How Long?
How many days has it been since our last central-line associated bloodstream infection (CLABSI)?
45 days!
What does CAUTI stand for?
Catheter-associated urinary tract infection
What does CLABSI stand for?
Central-line associated bloodstream infection
What organism causes C. diff infections?
Clostridium difficile
How long does it take to perform proper hand hyginee?
15-20 seconds
How long has it been since our last hospital acquired C. diff infection?
421 days!!
T/F: We do not have a CAUTI Prevention policy.
T/F: We have a urinary retention protocol.
FALSE - we do have a CAUTI Prevention policy
TRUE - we do have a urinary retention protocol
What is the preferred method for collecting blood cultures?
collection at 2 site, venipuncture collection by phlebotomist
What is the perferred method of hand hygiene when taking care of a patient with suspected or confirmed C. diff?
Soap and water!
T/F: Artificial fingernails harbor gram positive organisms
FALSE - artificial fingernails harbor gram negative organisms
How long has it been since our last catheter-associated urinary tract infection (CAUTI)?
205 days!
What are alternative methods to an indwelling urinary catheter?
- bedside commode, urinal, or incontinence garments
- timed toileting, every 2-4 hours while awake
- bladder scan prior to straight catheterization to assess for retention
- intermittent straight catheterization
- external catheters
What is the perferred site selectrion for a central line, if appopriate?
Subclavian site!
What transmission based precautions and PPE is required for a patient with a multidrug resistant organism?
Contact precautions
- hand hygiene
- gown
- gloves
How long can e. coli live in the enviornment?
Up to 16 months!
What are the appropriate indications for use of an indwelling urinary catheter?
- urinary retention, continuous bladder irrigation or bladder outlet obstruction
- fluid volume management of critically ill patient in a critical care setting
- perioperative use for selected surgical procedures
- assist in health of open sacral or perineal wounds
- prolonged immobilization
- comfort for end-of-life care, if needed
How often should dressing changes occur?
At least every 7 days.
T/F: We have a C. diff stool collection algorithm
TRUE
What are droplet plus transmission based precautions used for?
COVID-19 infections
How long do C. diff spores live in the enviornment?
Up to 5 months!
What is included in the maintenance bundle for indwelling urinary catheters?
- catheter care every 12 hours, after a BM, and PRN
- maintain a continuous, closed drainage system
- assessment securement device
- ensure tubing is free of dependent loops
- position bag below the bladder
- empty collection bag at least every 8 hours, PRN, or when half full
What type of bathing should patients with a central line receive?
a CHG bath, daily
T/F: Patients with prior C. diff are at risk of repeat occurance
TRUE
What are the 5 moments of hand hygiene?
1. Before touching a patient
2. Before a clean/aseptic procedure
3. After body fluid exposure
4. After touching a patient
5. After touching the patient's surroundings