Standard Precautions
CLABSI
Hand Hygiene
CAUTI
Things I can't un-see
100
True of false: Another way to think about standard precautions is: "If it's wet, warm, and not yours, put a barrier (i.e. a mask, PPE) between you and it."
True
100
All patients with a central line should receive a CHG bath at this frequency.
What is daily?
100
This is the number one way to prevent the spread of infections.
What is Hand Hygiene
100
Collect this specimen AFTER a urinalysis results with one or more of the following:
- WBC > 5
- Positive budding yeast or bacteria
- Positive leukocyte esterase
What is urine culture?
Do NOT collect UA and urine culture simultaneously.
(Yes, this applies when a sepsis alert is called as well)
100
This item has more germs than a toilet seat.
What is your cell phone
200
True or False: The first thing we should do before interacting with a patient is a risk assessment.
What is True
200
When Total Parenteral Nutrition (TPN) is infusing the frequency that needleless connectors (claves) and tubing should be changed.
What is 24 hours?
200
The length of time you must clean your hands
What is 20 seconds
200
The appropriate indications for collecting a UA include the following.
What are:
Temp greater than 38 C (100.4 F)
Suprapubic or costroverteral angle pain/tenderness
Urgency or frequency
Dysuria
NOT INDICATED: Malodorous, cloudy, sediment or dark urine!!!
200
A sneeze can travel this far.
What is 26 feet?
300
Isolation that indicates you should wear a gown and gloves and that you MUST wash your hands with soap and water is called this.
What is Contact plus?
300
The correct indications for a Central line are:
What are:
Critical care CVP
Administration if pressors or chemo
Invasive cardiac monitoring
Insertion of temp pacer wires
Acute dialysis
Poor peripheral access or frequent requirement for IV access ( consider midline)
300
This action is required after exiting a patient's room with a known or suspected infectious diarrhea.
What is washing hands with soap and water?
CONTACT PLUS IS THE NEW TERM!
300
The correct indications for an indwelling urinary catheter are the following.
What are:
Bladder obstruction
Hourly assessment of urine
POD 1 to 2 or urologic procedures
Healing of Stage III or IV wounds
Unstable thoracic or lumbar spine/multi trauma patients
End of life
300
True or False: The CDC updated isolation guidance for Noroviruses to include wearing a mask in areas that are heavily contaminated with fecal or vomitus matter.
400
True or False: A patient who tests positive with a CRO (carbapenem resistant organism) is required to be on Contact precautions for all hospitalizations - current and future.
What is true?
400
True/False:
Patients on hospice/end of life care are appropriate to have blood cultures drawn.
What is FALSE
400
True or False: When wearing gloves, one does not need to perform hand hygiene. This is part of standard precautions.
What is: FALSE
Hand hygiene should always be done before and after wearing gloves.
400
If a patient has a urinary foley catheter in place for retention, after how many days should you think about removing for a voiding trial?
What is 3-5 days?
400
When a portion of tubing in a urinary drainage system is positioned in a way that causes urine to accumulate in the tubing, or limit flow from the bladder this is called. . .
500
The 3 components to the new High Touch Cleaning policy include the following.
• Clean 1 x shift and 2 x day
• Document in Activities of Daily Living
• Use the correct wipe for the correct time on the correct object or equipment
500
Patients with tunneled dialysis lines should have this type of dressing placed at admission.
What is occlusive?
**Remove home tape/gauze replace with our central line kit dressing***
500
This action is required when your hands are visibly dirty, before eating, and after using the restroom.
What is washing your hands with soap and water. (NOT alcohol-based hand sanitizer)
500
_____________ and ___________ directly corelate to infections caused by devices such as foley catheters and central lines.
What is utilization and duration
500
These are often found in employee bathrooms and should not be flushed down the toilets.
What is: Wipes