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Infection
Symptoms
Bundle
Documentation
Prevention
100
The second most common type of healthcare-associated infection caused by placement of a urinary draining device, and accounts for more than 15% of infections reported by acute care hospitals. Accounts for 30% of HACs reported to the National Healthcare Safety Network (NHSN) Responsible for an estimated 13,000 attributable deaths annually
What is a CAUTI, catheter associate urinary tract infection?
100
-Severe Abdominal Pain or Tenderness -Watery diarrhea 3>or more times; up to 15 times per day -Fever -Loss of appetite -Weight Loss
What are symptoms of Clostridium difficile or 'C-diff'?
100
Screen patients for risk, Door sign, Whiteboard, FYI, Armband
What is the Fall Risk Bundle.
100
Required fall risk documentation bundle.
What is Fall Risk Screen completed, and Fall Risk education documented in EPIC?
100
Hourly assessment, dressing status, site visible, size compared to other limb (TLC), educating caregivers.
What are the PIVIE maintenance bundle elements?
200
This organism causes diarrhea linked to 14,000 American deaths each year.
What is Clostridium Difficile 'C-Diff'?
200
- Pain in Lower Abdomen - Fever - Burning, Frequency, or Urgency with Urination
What are symptoms of Catheter-Associated Urinary Tract Infection?
200
Daily Skin Assessment, Appropriate Bed Surface, Turn/Reposition every 2 hrs or with cares in neonates, Pulse Ox rotation every 4hrs, Skin barrier with diaper change
What is the Pressure Ulcer Prevention Bundle?
200
Frequency of documentation for CAUTI: Discussed with provider row, Reason for Cath Use, Catheter Care performed row -YES, or Cares tab Complete, Bath/Comfort Bath or Shower
What is Daily?
200
Being an advocate for the timely removal of a commonly used medical device can greatly reduce the incidences of this infection. In addition, hygiene, maintaining a closed system, keeping device off the floor, replacing device when needed and encouraging fluids will also assist in prevention of this type of infection
What is a UTI/CAUTI (catheter-associated urinary tract infection) prevention?
300
This type of infection is a type of adverse event occurring in approximately 500,000 patients per year,among an estimated 27 million procedures performed, and accounts for approximately one quarter of the estimated 2 million nosocomial infections in the United States each year. This infection often results in prolonged hospitalization and higher treatment costs.Occurs with post operative hospitalized patients after a procedure.
What is a Surgical Site Infection?
300
Normal skin that blanches (turns white) when pressure is applied. No blisters or skin loss present. Calculated swelling less than or equal to 30%.
What are the symptoms of a Mild PIVIE, peripheral IV infiltrate
300
Pre-Op Bath, Appropriate timing of pre-op antibiotics, No Razor
What is the Surgical Site Infection Prevention Bundle?
300
Daily CHG Bath, Daily linen change, Dressing change date in EPIC and on pt dressing, Cap change Date in EPIC
What is required documentation for CLABSI?
300
•Hand hygiene and donning of non-sterile gloves before touching line •Hub cleaned with alcohol, chlorhexidine or "site scrub" prior to access •CVL dressing clean, dry, and intact •Daily assessment of line necessity •Standard dressing, cap, and tubing changes •Daily CHG treatments
What are the CLABSI maintenance bundle elements?
400
A lung infection that develops in a person who is on a ventilator.
What is Ventilator-associated Pneumonia, VAP?
400
-Drainage of cloudy fluid to site. -Pain, redness, or excessive warmth to site. -Fever -Malaise -Hardening of site.
What are the symptoms of a Surgical Site Infection?
400
Wash hands & sterile insertion, CHG for insertion scrub unless contraindicated, Use CVL insertion kit or cart, Insertion Checklist Used, Dressing is Clean & Intact, Hand Hygiene & Gloves to Touch Lines, Standardized Scrub the Hub, Daily Assessment of line necessity, Standard dressing, cap, & tubing changes, Daily CHG Treatments,
What is the Central Line Associated Blood Stream Infections (CLABSI) prevention bundle?
400
Frequency required for CAUTI documentation: Maintained closed drainage - YES, Securement method, Bag Below Bladder, Unobstructed flow maintained
What is Q shift or every 8hrs?
400
•Correct dose •Correct medication •Correct route •Correct frequency •No omitted meds
Required documentation of Home Medications within EPIC within 24hrs of admission? (Prevents Adverse drug events)
500
This type of staph bacteria is resistant to many antibiotics. In a healthcare setting, it can cause severe problems such as bloodstream infections, pneumonia and surgical site infections.
What is MRSA?
500
Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. Adipose (fat) is not visible and deeper tissues are not visible. Granulation tissue, slough and eschar are not present.
What is a Stage II Pressure Ulcer?
500
Follow-up appointment indicated on AVS, AVS Contain Diet & Activity instructions, AVS Signed by Parents/Caregiver and scanned to EPIC, Teach Back
What is the Readmission Bundle?
500
Full or Front AND Back documented Daily Skin Assessment, Appropriate Bed Surface Documented (once per admission), Documentation of pt being turned/repositioned Q2h (with cares in NICU), Pulse ox site rotated Q4h (document N/A if patient is not on a continuous pox), Documentation of skin barrier (barrier wipes or cream) applied with diaper changes (document N/A if patient is continent)
What is the required Pressure Ulcer Prevention documentation within EPIC?
500
•Head of bed 10-15 degrees for infants or 15-45 degrees for older children •Oral hygiene at least every 12 hours •Change ventilator circuit when visibly soiled •Daily discussion on readiness to extubate
What are the Ventilator Associated Pneumonia bundle elements?