Safety & Infection Control Flashcards

How often should a primary continuous infusion administration set not used for blood, lipids, or propofol be changed?

Answer: No more frequently than every 96 hours but at least every 7 days

INS standards and CDC recommend changing continuous primary sets no more often than 96 hours and at least every 7 days.

An administration set used to infuse propofol should be changed how often?

Answer: Every 6 or 12 hours per manufacturer, or when the vial is changed

Propofol supports rapid microbial growth, so tubing is changed every 6 to 12 hours depending on the manufacturer.

A nurse sustains a needlestick from a used IV catheter stylet. What is the first action?

Answer: Wash the site immediately with soap and water

Immediate washing with soap and water is first, followed by prompt reporting and evaluation for postexposure prophylaxis.

Which statement about topical antibiotic ointment at CVC insertion sites is correct?

Answer: It is not recommended except for hemodialysis catheters, due to fungal infection and resistance risk

CDC advises against routine topical antibiotic ointment because it promotes fungal infections and antimicrobial resistance, with an exception for some dialysis catheters.

What is the correct order for donning PPE before placing a CVC on a patient in contact precautions?

Answer: Gown, mask, eye protection, gloves

CDC sequence for donning is gown, mask or respirator, goggles or face shield, then gloves.

In aseptic non-touch technique (ANTT), what are 'key-parts'?

Answer: Parts of equipment that, if contaminated, could transmit pathogens to the patient

Key-parts such as syringe tips and connector hubs must never be touched and are protected throughout the procedure.

Which central venous insertion site should be avoided in adults when possible to reduce infection risk?

Answer: Femoral vein

The femoral site carries higher infection and thrombosis risk in adults, while the subclavian site has the lowest infection risk for nontunneled CVCs.