When performing hand hygiene, how long should you wash your hands for?
15-20 seconds or the length of "happy Birthday"
What is the contact time for purple Super Sani-Cloths?
Surface must be wet for 2 minutes
Which bottle is aerobic?
Green and Yellow
Do visitors have to follow posted isolation precautions?
YES! this includes the use or PPE
How often does a central line dressing need to be changed?
Change dressing to CVC (including indwelling dialysis catheters) when moist, loose, or soiled or at a minimum every 7 days (except in those pediatrics in which the risk for dislodging the catheter may outweigh the benefits of changing)
policy PCS-MM-830
In what instances should we wash our hands versus using hand sanitizer? Name 3
When they are visibly dirty, gross contaminated with dirt, blood, or infectious materials
After contact with environment of/or a patient with C. Difficile or Norovirus
Preparing food, before eating and after using the restroom.
What does this symbol mean?
Single patient use
Which is used to prep the skin for Blood Culture collection?
C Frepp
When removing PPE after going into an airborne precaution patient's room, what do you remove last?
N95 and perform hand hygiene
Name three of the medical necessities for indwelling catheter insertion.
1. Hemodynamically unstable
2. Obstruction/ retention
3. Prolonged immobilization
4. Hospice/Palliative care
5. Stage 3/4 coccyx wound
6. GI/GU surgery
Policy PCS-IC-135
Are artificial nail enhancements permitted in the patient care areas?
NOOOOOOOOOOOOOOOOO!!!!!!!!
Anything applied to the natural nail other than polish is considered an enhancement, including the application of gel nail, gel polish, and acrylic nails are not permitted. This includes registration, rad techs, respiratory therapy and physical therapists.
If you have a small roll of tape and you don't use it all on the patient you got it for. What can you do with it?
Only throw it away!!!!!!!! Do not place in your pocket, not on your stethoscope, not on the bedside table, not on their bed.
How long is dry time and why is it important?
30 seconds, this is the time the CHG is killing the bacteria
Name 4 of types of isolations
1. standard
2. contact
3. droplet
4. airborne
5. maximum
Policy ICM-PC-100
Explain how to bathe a patient with an indwelling catheter and/or central line.
CHG bath every 24 hours Policy PCS-IC-135
Why are personal lotions and soaps not permitted in patient care areas?
They promote growth of bacteria and may not be compatible with other hand hygiene products.
Name 3 pieces of equipment nursing is responsible for cleaning after each use.
baby scale, bedside commode, bilimeter, blood warmer, patient chairs, epidural carts, feeding pumps, electronic devices/key boards, gurneys/wheelchairs, oxygen tanks, patient lift equipment, PAPR, portable BP machine, telemetry boxes, toco/transducers
How many sets of Blood Cultures need to be drawn before the antibiotics are given within the first hour?
Two sets!
Your patient's MRSA culture is pending, when are isolation precautions initiated?
Immediately
Policy NRS-IC-1280
Name 3 of the items of required CAUTI bundle
1. Catheter is only present when necessary, remove if not
2. Aseptic technique while inserting, sending a urine culture
3. Maintain closed system
4. Secure the system, stat lock to thigh
5. Maintain unobstructed flow
6. Collection bag is below bladder
7. Peri care each shift and prn
How long does hand sanitizer need to be on your hands for it to be effective?
About 20 seconds. Ensure friction is used for it to be effective.
How long are each good for?
NOVA meter test strips and NOVA meter controls
NOVA meter test strips- 180 days/6 months
NOVA meter controls- 90 days/3 months
When collecting blood cultures from a butterfly needle, what can be attached to the protected needle?
Vacuette ONLY, syringes
What PPE is needed when entering a positive covid patient's room who is not actively coughing?
Gown, gloves, N95 for Covid or patients with the flu virus.
Your patient's vitals are stable, they are ambulatory, with no history of bladder obstruction and are walking with an indwelling catheter in place. What should you be thinking....
Remove the indwelling catheter!!! NO order needed.