NGN Case Study 2: Practice Questions and Answers Rated A
Select the four recommended evidenced-based It has been determined that a change in policy
practices to prevent central line-associated blood associated with central line insertion and
stream infections (CLABSI). - ANSWERS - maintenance is needed to reflect current
1)Apply appropriate skin antiseptic. research findings. The clinical unit nurse
2) Wash hands with soap and water or an educator (project lead) will meet with the nursing
alcohol-based hand rub before and after administration to determine the appropriateness
touching the line. and feasibility of translating recommendations
3) Ensure the skin prep has completely dried from the project team. - ANSWERS - -
before the central line is inserted. Policy and procedures
4) Use sterile barrier precautions. - Research findings
- Action plan recommendations
For each recommendation in the left column,
click to specify if it demonstrates an action toFor each potential nursing action, identify if it is
increase or decrease CLABSI. - indicated or contraindicated in implementing
ANSWERS - Increase: Immediately have practice change. - ANSWERS - Indicated:
clients replace dressings that are wet, soiled, or
1)Provide staff education about new central line
dislodged. policies and procedures and central line
insertion-associated bloodstream prevention
Change administration sets for continuous practices.
infusions no more frequently than every 2 days, 2)Educate staff members on the central line
but at least every 10 days. insertion practices, adherence monitoring
program, and use of monitoring tools.
Decrease: Learn about CLABSI rates in the 3)Encourage staff members to speak up about
hospital. any concerns so that healthcare personnel are
reminded to follow the best infection prevention
Speak up about any concerns so that healthcare practices.
providers are reminded to follow the best
infection prevention practices. Contraindicated:
1)Redirect questions about hospital policies and
Perform routine dressing changes using aseptic procedures to the hospital administrative team
technique with sterile gloves. 2) Communicate expectations that family
members will not be permitted to visit to prevent
central line-associated bloodstream infections.
The multidisciplinary project team has reviewed
the current policy and procedure manual and
compared the document to the evidence-based For each outcome in the left column, click to
guideline recommendations from the Centers for specify if the finding indicates the intensive care
Disease Control and Prevention (CDC). The unit met or did not meet the expected outcomes.
policy and procedure notes: - ANSWERS - - ANSWERS - Met:
- Ineffective health maintenance 1) 100% unit compliance with self-study on ways
-insufficient to prevent CLABSI
-three 2) 100% participation in use of the Central Line
Insertion Practices (CLIP) Adherence Monitoring
for clients with central lines in the intensive care
1/2
Select the four recommended evidenced-based It has been determined that a change in policy
practices to prevent central line-associated blood associated with central line insertion and
stream infections (CLABSI). - ANSWERS - maintenance is needed to reflect current
1)Apply appropriate skin antiseptic. research findings. The clinical unit nurse
2) Wash hands with soap and water or an educator (project lead) will meet with the nursing
alcohol-based hand rub before and after administration to determine the appropriateness
touching the line. and feasibility of translating recommendations
3) Ensure the skin prep has completely dried from the project team. - ANSWERS - -
before the central line is inserted. Policy and procedures
4) Use sterile barrier precautions. - Research findings
- Action plan recommendations
For each recommendation in the left column,
click to specify if it demonstrates an action toFor each potential nursing action, identify if it is
increase or decrease CLABSI. - indicated or contraindicated in implementing
ANSWERS - Increase: Immediately have practice change. - ANSWERS - Indicated:
clients replace dressings that are wet, soiled, or
1)Provide staff education about new central line
dislodged. policies and procedures and central line
insertion-associated bloodstream prevention
Change administration sets for continuous practices.
infusions no more frequently than every 2 days, 2)Educate staff members on the central line
but at least every 10 days. insertion practices, adherence monitoring
program, and use of monitoring tools.
Decrease: Learn about CLABSI rates in the 3)Encourage staff members to speak up about
hospital. any concerns so that healthcare personnel are
reminded to follow the best infection prevention
Speak up about any concerns so that healthcare practices.
providers are reminded to follow the best
infection prevention practices. Contraindicated:
1)Redirect questions about hospital policies and
Perform routine dressing changes using aseptic procedures to the hospital administrative team
technique with sterile gloves. 2) Communicate expectations that family
members will not be permitted to visit to prevent
central line-associated bloodstream infections.
The multidisciplinary project team has reviewed
the current policy and procedure manual and
compared the document to the evidence-based For each outcome in the left column, click to
guideline recommendations from the Centers for specify if the finding indicates the intensive care
Disease Control and Prevention (CDC). The unit met or did not meet the expected outcomes.
policy and procedure notes: - ANSWERS - - ANSWERS - Met:
- Ineffective health maintenance 1) 100% unit compliance with self-study on ways
-insufficient to prevent CLABSI
-three 2) 100% participation in use of the Central Line
Insertion Practices (CLIP) Adherence Monitoring
for clients with central lines in the intensive care
1/2
