CLABSI
CAUTI
C diff
Isolation
Documentation
100
The time it takes to completely scrub the hub with alcohol.
What is scrub for 10-15 seconds and dry for 5-10 seconds?
100
The first thing an RN needs prior to placing a Foley catheter.
What is a provider order?
100
The C diff admission assessment risk score is required to be completed at this time.
What is on admission?
100
Patient admitted with concern for active Tuberculosis. This type of isolation would be ordered based on symptoms, risk and/or high level of suspicion.
What is Airborne Isolation?
100
Patient admitted on hospital day 1, C diff risk assessment of 4 and has 1 large watery stool.
What is when it would be appropriate to order and send down stool for C diff testing?
200
These are used on all unused needleless injection caps and all unused y-site ports of extension sets and administration sets.
What are Swab caps?
200
Frequency of urine measurement to qualify for strict I & O.
What is q 1-2 hours?
200
The C diff risk assessment score that would categorize a patient as high risk for C diff.
What is 2?
200
The only multidrug resistant organism that would require decolonization and may also require Contact Isolation.
What is MRSA?
200
This is done with careful detail when something out of the ordinary has happened to your patient?
What is document in the medical record?
300
This needs to be changed every 4 days AND before every blood culture drawn.
What is a Needleless injection caps (NIC)?
300
These should be considered as alternatives instead of placing a Foley catheter in certain populations.
What is the use of an external catheter or straight catheterization?
300
The type of stool sent down for C diff testing.
What is loose, watery, mucous, and/or liquid?
300
Appropriate isolation for anyone being tested for C diff, Norovirus or any other diarrhea of unknown cause.
What is Special Contact Isolation?
300
These need to be documented in it's entirety after a Foley catheter is placed or removed.
What are the urethral catheter properties?
400
Blood cultures are NEVER to be drawn off of.
What are artlines or peripheral lines?
400
This is completed post-insertion of urinary catheter, after bowel movements and at least once daily using Foley Care Wipes.
What is Foley care?
400
Prior to leaving the room of a positive C diff patient, the colleague doffs the gown and gloves and performs hand hygiene using this.
What is soap and water?
400
Must always wear a gown and gloves PLUS follow standard precautions, hand hygiene with alcohol based rub on exit of the room.
What is Contact Isolation?
400
This is vitally important to be done as soon as the patient is placed in isolation.
What is the correct order placed and documentation of isolation initiation?
500
This is performed prior to working with vascular access devices (for example applying swab caps, flushing lumen(s), or connecting tubing)
What is hand hygiene and don gloves?
500
The time interval a female Purewick needs to be changed along with performing skin assessment.
What is at least every 8-12 hours or if soiled with feces or blood?
500
C diff spores in an inactive form have a protective coating allowing them to live this long?
Months or sometimes years on surfaces and in the soil.
500
The reason why it is important to keep signage up on a recently discharged patient with C diff infection.
What is for EVS to properly clean room with bleach and don appropriate PPE?
500
A patient in the ICU has a Foley and Central line. This is documented in the flow sheets in EPIC under Daily Cares/Hygiene
What is documentation of CHG treatment daily and Nozin BID (12 hours apart)?
600
The three main things to be addressed for EVERY RN to RN handoff.
1. Verify swab caps are on all unused needless injection caps and all unused y-site ports of extension sets and administration sets
2. Change dressing if not intact or drainage under the dressing
3. Discuss all vascular access device necessities. (peripheral and central)
600
The criteria used for q shift assessment of Foley catheter necessity based on the Nurse Driven Foley Removal Protocol.
What is HOUDINI criteria?
600
Patient admitted on 4/1/2025 @ 2300 with a C diff risk assessment score of 3 and has 3 loose stools starting at 0015 on 4/4/2025. Patient has a positive C diff GDH and Toxin Assay.
What is hospital onset C difficile?
600
A post op patient with ESBL is prepped to ambulate in the hall with this.
What is a new clean hospital gown and good hand hygiene?
600
At the time of a Purewick insertion, change, or removal, this is documented EACH time in the patient's electronic medical record.
What is the time, skin assessment and peri care with Bard Foley Care Wipes?
700
Nurse to Nurse Shift Report
Nurse to Provider Rounding
What are the times to discuss line necessity?
700
This has already formed after 2 and 18 hours post Foley insertion.
What is biofilm?
700
Meat from the grocery store, domestic animals
What is where Cdiff can come from?
700
Population that should NOT enter a patient room with active shingles found in > 2 dermatomes.
Who are those who are not immune to Chickenpox?
700
Monitored daily and recorded by the RN while occupied by a patient with known or suspected tuberculosis.
What is the direction of air flow (needs to be negative to the corridor)?