Across
- 4. Site care and dressing changes for central venous accesses are performed every _______ days and immediately if the dressing integrity becomes damp, loosened, or visibly soiled, or if moisture, drainage, or blood are present under the dressing, or blood are present under the dressing.
- 5. Use a push-pause flush also known as a _______ flush technique.
- 6. If bacteriostatic 0.9% sodium chloride us used, limit flush volume to no more than _______ ml in a 24 hour period to reduce the possible toxic effects of the preservative, benzyl alcohol.
- 8. Change transfusion administration set and filter after each unit or every _______ hours.
- 10. During central venous access catheter removal, if the patient is unable to perform the valsalva maneuver, you may place them in _______ position.
- 12. Perform skin antisepsis as part of the site care procedure: Allow any skin antiseptic agent to fully dry _______ to dressing placement.
- 13. Per Lippincott Nursing Advisor, a central catheter placed in an "emergency situation" should be removed as soon as possible, but not longer than _______ hours after insertion.
- 16. The push-pause technique creates turbulence, with a swirling effect with the catheter lumen, thus providing a true flush that removes fibrin and residues of medications or other ________.
- 19. After the catheter has been removed, encourage the patient to remain in a flat or _______ position for at least 30 minutes.
- 20. How much blood to you discard when drawing from a non-tunneled central catheter?
Down
- 1. Hand hygiene must be performed and appropriate personal _______ equipment applied prior to handling of IV sites, solutions, and associated supplies.
- 2. Perform dressing changes on short peripheral catheters if the dressing becomes damp, loosened, and/or visibly soiled and at least every _______ days.
- 3. VADs are flushed and aspirated for a blood return prior to each infusion to assess catheter function and prevent complications. If NO blood is aspirated but the catheter flushes well, _______ with medication administration and regular use of the VAD.
- 7. Do NOT pierce the blood sampling port with anything other than a needleless sampling device. Repeated use of needles damages the spetum and increased the risk of _______.
- 9. Following administration of an IV push medication, flush the VAD lumen with _______-free 0.9% sodium chloride at the same rate of injection as the medication.
- 11. Lock short peripheral, _______, and central venous catheters with 0.9% sodium chloride immediately following each use.
- 14. Replace primary and secondary continuous administration sets used to administer solutions other than _______, blood, or blood products no more frequently than every 96 hours.
- 15. Assess VAD function by flushing and _______ for a blood return prior to each intermittent VAD use and as clinically indicated with continuous infusion.
- 17. Replace the disposable or reusable _______ including the administration set, continuous flush device, and flush solution every 96 hours, immediately upon suspected contamination, or when the integrity of the product or system has been compromised.
- 18. Visually inspect the entire infusion system from the solution container, progressing down the administration set to the VAD _______ site with each infusion intervention.