VA-BC Documentation 3

Question 1

Before inserting a PICC in a competent adult patient, which documentation must be completed FIRST?

Accepted Answer

Signed informed consent including risks, benefits, and alternatives

Answer

Informed consent must be obtained and documented before any invasive procedure, including PICC insertion, to uphold patient autonomy and legal standards.

Question 2

Which timeframe is most commonly required by regulatory standards for completing procedure documentation after PICC insertion?

Accepted Answer

Before the patient leaves the procedure area or within the same shift

Answer

Most accrediting bodies and institutional policies require procedure notes to be completed before the patient leaves or promptly within the same shift to ensure accuracy.

Question 3

A patient develops a suspected catheter-related bloodstream infection (CRBSI). Which documentation action is MOST important to initiate immediately?

Accepted Answer

Document symptom onset time, cultures obtained, catheter characteristics, and notification of the physician

Answer

Immediate documentation of clinical findings, specimens collected, and provider notification creates a timeline critical for infection tracking and CLABSI surveillance.

Question 4

Central line bundle compliance requires documentation of which element at EVERY dressing change?

Accepted Answer

Daily necessity review and whether the line is still required

Answer

Central line bundles include daily review of line necessity; documenting this decision is required to support early removal and reduce CLABSI risk.

Question 5

When documenting a catheter flush using the SASH protocol, which detail is LEAST acceptable to omit?

Accepted Answer

Volume and type of solution used for each flush step

Answer

SASH documentation requires recording each solution type and volume (saline, antibiotic lock if applicable, saline, heparin) to verify protocol adherence and detect errors.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Documentation 3