I have 99 problems, but CAUTI isn't one.
Name 1 of the 6 reasons the CDC recommends foley catheters be placed for?
1. Selected Surgical Procedures- Urologic are the most common here
2. End-of-life care
3.Precise measurement of urinary output- Hourly!!! 1-2 hours
4.Prolonged immobilization
5.Acute urinary retention or obstruction
6. Open wounds in incontinent patients
True or False-Bed bugs can jump up to 14 inches if provoked with movement or heat?
False- Bedbugs are small, nocturnal blood-feeding insects. They don't jump but do move quickly across flat surfaces.
Treating septic subjects with ______ mL/kg of intravenous (IV) crystalloids within the first 3 h
30 mL/kg
What PPE would you use for a patient that you were cleaning up after diarrhea?
Gloves, Gown and mask or face shield
Name a movie/TV show with the premise of an infectious disease.
Walking Dead, Outbreak, The last of us.....
Name an alternative for a foley catheter that we use at ORHC?
PureWick or both male and female
Bed Pans
Attempt to send a specimen to lab in a specimen container. If the patient has been known or identified to be living in a bed bug infested home, then we can place the patient in contact precautions.
What do you need to draw prior to giving antibiotics in the sepsis protocol? Hint: You need 2 bottles
Blood Cultures
What are 2 reasons that we can test or C. diff?
3 loose stools in 24 hrs
New onset of ABD pain from something other that original diagnosis
Elevated WBC
New onset fever
What movie did Will Smith star in involving the end of the world?
I am Legend
Name 3 reasons a foley catheter would be inappropriate?
•Urine output monitoring that can be obtained by other methods
•Incontinence without a sacral or perineal pressure ulcer
•Prolonged postoperative use
•Morbid obesity
•Immobility not related to unstable spine or pelvis
•Confusion or dementia
•Patient/Family request
What precautions does the patient need to be in if you suspect bed bugs?
Contact
What does SIRS mean?
Systemic Inflammatory Response Syndrome
3 days
In the movie "Outbreak" what was the animal that spread the fictional ebola virus.
Monkey
What is the most common bacteria that causes a UTI?
E. coli or Escherichia coli
When do bed bugs like to feed?
They are nocturnal so approximately 2-4 am is when they will try to feed. Sleep tight don't let the bed bug's bite!
What causes hypotension in sepsis involving the vessels?
Increased capillary permeability causes intravascular fluid to third space that decreases stroke volume.
Who can you call if you're unsure what to do with testing C. diff?
Infection Preventionist!!
What is the name of the fungus that infects the brain of host on the show "The last of us"?
Cordyceps
What do you need to be able to remove a foley?
The patient no longer meets criteria, just make sure you educate the patient and document.
I know we want to wear a space suit to deal with bed bugs, but PPE do we need to wear when entering the room?
Gloves, Gown......but you can wear hair cap and covers for your shoes.
What is the vasoactive drug of choice if the fluid resuscitation doesn't improve the patient's hypotension?
Nor-epinephrine has potent alpha-1 effects increasing the systemic vascular resistance.
What are the 2-steps for testing C. diff in our lab.
Step 1- Antigen and GDH testing
Step 2- PCR
In the movie "The Rock" starring Nicholas Cage and Sean Connery what medication did they have to stab into their heart to keep them alive from the this very fictious nerve gas.
Atropine