Infection Detection Breakout

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Intro

You have entered a dark and unknown world of Healthcare-acquired infections from which you have to get out before it's too late and you will be locked in forever.

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CAUTI

Locked

Contact the physician

Re-insert the foley catheter

Palpate the bladder

Your patient had an indwelling foley catheter removed at 4pm. It is now 9pm and the patient has not voided. What is your next step?

00:30

Replace foley

From the sampling port

From the drainage bag

Your patient has an order for urine C&S and has a foley catheter that has been in place for 4 days. How would you obtain your specimen?

00:30

The PCT checks the tubing securement device before helping the patient up

The PCT holds the drainage bag at the patient's waist level as the patient moves

The PCT empties the drainage bag before moving the patient from the bed

You are in the patient's room and observe the Patient Care Tech assisting the patient to the bedside chair. Which action by the PCT would be need to be immediately addressed?

00:30

C-Diff

Completed

Locked

Sodium Polystyrene sulfonate

Sertraline hydrochloride

Ondansetron hydrochloride

Your patient reports having watery, liquid stool for the last 2 days. You are assessing for other symptoms of C-diff. After reviewing the patient MAR for potential causes, which medication could be contributing to the patient's symptoms?

00:30

31yr. old patient with history of opioid abuse admitted for GI bleed

90yr.old with history of alzheimer's dementia admitted for right hip fracture

57yr. old patient with history of long-term steroid use admitted for pancreatitis

Which of the following patients are at the greatest risk of developing a C-diff infection?

00:30

None-infection is not confirmed

Contact/Enteric Precautions

NeutropenicPrecautions

00:30

Your patient has complaints of excessive bowel movements for the past 4 days and abdominal pain. When assessing last BM, you determine that it is a 7 on the Bristol Stool Chart. Which type of transmission-based isolation should you place the patient in?

CLABSI

Completed

Locked

5mL

10mL

What size syringe should be used when administer medications via IV push through a central line?

Depends on about of medication being given

00:30

Administration of IV opioids using a PCA pump

Administration of Pipercillin -Tazobactam

Administration of total parenteral nutrition (TPN)

Which of the following indications would be appropriate for placement of a Central Venous Access Device (CVAD)?

00:30

Asking the patient to turn their head away from the central line site

Leaving the lumens unclamped when changing the needless connectors

Placing the CHG gel pad directly over the insertion site

You are working with your preceptor to perform a central line dressing change. Which action by your preceptor would you provide immediate feedback?

00:30

After cleaning the hub, attach a 10mL pre-filled NS syringe, push the plunger down slowly until flush is completed. Remove syringe and repeat cleaning of the hub

Clean the hub with alcohol and allow to dry. Attach a 10mL pre-filled NS syringe and release clamp. Push the plunger down slowly, then pause. Repeat until flush is completed. Engage clamp and remove syringe

You are administering IV medication through a central line. Which is the correct process for flusing the line?

Attach a 10mL pre-filled NS syringe, push the plunger down quickly until flush is complete. Make sure clamp is engaged and replace needless connector

00:30

Completed

Sepsis

Completed

Initiate a Code Sepsis

Administer Tylenol as ordered for fever

Obtain blood for lab testing

You are performing an admission assessment on your patient. The patient recently underwent a cholecystectomy 3 weeks ago and came to the hospital with complaints of abdominal pain with tenderness at surgical site and fever. Initial VS are T-101.2F, HR-96, BP-101/74, RR-26What should be your next action?