Picu/pcicu March Madness Bsi Quiz

13 Questions

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Picu/pcicu March Madness Bsi Quiz

After reading the BSI Blitz powerpoint presentation and reviewing the Pediatric Critical Care CVAD policy, please complete this quiz and print off your answers PRIOR to attending the BSI Blitz in March. Please bring your completed quiz with you to the session. Thanks! For items you missed, please go back to the powerpoint and/or policy to reinforce your knowledge!


Questions and Answers
  • 1. 
    What components are required for drawing peripheral blood cultures? (You may choose more than one)
    • A. 

      Sterile gloves

    • B. 

      Mask for person drawing blood, assistant, and patient

    • C. 

      Hat

    • D. 

      CHG scrub (or alcohol swabstick/betadine swabstick if allergic to CHG)

  • 2. 
    True or False: If I draw morning labs off a patient's central line, I have to change the microclave end cap even if all the tubing was changed yesterday.
    • A. 

      True

    • B. 

      False

  • 3. 
    Microclave end cap and tubing change dates should be documented:
    • A. 

      In Caredoc

    • B. 

      With a label on the tubing

    • C. 

      On the patient's task sheet

  • 4. 
    True or False: An alcohol swabstick and a betadine (povidine-iodine) swabstick may be used for a dressing change if my patient is allergic to CHG.
    • A. 

      True

    • B. 

      False

  • 5. 
    True or False: Peripheral blood cultures may be drawn from my patient's arterial line if it was inserted within the previous 24 hrs.
    • A. 

      True

    • B. 

      False

  • 6. 
    True or False: T connectors on PIC/PICC lines should be changed with the tubing/cap change every 96hrs.
    • A. 

      True

    • B. 

      False

  • 7. 
    My patient has a femoral arterial line.  I need to wear a hat, mask and sterile gloves when: (You may choose more than one)
    • A. 

      Zeroing the line

    • B. 

      Drawing labs

    • C. 

      Changing the dressing

    • D. 

      Changing the NS Heparin bag daily

    • E. 

      Changing the tubing

  • 8. 
    True or False: Sprinter ECMO cannula dressings have to be changed q24hrs.
    • A. 

      True

    • B. 

      False

  • 9. 
    My patient doesn't have an arterial line and is a really hard stick.  The resident put in an order 2 days ago that nursing can draw off his Portacath for daily labs. Does this mean that I can draw off his central line to send labs?
    • A. 

      Yes

    • B. 

      No

  • 10. 
    Who is responsible for ensuring a green line sheet is filled out for every central line insertion?
    • A. 

      The inserter

    • B. 

      The charge nurse

    • C. 

      The bedside nurse

    • D. 

      The insertion assistant

  • 11. 
    True or False: When changing the tubing and microclave end cap on my patient's Broviac, I need to scrub the connection of the old cap and lumen with alcohol for 15 seconds prior to removing the old cap, and then scrub the open lumen with alcohol before placing the new cap on the lumen.
    • A. 

      True

    • B. 

      False

  • 12. 
    When accessing a port, I should: (You can choose more than one)
    • A. 

      Check for blood return prior to flushing with saline

    • B. 

      Flush with saline prior to drawing blood for cultures

    • C. 

      Flush the port with a little saline even if no blood return

    • D. 

      Spray the site with ethyl chloride prior to accessing

    • E. 

      Secure the Huber port needle with a steristrip prior to covering with a transparent dressing

    • F. 

      Draw 1ml waste when accessing the port

    • G. 

      Verify an order to access the port is in CPOE

  • 13. 
    When hanging up a new bag of TPN, what do I need to change? (You can choose more than one)
    • A. 

      The tri-port connected to the lumen where I am hanging the new TPN

    • B. 

      The Precedex bag and tubing that is infusing in the same lumen as the TPN

    • C. 

      The microclave end cap on the lumen where I am hanging the new TPN bag

    • D. 

      The dressing on the line that was changed 2 days ago