Aim For Zero - Quiz

• The mortality rate associated with CLABSIs is 12% to 25%.
  • True
  • False

• Infections related to the use of central line can increase
  • Morbidity
  • Mortality
  • Hospital length of stay
  • Costs
  • All of the above

• An elective central insertion should have a time-out before insertion
  • True
  • False

• All are evidenced-based preventive strategies except
  • Maximum barrier precautions
  • Hand hygiene
  • Femoral site insertion
  • Chlorhexidene/alcohol for site preparation
  • Daily review of line necessity

• Two-dimensional ultrasound reducing failed placement and complications
  • True
  • False

• Two-dimensional ultrasound reducing failed placement and complications
  • Subclavian>internal jugular>femoral
  • Internal jugular>subclavian>femoral
  • Subclavian>femoral>internal jugular
  • Femoral>subcalvian>internal jugular

• Ms. Jones has an unexplained fever and you suspect a blood stream infection. Upon inspection of her internal jugular central line insertion site, you do not see obvious erythema or purulence but the site may be tender. Which of the following is not correct?
  • Paint site and remove line and using sterile scissors cut a 5 cm segment and send to microbiology for culture and draw blood cultures from a venipuncture site
  • Draw 2 blood cultures from different venipuncture sites
  • Draw blood culture from both line and venipuncture site
  • Draw both blood cultures from the hub

• If a catheter culture comes back positive (either catheter tip or blood culture drawn from line), but the venipuncture blood sample cultures are negative, evaluate the entire picture and reassess the patient before giving antibiotics.
  • True
  • False

• BONUS QUESTION – not scored
  In slide 6 depicting the ultrasound guided central line insertion, what team coaching advise is most appropriate:
  • Offer recovery ops to intervene in the safety breach using specific communication strategies to temporarily stop the nonemergent procedure, and ask to have two assistant supply kits brought to the procedure.

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