IV therapy - refresher

Which statement is true regarding central line access?

• Sterile gloves are always necessary when accessing the line

• It is not necessary to scrub the hub for 15 seconds prior to accessing the line

• Only clean gloves are needed when accessing the line, provided that scrubbing the hub for 15 seconds and aseptic non touch technique is applied

• It is not necessary to perform hand hygiene prior to access of the line

Pick components of maximal barrier precautions that apply during insertion of central line.

• Short drape

  Sterile gown

  Sterile gloves

• Full body drape

  Sterile gown

  Sterile gloves

• Full body drape

  Sterile gown

  Non sterile gloves

• Short drape

  Plastic apron

  Non sterile gloves

What is the recommended duration of skin preparation for a central line insertion, excluding the femoral site? 

• 15 seconds

• 30 seconds

• 60 seconds

• 2 minutes

How long should an operator wait while the antiseptic solution is in contact with skin, prior to line insertion?

• 30 seconds

• 60 seconds

• 120 seconds

• Until dry

How frequently should transparent dressing should be changed, if it is not soiled or wet? 

• Every 48 hours

• Every 3 days

• Every 7 days

• Every 14 days

What is the recommended duration of skin preparation for the groin area?

• 120 seconds

• 60 seconds

• 30 seconds

• 15 seconds

The components of a maintenance bundle of a central line are as following, except 

• Hand hygiene

• Clean, dry, intact dressing

• Daily bathing for patients with chlorhexidine 4%

• Review of line twice per week

The components of insertion bundle are as following, except

• Deciding on the necessity of a central line

• Choosing an optimal insertion site

• Skin antisepsis with chlorhexidine 0.5% in 70% alcohol

• Maximal barrier precautions

Is it necessary to flush the line with normal saline after the administration of medication or fluids? 

• Yes

• No

• Not sure

• I don't know

Pick the right definition of a central line associated bloodstream infection (CLABSI) 

• A CLABSI is a bloodstream infection directly attributed to peripheral lines

• A CLABSI is a secondary bloodstream infection that occurs in the presence of a central line

• CLABSI is a bloodstream infection developing in a patient with a central line in situ for more than 48 hours and not attributed to any other infection

• A CLABSI is a bloodstream infection developing in a patient with a central line in situ for more than 24 hours and not attributed to any other infection