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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Slide 6
Case: 1
SAY:
One of the residents in your facility develops lethargy, leg swelling, increased … His legs are no longer weeping. His lower extremity swelling is slightly improved. … The redness is also somewhat improved but both of his legs remain swollen and discolored. … In this situation, diuretics, leg elevation, and compression stockings would have likely improved his … red legs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
March 01, 2017 - perform a multi-disciplinary risk assessment that addresses the benefits and disadvantages of reusing the leg … If leg drainage bags will be reused, it is important to develop a policy and procedure that includes … the connecting tips are kept covered and clean while being stored
Washing the exterior of the bag and leg … 5% acidity), diluted bleach (1:10 ratio) or antimicrobial liquid soap
Storing the bag
Replacing the leg … resident is in bed don’t have the tubing going up over a pillow, or over a pillow and then under a leg
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
December 01, 2017 - Scoliosis: __ Mild __ Moderate __ Severe
Pelvic Obliquity (low ASIS * ): __ Left __ Right Leg … __ Full foot plate that extends from heel to toe
__ Foot plate adjustment
__ Heel loops
__ Leg … propulsion with adjustment of other foot plate for nonfunctional foot
__ Cushion depth adjustment for full leg
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - transferred to the Emergency Department after a nurse noticed an area on her right ankle and lower leg … The rest of her leg is not remarkable, and her calf is soft, nontender, and not swollen compared to the
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/management-SSTI-8x10-pocket-cards.pdf
June 01, 2021 - Transfer to hospital
if consistent with
goals of care;
otherwise treat for
~7 days
• Elevate legs … stockings
• Lotion
Management of Skin and
Soft Tissue Infections
• Wound care
• Elevate legs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - Cloth 4: Right leg, foot, and web spaces.
Cloth 5: Left leg, foot, and web spaces.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.pdf
May 01, 2014 - transferred to the Emergency Department after a nurse noticed an
area on her right ankle and lower leg … The rest of her leg is not remarkable, and her
calf is soft, nontender, and not swollen compared to
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/050-sample-script-patient-ed-chg-cloths.docx
April 01, 2025 - Use a new cloth for your right leg and foot, and then another cloth for your left leg and foot.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Changing the System
6
Case 1
An 85-year-old nursing home resident develops—
Lethargy
Leg swelling … emergency department for evaluation
EKG changes indicate a recent heart attack
Both of his lower legs … His legs are improved but not better.
They are no longer weeping.
They are still somewhat swollen.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
May 01, 2017 - I think it’s just pulling on her leg.
Dr. Killbug :
You think she’s got leg pain? … She does want the catheter out, as it is tugging on her leg. (SITUATION)
Dr. … She does want the catheter out, as it is tugging on her leg."
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/041-ss-training-preop-chg-bathing.pptx
April 01, 2025 - Both shoulders, arms, and hands
Abdomen, then groin/perineum
Right leg and foot
Left leg and foot
Back
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - I think it’s just pulling on her leg.
Dr. Killbug: You think she’s got leg pain? … She does want the catheter out, as it is tugging on her leg. (SITUATION)
Dr. … She does want the catheter out, as it is tugging on her leg.”
· Background – What is the clinical background
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
December 01, 2017 - Hypotension, Excluding Hypotension of Hemodialysis
Deep Vein Phlebitis/Thrombosis and Embolism, Leg … Erythematosus, and Related Conditions
Other and Unspecified Arthropathies and Derangements of Leg
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
November 01, 2023 - Kneecap
(Patella)
Cartilage
Shin Bone
(Tibia)
Thigh Bone
(Femur)
Meniscus
Right Leg
Hip or Knee … It’s best if your whole leg is supported with pillows. … While just one pillow under
the knee feels comfortable, it can make it harder to straighten your leg … F Do NOT shave your legs or any of the hair by your groin (bikini area). … F Do NOT shave your legs or any of the hair by your groin (bikini area).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
October 01, 2024 - .
· Cloth 4: Right leg, foot, and between toes.
· Cloth 5: Left leg, foot, and between toes.
· Cloth
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
October 01, 2024 - .
· Cloth 4: Right leg, foot, and between toes.
· Cloth 5: Left leg, foot, and between toes.
· Cloth
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Cloth 4: Right leg, foot, and web spaces.
Cloth 5: Left leg, foot, and web spaces.
-
www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Cloth 4: Right leg, foot, and web spaces.
Cloth 5: Left leg, foot, and web spaces.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - Case 1
A 75-year-old man was admitted to the hospital with shortness of breath and bilateral leg swelling … Case 3
A 38-year-old man was admitted to the hospital because of a left leg infection.
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2-slides.html
February 01, 2023 - places the bag on patient’s abdomen
Nurse notices patient’s urinary catheter isn’t secured to her leg