Zero Harm
Central Line Dressings
CVC Maintenance and Handling
Blood Cultures from CVC
100
This type of infection occurs when bacteria or other pathogens enter the bloodstream through a central venous catheter.
What is a CLABSI?
100
This is the recommended frequency for changing central line dressings for patients if not visibly soiled or wet.
What is every 7 days?
100
The CDC’s guideline on preventing CLABSI emphasizes this critical step before accessing a central line.
What is hand hygiene?
100
This is removed from the line before connecting the vacutainer to the lumen.
What is Rymed?
200
This is a supply used as a reminder to use a fresh pair of gloves when using the central lines. A box is placed in every room where a patient has a CVC.
200
This is the recommended action if a dressing is lifted less than 50% of white border.
What is secure the dressing with Tegaderm?
200
This technique is used to flush central lines before and after administering medication.
What is push-pause Technique?
200
T/F: When drawing blood cultures from central lines, the nurse must flush the line with 10 ml and waste 10 ml.
What is false?
300
These antiseptic swabsticks, containing 3.15% chlorhexidine gluconate and 70% isopropyl alcohol, are recommended by the CDC for disinfecting the catheter hub before accessing a central line.
What are Prevantics swabs?
300
This is the recommended frequency for replacing the needless connector, depending on institutional guidelines.
What is
• On admission • With each tubing change every 4 days • Before obtaining blood cultures • On discharge
300
This is checked before administering any medication to ensure the line is positioned correctly.
What is blood return?
300
The method to draw blood cultures requires a ______ field and a _____ field.
What is clean field and sterile field?
400
This type of device is commonly used in conjunction with a needless connector to reduce infection risk and improve safety during CVC handling.
What are protective caps?
400
If central line dressing were to be wet, what is the appropriate time frame to change dressing?
What is immediately?
400
Two flushes are needed to flush the central lines using push-pause technique after what has been given.
What is blood products, TPN, or any medication that is sugary or has a thick consistency?
400
This is the amount of flushes required to use after completing the blood culture draw.
What is 2 flushes?
500
These prepackaged wipes, used daily for patients with central lines, help reduce microbial skin burden.
What are CHG wipes?
500
This is an antimicrobial disk that covers the exit site of the CVC. It works for up to 7 days unless soiled or wet. Placement is blue to the sky with slit at 3 or 9 o'clock.
500
Before giving medication through a central line, you must do this to the needleless connector to prevent infection.
What is scrub the hub?
500
How many blood culture bottles are required per CVC lumen?
Bonus: What is each bottle called?
What is 2? Aerobic and Anaerobic