CLABSI

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Across
  1. 1. A CLABSI ________ is a group of orders which pertain to central line insertion, maintenance, and discontinuation. It is also a structured way of improving care and patient outcomes using a set of evidence-based interventions.
  2. 4. __________ sterile barrier precautions should be used which includes the use of a large sterile drape, sterile gloves, sterile gown, and head cover.
  3. 5. Central lines should be assessed _____ per twelve-hour shift and more frequently if clinically indicated.
  4. 6. _______ the hubs for at least five seconds prior to using with at least 70% alcohol, chlorhexidine, or povidine iodine.
  5. 7. Documentation on the ______ screen should be performed at every change of shift.
  6. 11. Under the Bedside Procedure mPage there is an _______ line checklist which should be documented at time of insertion.
  7. 12. Central line dressings should be changed every_______ days if they are not soiled but sooner if they are soiled or lifting.
  8. 14. Patients should be bathed daily with this antiseptic wipe to prevent microbial colonization.
  9. 15. A ________ should be performed before insertion to verify the correct orders and location for insertion.
  10. 16. A ______ line should only stay in for 24 hours and should be avoided whenever possible because it is an insertion site with a high risk of infection.
  11. 18. These caps are disinfectant in nature and should cover every access port on the IV tubing.
  12. 20. Preferred site of central venous device insertion due to the lowest risk of infection.
  13. 22. Patients admitted with central lines will have placement verified by a chest ________ before using.
  14. 23. An ________ based-rub or soap and water should be used for hand hygiene before and after handling central line to prevent the spread of infection.
  15. 24. These medications are an appropriate indication for the insertion and use of a central line catheter.
Down
  1. 2. These should be dated and initialed at the time of insertion or when changed.
  2. 3. __________ line access should only be used in life-threatening situations and should be changed within 48 hours.
  3. 4. The central line insertion should be documented on the Bedside Procedure __________.
  4. 8. _____ thousand is the approximate cost per patient to treat a CLABSI.
  5. 9. Daily ______ audits should be performed on all patients with a central line to determine the continued need for the line.
  6. 10. ______ the central line immediately when it is no longer clinically indicated to prevent a CLABSI.
  7. 13. If there is a _____ in sterility the central line insertion should be stopped immediately!
  8. 17. A second_______ should be present during central line insertion -two clinicians should always be present for all central line insertions.
  9. 19. This form of nutrition is an indication for the insertion of a central line catheter.
  10. 20. A __________ bloodstream infection happens when another source of infection infects the central line.
  11. 21. Serious bloodstream infection caused by an infected central line device.