NICU Infection Control

1.

3 points

What steps need to be performed prior to IV tubing changes when a central line is present.

Put on a mask only

Wash/sanitize hands, put on a mask and clean gloves, and scrub the hub

Put on gloves and scrub the hub

2.

3 points

When accessing a needleless connector, you should

Just attch the medication or flush and administer

Wipe the connector once with alcohol

Wipe the connector once with CHG

Scrub the hub with alcohol or CHG swab for 15 seconds and let it dry

3.

3 points

How often are central venous line (PICC/UVC) fluids AND tubing changed?

Fluids every 48, tubing every 96

Fluids every 24, tubing every 24

Fluids every 24, tubing every 72

Fluids every 24, tubing every 96

4.

3 points

Arterial line transducers and IV tubing are changed every 96 hours

True

False

5.

3 points

When administering a medication through a central line that has a medication line attached, you should...

Disconnect med line after medication administration and set the tubing aside until next time.

Have different med tubing for different meds

Flush the line after administering the medication and leave the med line attached to the connector.

Flush the line after administering the medication and discard the flush and med line after each use?

6.

3 points

It is OK to date and time the sterile water vials used to reconstitute medications and save them for 24 hours.

True

False

7.

3 points

Low-volume meds (<1mL) can be pushed through the med tubing then given over time using the syringe pump.

True

False

8.

3 points

When greater than two continuous infusions are ordered, which device is the best choice to use when setting up your IV tubing?

3-way stopcock

"Y" connector (bi)

Triple infuser

9.

3 points

A needleless access port should be placed in the following places...(choose ALL that apply)

On a PAL

On the UAC

On the PICC line

On the end of the med line

On Both UVC ports

On a two-way "Y" connector

On a 3-way connector

10.

3 points

The central line maintenance checklist should be completed every shift.

True

False

11.

3 points

What is being evaluated on the Central Line Maintenance Checklist?

Indications for line necessity

Site/dressing assessment

catheter is being accessed per policy

all the above are correct

12.

3 points

If a baby has a PICC it is OK to push a medication using a 1mL syringe if it is pushed through the med line

True

False

13.

3 points

What is the role of the Observer during central line insertion?

Complete the central line insertion checklist

Verbalize the steps from the central line insertion checklist

Stop the procedure if there is a breech in technique

All the above

14.

3 points

Central line MAINTENANCE is just as important as insertion because almost 70% of central line associated blood stream infections are related to line maintenance.

True

False

15.

1 point

An ETT is considered a central line.

True

False

16.

1 point

For a ventilated baby, the nurse/RT should only set up one suction canister.

True

False

17.

1 point

What must always be performed prior to moving or repositioning the infant?

Oral Suction

ETT suction

18.

1 point

During an intubation attempt, a new ETT and stylet should be used with each attempt

True

False

19.

1 point

Neo Suckers should be rinsed with sterile water or saline after each use

True

False

20.

1 point

What is the correct order in which a patient should be repositioned?

ETT Suctioning, Turn the patient, Oral Suction, Oral Swab

Oral suctioning, Oral Swab, ETT suctioning (only if indicated), Turn patient

Oral Swab, Oral Suction, Turn Patient, ETT suction