Lather, Rinse, Repeat!
MRSA and the Gang
Standing Ovation Only
HAPI and You Know It
It's Getting SIRS-ious!
100

This is the single most important measure to prevent the spread of infections in hospitals. 

What is hand hygiene?

100

This is how often urinary catheter care should be completed.

What is every shift (q12h)?

100

At DPH, this is the most common activity that patients are attempting when they fall.

What is toileting?

100

Who can enter an order for a specialty bed?

What is bedside RN?

100

How do you call rapid response?

What is 22?
200

The minimum amount of time recommended for scrubbing your hands with soap and water. 

What is 20 seconds? 

200

These are the indications for a central line.

What is TPN, vasopressors, hemodynamic monitoring, dialysis, long-term IV therapy (>1 week), vesicant medications, concentrated electrolyte solution, or all peripheral access exhausted?

200

These are risk factors for patient falls.

What is elderly, mobility issues, confused/AMS, or some medications? 
200

This prevention dressing needs to be lifted to assess underneath every shift.

What is Mepilex?

200

For best outcomes, this is the recommended time frame to administer epinephrine during cardiac arrest.

What is less than 5 minutes?

300

You must do this before putting on gloves and after taking them off.

What is hand hygiene (e.g. clean hands with sanitizer or soap & water)?

300

This is the correct method for collecting a urine culture. 

What is clean catch, sterile sample from foley port, or straight cath?

300

This tool is used to assess fall risk during your nursing assessment.

What is Morse Fall Scale?

300

This is the frequency at which skin should be assessed?

What is on admission, when any dressings are removed or changed, when transferred to another unit, and every shift?

300

What measures meet SIRS criteria?

SIRS criteria met with any two of the following: temperature >100.4F, HR >90, RR >20, or WBC >12k or <4k.

400

The percentage of alcohol that hand sanitizer must contain to be effective against most germs.

What is 60%?

400

This is how frequently you should change IV tubing for anything other than a continuous drip. 

What is every 24 hours?

400

This is what you do if your patient is refusing fall prevention interventions.

What is 

Escalate to charge nurse/ANOM/NOM

Complete Refusal of Treatment form and place in the chart?

400

These areas should be closely monitored to prevent hospital acquired pressure injuries.

What is boney prominences and beneath devices?

400

These are the roles during a code blue.

What is

Team leader (CCM/ICU provider)

Compressor

Airway manager

Medication nurse

Recorder

Defibrillator/crash cart manager?


500

This is our hand hygiene campaign slogan at DPH. 

Spread Kindness Not Germs!

500

This is how often a neutral displacement valve (microclave) should be changed.

What is every 96 hours (4 days)?

500

These are the fall risk interventions necessary for a high fall risk score (greater than 45).

What is Bed Alarm On, Fall Armband On, Gait Belt Used for Transfers, Hourly Visual Checks, Room Door Open, Toileting/Diapered Every 2 Hours - In Advance of Need, Non-Skid Socks?

500

These practices & procedures should be implemented for patients with a Braden score of 18 or below (at-risk for pressure injury formation).

What is 

Repositioning

Mepilex-coccyx, heels

Prevalon boots, pillows for heels

Turning wedge

Barrier cream

Grey SAGE wipes

Check layers, medical devices?

Specialty mattress

500

What are the components of the sepsis bundle?

What is

Lactate drawn (repeat in 3 hours if >2)

Obtain blood cultures

Start broad-spectrum antibiotics (after blood cultures are drawn)

Initiate IVF 30 ml/kg for hypotension or if lactate >/=4 

Recheck BP 1 hour after IVF

Initiation of vasopressors

Repeat lactate if >2

Central line insertion

Invasive monitoring?