CLABSI
Three, Two, One, Target Zero
The Dirty Truth
Lines, Tubes, & Drains
TZ INFOCUS
100

Fun stands for this when you think of a central line

What is Function, Use, Necessary 

100

These are three different ways to help create a safe environment to prevent falls in all our patients

What is: putting the call light within reach, put the bed in low locked position, patient in developmentally appropriate size and type of bed, use non-skid socks, consider use of bed alarm

100

Any diapered patients must have this to prevent dermatitis

What is barrier ointment

100

Name the two times when foley catheter care must happen

What is every 12 hours and PRN with fecal incontinence

100

The meaning of QSRS

What is Quality Safety Reporting System

200

The amount of time to scrub the hub with Prevantics 

What is 5 second scrub and 5 second dry 

200

Name three different situations where a nurse should complete and document a head-to toe-skin assessment.

What is any admission, any transfer, and every shift

200

This comes after a daily soap and water bath of a patient with a central line

What is CHG

200

What is a TLC assessment and what bundle does it focus on?

What is Touch, Look, Compare - the PIVIE Bundle 

200

Target Zero IN FOCUS Commitment to Safety consist of 4 main components, what are 3? 

What is: Preform introductions, Pause to care, be responsible to speak up, use ARCC (Ask, Request, Express Concern, Chain of Command) CUS (Concern, Uncomfortable, Safety)

300

The benefits of the push pause method for flushing a CVC

What is to break up fibrin biofilms or other debris in the central line

300

Adverse Drug Events (AED) bundle elements are the 7 Rights of medication administration. Can you name them all?

Right Patient, Right Drug, Right Prepared Dose, Right Route, Right Time, Right Indication 

300

According to CHCO policy and TZ bundle - how often do Non-High-Risk patients get bathed? 

What is daily for patients 1+ years old and Q3 days for under 1 year

300

The equipment that must be part of your safety checks for a patient with a chest tube?

What is two clamps, sterile gauze or Vaseline gauze, transparent semipermeable membrane dressing

300

This aspect of Target Zero allows us to build trust with our patients and families. 

What is introductions

400

Things to assess at least every shift related to your central line dressing

What is: Clean Dry and Intact - with less than 10% drainage

400

Oral care is preformed how often in the inpatient setting

What is twice daily or every 4 hours for intubated patients

400

Patients with central lines require a dressing change at what candance? 

What is every 7 days or when soiled. 

400

Method to appropriately measure and verify NG placement

What is NEMU and double nurse verification with PH

400

The form in which clear, complete, and respecful communication is deliverd

What is SBAR

500

The 3 important components of a cap change at CHCO

What is Coordinated with tubing change, it’s a sterile procedure, mask must be worn by RN and patients, standard cap change is 4-day other reasons are: blood products, hemodialysis, when visibly soiled

500

All patients are considered to be a fall risk, name two elements of clothing safety

What is no skid footwear and appropriate sized clothes

500

When completing a sterile dressing change on a patient with a central line, name 3 core components of sterile technique.

What is use a kit with sterile gloves, hair pulled back, mask patients and those within 3 ft of patient

500

How often and with what amount of fluid should an peripheral IV be flushed?

What is flush the IV with 1-3 mL of Normal Saline. This should be done before and after medication administration and every 12 hours when not it use

500

In healthcare, where speed and efficiency are often seen as indicators of effectiveness this TZ practice can significantly improve patient safety.

What is Pause to Care