LDA
Infection Prevention
Plan of Correction
Patient Experience
100

This daily documentation element helps support early removal of central lines when they are no longer critically indicated.

What is the daily review of central line necessity?

100

This is the single most effective way to prevent the spread of infections in the ICU.

What is hand hygiene?

100

Care plans that are tailored to the patient and the patient needs during this admission.

What are individualized care plans?

100

In the ICU, this step is essential when administering high‑risk medications to ensure patients and families understand why the medication is needed and what to report immediately.

What is explaining the medication’s purpose and key side effects?

200

For central lines, nurses must complete all Brain Task documentation by these two times to remain compliant.

What are 1100 and 2300?

200

This daily practice helps reduce CLABSI risk by ensuring unnecessary lines are promptly removed.

What is daily review of central line necessity?

200

These three clinical situations always require a qualified interpreter when language barriers exist.

What are informed consent, medication education, and discharge instructions?

200

Opioids, sedatives, and vasoactive drips require close monitoring for these potentially life‑threatening side effects.

What are respiratory depression, hypotension, and altered mental status?

300

If this required detail is not documented when a urinary catheter is placed, the catheter will not appear as a Brain Task.

What is catheter type?

300

Maintaining this feature of a Foley catheter system is essential to prevent CAUTIs.

What is a closed drainage system?

300

After administering IV pain medication, pain should be reassessed within this timeframe.

What is 30 minutes?

300

Even when patients are intubated or sedated, nurses should still provide medication education by directing it to this group.

Who are the patient’s family members or caregivers?

400

This former documentation row was removed and is now included within lumen status documentation.

What is blood return noted?

400

These precautions require gown and gloves and are used for patients with MRSA, VRE, or C. difficile.

What are contact precautions?

400

For ventilated or high‑risk ICU patients, CMS surveyors expect consistent performance and documentation of this hygiene intervention to reduce infection risk.

What is oral care per ICU protocol?

400

This communication strategy helps ICU nurses confirm understanding when educating families about complex medications.

What is teach‑back?

500

Documentation of these four elements completes the Brain Task for indwelling urinary catheters.

What are indications, securement device in place, closed system maintained/no leaking, and no dependent loops?

500

Keeping the head of the bed at this minimum angle helps reduce the risk of ventilator‑associated pneumonia.

What is 30 degrees?

500

Failure to match meals to diet orders in the ICU increases the risk of this serious complication.

What is aspiration?

500

Reviewing ICU medications and side effects during this transition helps prevent confusion and adverse events after transfer.

What is handoff or discharge education?