Hand Hygiene
Surgical Considerations
Blood Cultures
Isolation
CAUTI/ CLABSI
100
When performing hand hygiene, how long should you wash your hands for?
15-20 seconds or the length of "happy Birthday"
100
Should you shave or use hair clippers on a patient prior to a surgical procedure?
NO
100
Which bottle is aerobic? 
Green and Yellow
100
When a patient is on Airborne isolation can they leave their Negative Pressure room?
Yes, with a surgical mask on.
100
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
200
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.
200
When should procedural antibiotic prophylaxis be administered?
Within 5 minutes to 2 hours prior to the procedure.
200
Which is used to prep the skin for Blood Culture collection?
C Frepp
200
When removing PPE after going into an airborne precaution patient's room, what do you remove last?
N95 and perform hand hygiene
200
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
300
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.
300
Nasal decolonization should take place before which procedures?
ORIF of the long bones, Colon procedures requiring an anastomosis of the large intestines, C-Section, Abdominal Hysterectomy, Knee and Hip Arthroplasties.
300
How long is dry time and why is it important?
30 seconds, this is the time the CHG is killing the bacteria
300
Name 4 of types of isolations
1. standard
2. contact
3. droplet
4. airborne
5. maximum
Policy ICM-PC-100
300
How often do we bathe patients over the age of 2 months with a CVC or IUC? Which product?
CHG bath every 24 hours Policy PCS-IC-135
400
When working with a patient that has C. difficile, hand sanitizer be used for Hand Hygiene.
No, C. diff requires soap and water only.
400
Can surgical caps, beanies and headbands be worn in isolation rooms?
Yes, but they will need to be removed once you exit the patient's room- After you exit the isolation room, scrub caps, beanies and headbands can not be worn in other patient's room because they can not be disinfected.
400
How many sets of Blood Cultures need to be drawn before the antibiotics are given within the first hour?
Two sets!
400
Your patient's MRSA culture is pending, when are isolation precautions initiated?
Immediately
Policy NRS-IC-1280
400
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
500
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.
500
Is a CHG bath required for an emergent C-section?
YES
500
When collecting blood cultures from a butterfly needle, what can be attached to the protected needle?
Vacuette ONLY, syringes
500
What PPE is needed when entering a positive Covid patient's room who is not actively coughing?
Gown, gloves, N95. Airborne and contact precautions
500
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.