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Western Governors University *

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D159

Subject

Chemistry

Date

Oct 30, 2023

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docx

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3

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1. How knowledgeable are you regarding central line care Practices? 1. Not Knowledgeable 2. Minimally Knowledgeable 3. Somewhat Knowledgeable 4. Knowledgeable 5. Very Knowledgeable 2. The correct steps in obtaining a blood culture from a central line are: 1. Flush line with 10ml normal saline, aspirate a 5ml waste, connect male Luer-lock connector, discard inner ring, collect blood culture specimens, disconnect male Luer-lock connector, flush line with 10ml normal saline. 2. Wash hands, don gloves, connect flushes to new needleless connectors and prime, clamp lumens and remove each needleless connector one at a time and cleanse the hub prior to attaching the new needleless connector, flush each line with 5 ml normal saline, aspirate 5ml waste, connect male luer-lock connector, collect blood culture specimens, disconnect male Luer lock connector, cleanse hub with alcohol swab, flush with 10ml normal saline, cap each lumen with green curos caps as appropriate. 3. Wash hands, don gloves, connect flushes to new needleless connectors and prime, clamp lumens and remove each needleless connector one at a time and cleanse the hub prior to attaching the new needleless connector, flush each line with 5 ml normal saline, aspirate 5ml waste, connect male Luer lock connector, collect blood culture specimens, disconnect male luer lock connector, cleanse hub with alcohol swab, flush with 20ml normal saline, reconnect IV fluids per orders. 4. Wash hands, don gloves, connect flushes to new needleless connectors and prime, clamp lumens and remove each needleless connector one at a time and cleanse the hub prior to attaching the new needleless connector, flush each line with 5 ml normal saline, , connect male Luer lock connector, collect blood culture specimens, disconnect male Luer lock connector, cleanse hub with alcohol swab, cap each lumen with green curos caps as appropriate.
3. How often should IV administration sets be changed? 1. With each new infusion bag 2. Every 72 hours and PRN per policy 3. Every 7 days and PRN per policy 4. Every shift 4. What criteria indicate the need to change a central line dressing prior to the next dressing change date? (Select all that apply) 1. Biopatch has less than ½ the patch with dried blood noted 2. Dressing is loose or lifting 3. Dressing is soiled. 4. Patient requesting a dressing change. 5. Swelling/ redness/ and or pain at site noted 6. Patient has a fever 5. It is safer for the patient to disconnect secondary tubing and attach new tubing for each secondary medication rather than back priming when the medications are compatible. 1. True 2. False 6. It is up to the physicians only to determine the necessity of a central line in patients? 1. True 2. False 7. How frequently should patients receive CHG baths and Line wipes? 1. Every 24 hours 2. Every 6 hours 3. Every 12 hours 4. Only when the patient requests it 8. What are the appropriate intervals to change alcohol impregnated caps? (Select all that apply) 1. When a cap is removed to access a line 2. When blood is being collected 3. When the line is initially placed only
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