Terms
Positive blood culture in a patient who had a central line at the time of infection or within 48 hours before the development of infection.
What is a Central-Line Associated Bloodstream Infection (CLABSI)?
Most important intervention in the hospital to prevent infection transmission.
What is hand hygiene?
Life-saving medications that fight bacterial infections. They don’t work against viral infections like cold or flu.
What are antibiotics?
Where you can find out how your unit is performing on CLABSI, CAUTI, and Hand Hygeine.
What are the Quality Scorecards on MassNet?
Tool currently utilized at LHMC that uses clinical data to predict the likelihood of a patient developing sepsis.
Four different times a central line dressing should be changed.
If the dressing is wet/soiled, non-occlusive, has blood under the dressing, and when due to be changed (every 7 days).
The timeframe in which antibiotics should be administered from when sepsis is identified.
What is 60 minutes?
What is the chain of command?
These are the four "Stages of Shock"
What are Compensated, Mild, Moderate, and Severe?
Three interventions to prevent a CLABSI.
What are alcohol-impregnated caps on all ports and tubing, dating and changing tubing as indicated, "scrubbing the hub" and CHG bathing?
These should be obtained PRIOR to administering antibiotics.
What are blood cultures?
Four types of shock in addition to septic shock.
What are cardiogenic, distributive (anaphylactic or neurogenic) hypovolemic, and obstructive shock?
A clinical syndrome that is characterized by a systemic inflammatory response, usually induced by a major body insult that can be infectious (ex: MRSA) or noninfectious (ex: pancreatitis). Clinical manifestations include:Temp: > 100.4 F or < 96.8 F, RR:>20, HR: >90, WBC: >12,000 or <4,000
What is Systematic Inflammatory Response Syndrome (SIRS)?
If a Foley has been in place this length of time or longer, it must be replaced prior to obtaining a urine culture.
What is 7 days?
What labs are the nurse prompted to order with the Order Sepsis Diagnostics BPA?
What are Lactic Acid with 3-hour reflex, CBC and differential, CMP, and C-Reactive Protein?
What source of infections most commonly lead to sepsis?
What are respiratory and UTI?
Severe sepsis with profound vasodilation and hypotension
Severe Sepsis + SBP <90 or Lactate >4.0
What is septic shock?
Five interventions to reduce risk of a HAPI.
What are air mattresses, heel boots, protective dressings, nutrition consults, Turn Taxi (repositioning), and frequent skin assessments?
Standard goal MAP for patients with sepsis.
What is MAP > 65?
Number of cases of sepsis annually in the US.
What is 350,000?