CAUTI
How many nurses must be present in order in insert a foley catheter?
2 nurses. co-sign is required
What zone should bed alarms be placed?
zone 2
How often is dressing change on a central line preformed?
every 7 days or when soiled
What items are required to prevent pressure injury on all patients?
sacral border and heal borders
Do we need an order to perform an EKG?
no, we can place the order under protocol after.
After a foley is removed, how many hours does the patient has to void before we start the urination retention algorithm?
4 hours
When should you use the gait belt?
when ambulating patients?
What are the 3 locations for a central line?
femoral (groin), IJ (neck), subclavian (chest)
What is the name of the device we use to take picture of all sacral and bilateral heels?
zebra
What is the #1 preventer for infection?
hand hygiene
How long is the stat lock stay on the patients?
7 days, or if soiled or pealing up. The stat lock much have the date, time and initials when applying.
Should a patient be left alone in the bathroom?
NO, we must stay with them at all times.
Who can access a life port?
nurses who have completed training and checkoff
yes
What are the 3 types of restraints?
environmental, physical, and chemical
Do you need an order for the external pure wick device? and how often are we going to document on it?
no order is required and document on it every 2 hours.
Name 3 things to reduce a fall in a fall risk patient?
bed alarm or chair alarm, yellow socks, call light within reach, bed rails, iv pole on the side of the bathroom, personal item within reach.
How do we flush a central line?
a 10cc syringe and pulsing technique
On admission if you see a pressure wound, what action should you take?
document the location and appearance on admission. zebra pictures and place a wound care nurse consult.
back of arm, lower abdomen (any fatty part of body)
If there is a do not remove order for a foley, can we use the nurse driven removal policy?
NO!!!
What are the 5 p's of purposeful rounding?
pain, potty, positioning, prompting, placement
What does CRBSI stand for
catheter related blood stream infections
What 2 beds can a soft care overlay not go on?
How do you know when the suction on the chest tube is operative?
The float appears in the window