IV
How often is a peripheral IV dressing changed?
Every 7 days and PRN
What type of catheter do you use on a male over 40 years old?
Coude
What is the max delivery for a nasal canula?
6 liters
Name ONE word that triggers CMS criteria
-possible, Rule out, suspected, likely, probable, suspicious for, concern for
-acute abdomen/abdominal infection
-gangrene/necrotic
-infection/cellulitis
-pneumonia/empyema
-pus
-skin, soft tissue infection, wound infection
-UTI
What Protocol should be ordered on all central venous accesses?
Adult IV Flush Protocol
Needless connectors are changed every ___ days?
Every 4 days
What are the 2 options for urine specimen collection?
-Clean catch (pt can void, midstream catch)
-Straight Catheterization
What should the flowmeter be set at for a NRB mask?
10-15 liters
What is classified as sepsis?
Documentation of suspected clinical infection plus 2 or more SIRS
Who can remove a midline?
May only be removed by RN
How often is the tubing changed for parenteral nutrition (TPN,Lipids)?
Every 24 hours
Name the 3 protocols that are available for nursing use to help reduce indwelling catheterization usage
1. Intermittent Catheterization Protocol
2. Present on Admission (POA) Catheter Protocol
3. Indwelling Urinary Catheter Removal Protocol
When can patients take CPAP mask on and off themselves?
ONLY IF IT IS THEIR HOME MACHINE
What type of Sepsis has initial lactic acid >4 or Persistent Hypotension after 30 ml/kg of crystalloid fluids
Septic Shock
When do we access and deaccess ports?
Every 7 days with dressing changes
What is the best process for back priming secondary tubing?
Avoid disconnecting the secondary tubing from the primary set. Back priming into the primary set is preferred
List 3 Foley Criteria for indwelling catheter usage
Retention
Critically ill
Pre/post GU procedure
Difficult Catheter placement
Existing sacral/perineal wound
Prolonged immobility (from trauma, fracture)
Pt/family refusal
Intraoperative monitoring of UO
How often does RT suction trach patients?
Every 4 hours
What is the hour window for Completing Sepsis Criteria A, B and C
6 hour window
When Educators are doing a bedside audit on Central Lines, what does this include (Must list at least 3 things)
-IV tubing dated and timed (not past due)
-Date on Dressing
-Antimicrobial caps on all ports
-Dressing D/I
-CHG disc present
-inserted to hub
Assess the IV site using this acronym
A=assess
C=compare
T=touch
What is order of draw for tubes for BD Urine Kit Collection?
Options: Yellow/Red Speckled-Clear Top-Gray
1st: Gray (Culture Tube)
2nd: Yellow & Red Speckled _Urinalysis)
3rd: Clear top (non-additive)
What is the most important thing with trach safety? Must identify one thing on list
Always suction through inner cannula
Make sure room has suction set up and it works
Ambu bag present
Spare trach at bedside
Disposable suction at bedside
What should you do if pt refuses or if there is noncompliance or a failed attempt to get labs for sepsis protocol?
Tell Mercy Sepsis and they will file a note
Patient refusal=case is excluded
Failed lab attempt=credit given for sepsis lab bundle
What is included in a chart audit for central lines? Must list at least one thing listed
-Connectors change date
-Insertion Checklist completed
-MW Flush Protocol ordered