection

100

What does CLABSI stand for?

Central Line Associated Blood Stream Infection

100

What should the patient take pre-op CHG shower(s) or bath(s)?

The night before and the morning of surgery.

100

What are the clinical symptoms of C-Diff?

Temperature greater than 110.6, nausea, loss of appetite, abdominal pain.

100

What are the criteria for Sepsis?

2 SIRS criteria AND a confirmed or suspected infection

200

What is the best way to prevent a CAUTI?

Avoid placing a catheter!

200

What agent should you use to clean central line sites?

Chlorhexidine

200

What should be removed prior to surgery?

Underwear, dentures, contact lenses, jewelry. 

200

What is the antibiotic of choice to treat C-Diff?

Vancomycin

200

What do we see with Severe Sepsis?

Organ Dysfunction

Ex: Hypotension (SBP<90 mm/hg or MAP <65), Lactate > 2, Platelets < 100,000, INR >1.5, Creatinine over 2.0, Bilirubin over 2.0, Need for mechanical ventilation

300

How often a foley collection bag should be emptied

What is every 8 hours or when half-full

300

What is the technique used to flush central lines in order to prevent fibrin build up?

Push-Pause Technique

300

What are some signs and symptoms of a surgical site infection?

Redness, warmth, fever, tachycardia, tenderness, delayed healing, swelling, odor, discharge.

300

How do you clean your hands when exiting a C-Diff room?

Soap & Water

300

What is the formula for fluid resuscitation in Septic Shock?

30mg/kg bolus of 0.9NS or LR

400

What are alternative methods to placing a foley catheter?

Bedside commode, programmed toileting, condom catheter, primo-fit, purewick, urinal, scheduled straight caths.

400

Prior to use, what should be done with every central venous access device?

Confirm placement.

400

What gauge IV should a patient have prior to surgery?

20 gauge or larger.

400

What type of cleaning agent is used in C-Diff rooms?

Bleach

400

What is the vasopressor of choice for septic shock?

Levophed - to constrict peripheral vessels offsetting the peripheral vasodilation of sepsis.

500

What prevents urine from backflowing into the bladder?

Having NO dependent loops in the tubing.

500

How long should you clean (and let dry) the central line site prior to applying dressing?
*NOT a groin line*

30 seconds each

500

What parts of the body should patient's NOT use CHG foaming soap?

Ears, eyes or mucus membranes.

500

What are other factors that can contribute to new onset liquid/watery stool?

Stool softeners, laxatives, enemas, lactulose, medications, newly initiated enteral feeding, oral contrast, bowel prep.

500

What orders can the nurse place *per protocol* when the Sepsis BPA (best practice alert) fires?

Lactate, CBC, Paired Blood Cultures