Infection Detection Breakout
Tracy
Created on September 5, 2024
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Transcript
Infection Detection Breakout
Start
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.
Continue
CAUTI
Locked
Locked
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
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
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
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?
00:30
Begin a NS bolus for fluid resuscitation
Administer IV antibiotic and start on 2L oxygen via NC
Obtain blood specimen for blood culture and lactate level
After activating a Code Sepsis, you initiate orders per the Sepsis protocol. Which order should be completed first?(Last VS: T-101.2F, HR-96, BP-101/74, RR-26)
00:30
Contact physician to report change in condition
Initiate fluid resuscitation measures
Contact the lab to add Troponin to recent lab orders
It has been 2 hours since you intitated the Code Sepsis on your patient. You are re-assessing the patient's VS and the BP is now 78/50. What is your next action?
00:30
100mL per kg per hour
50mL per kg per hour
30mL per kg per hour
What is the formula used to calculate a fluid resuscitation bolus?
00:30
Patient weight: 176lbsKg = _______Fluid bolus = _________
Continue
Patient weight: 176lbsKg = 80kg
Fluid bolus = 30mL x 80kg/hr.
00:30
Completed
Completada
Completada
Completed
Completed
Completada
Completed
Completada
Continue
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