INSTRUCTIONS Location, location, location: Incontinence care supplies at the bedside
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Location, Location, Location: Incontinence Care Supplies at the Bedside
GENERAL PURPOSE: To inform registered professional nurses of a quality improvement project designed to decrease incontinence-associated dermatitis (IAD).
LEARNING OBJECTIVES: After reading the preceding article and taking this test, you should be able to: 1. Describe the scope of the problem of IAD.
2. Outline the project design and implementation. 3. Discuss the results of the IAD-reduction project.
1. In the survey cited in this article, what percentage of incontinent patients had perineal injury?
2. Which contributing factor to IAD development is particularly important?
a. fecal incontinence
b. the presence of pathogens
c. skin perfusion
3. Which barrier product is noted to be difficult to use?
a. 1-step cloths
b. hydrocolloid dressings
c. zinc oxide
d. petroleum jelly
4. A 1-step barrier product has been documented to
a. reduce the incidence of IAD.
b. clean but not create an effective moisture barrier.
c. create a moisture barrier but not clean effectively.
d. be less acceptable to patients than washing with soap and water.
5. Which agency has recommended storing incontinence care supplies at the bedside?
a. National Institutes of Health
b. Institute for Healthcare Improvement
c. Occupational Safety and Health Administration
d. Centers for Disease Control and Prevention
6. For this project, the initial in-service training on the barrier cloth was provided by
a. the unit's clinical nurse specialist.
b. the nurse manager.
c. a representative of the product's manufacturer.
d. senior staff nurses.
7. Which statement about the Save Our SKIN action plan isn't true?
a. Its purpose was to prevent pressure ulcers.
b. It's an example of a "skin bundle."
c. It was developed to highlight benefits of using barrier cloths.
d. Incontinence management is an intervention for pressure ulcer prevention.
8. The plan's procedure for fecal incontinence clean-up included all except
a. removal of most stool by washcloth.
b. cleaning of perineum and soiled skin with soap and water.
c. disposal of barrier cloths as they became soiled.
d. repeatedly wiping skin with fresh barrier cloths until completely clean.
9. According to the plan, after cleaning with barrier cloths the skin is
a. dried with a soft towel.
b. allowed to air-dry.
c. covered with zinc oxide.
d. protected by a moisture proof dressing.
10. IAD prevention and staff satisfaction were assessed after
a. 14 days.
b. 30 days.
c. 60 days.
d. 90 days.
11. The area of strongest agreement among nurses was that barrier cloths at the bedside
a. facilitated incontinence care.
b. helped nurses use the right product for incontinence clean up.
c. made it easy to apply barrier 100% of the time.
d. made nurses' jobs more efficient.
12. The primary goal of this project was to
a. improve the incontinence cleanup procedure.
b. reduce the prevalence of IAD.
c. improve compliance with application of a barrier cloth.
d. assess the staff's response to using the new protocol.
13. After four months, the percentage of patients with IAD was
14. What percentage of the staff responded positively regarding the barrier cloth stations?
15. What trend was seen in the use of bath cloths over the first 3 months of the project?
a. progressive increase in numbers used
b. use remained essentially steady
c. dramatic decrease in numbers used
d. bath cloths were no longer used
16. Par levels were set at how many barrier cloths per incontinent patient per day?
a. one package of cloths
b. 3 cloths
c. 4.5 cloths
d. 13.5 cloths
17. To provide convenient access, barrier cloths were supplied in
a. every utility room.
b. brackets at the bedside.
c. admission kits.
d. bedside tables.