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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist3a-access-cvc-term-dialysis.pdf
April 27, 2025 - Access of Central Venous Catheter (CVC) for Termination of Dialysis Procedural Checklist 3a … Access of Central Venous Catheter … protocol
☐ Discard unused supplies; remove gloves
☐ Hand hygiene
Access of Central Venous Catheter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/NOTICEProcessChecklist.pdf
April 27, 2025 - NOTICE Process Checklist
Facility CCN #: Month:
Facility Name: Contact:
Catheter … Hand
Hygiene
Clean
Gloves
Scrub Hub
Cap w/
Antiseptic
Scrub
Uncapped
Hub w/
Antiseptic
Aseptic … ☐
No ☐
CI 5 Yes ☐
No ☐
Yes ☐
No ☐
Yes ☐
No ☐
Yes ☐
No ☐
Yes ☐
No ☐
Yes ☐
No ☐
Catheter … Clean
Gloves
Scrub Hub-
Line
Connection
w/ Antiseptic
Scrub
Uncapped
Hub w/
Antiseptic
Aseptic … Prior to aseptic procedure 3. After touching a patient
4. After exposure to body fluid 5.
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www.ahrq.gov/hai/cauti-tools/ena-slides/index.html
February 01, 2023 - Conclusion
Contents
Attribution
Objectives
Introduction
CAUTIs
Urinary Catheter … Patient Care
Nursing Study
Perceived Role of Nurses
Perceived Role of ED Nurse
Protocols Survey
Catheter … Removal Survey
Obstacles to Change
Aseptic Technique Survey
Two-Person Survey
Training and Observation
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS
Possible misconceptions: … ulcers, falls, and venous thromboembolism. 2 , 3
Not all critically ill, immobile patients need Foley catheters … Involve a second person during insertion to facilitate aseptic technique.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Aseptic Insertion
Techniques for catheterization of female and male patients vary. … Catheter maintenance requires knowledge of proper aseptic technique and the mechanics of
drainage. … Staff should be aware of the following considerations:
• If there are breaks in aseptic technique, … insertion and maintenance of the catheter should handle catheters. … Urinary Catheter Pocket Card
Educate staff in removal of indwelling urinary catheters, risks of catheter
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - ☐
☐
Was the catheter inserted using aseptic technique? … ☐ Remove catheter now
☐ Replace catheter now
☐ Place condom catheter
☐ Scheduled toileting with … improve catheter insertion or care? … infection prevention, catheter use and care to staff in real time
☐ Review current catheter insertion … current competency-based training policy and practices for frontline staff that insert or care for catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Initiation
HH1
Clean Gloves
Scrub Cap
Scrub Hub
Aseptic Connect
HH2
40
50
60
70
80
90 … Termination
HH1
Clean Gloves
Scrub Line
Scrub Hub
Aseptic Disconnect
HH2
17
Figure 8. … Prior to aseptic procedure 3. After touching a patient 4. After exposure to body fluid 5. … • Aseptic Connection Technique – Circle “Yes” if catheter hubs are connected aseptically. … Prior to aseptic procedure
3. After touching a patient
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist3a_access-cvc-dialysis-term.pdf
April 27, 2025 - ICE Checklist 3a: Access of Central Venous Catheter for Termination of Dialysis … ICE Checklist #3a: Access of Central Venous Catheter … Met ☐
Observation 1 notes:
Observation 2 notes:
ICE Checklist 3a: Access of Central Venous Catheter
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter remains … Slide 5
But if overuse of catheters is a problem, what do we know about guidelines related to catheter … Competency in aseptic insertion should be documented by direct observation. … In the previous slide we talked about aseptic insertion, so now let’s discuss how we maintain the catheter … Second, if a catheter is used, maintain awareness and proper care of catheters already in place.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS
Possible misconceptions: … care unit patients
need Foley catheters. … ulcers, falls, and venous
thromboembolism.2,3
• Not all critically ill, immobile patients need Foley catheters … Involve a second person during insertion to facilitate aseptic technique.
3. … RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS
“All immobile intensive
“It
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/132-preventing-clabsi-4-key-steps-one-pager.docx
October 01, 2024 - best practices result in better outcomes than if each practice is implemented alone. 10
Step 1: Ensure Aseptic … Insertion:
· Slides (.pptx)12 • Guide (.docx)13
Step 2: Maintain Awareness & Proper Care of Catheters … Central Venous Catheter Maintenance: Maintaining Awareness and Proper Care of Catheters in Place. … Central Venous Catheter Removal: Prompting Removal of Unnecessary Catheters. … CLABSI Module: Central Venous Catheter Removal.
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Poster on Indications for Urinary Catheters ( PDF , 298 KB) (Appendix D of Toolkit for Reducing Catheter-Associated … motivate staff regarding the risks, indications, and nonindications for use of indwelling urinary catheters … and educate and motivate staff to consider alternatives to using these catheters. … of a protocol that empowers nurses to evaluate and discontinue unnecessary urinary catheters. … Microsoft PowerPoint ) (1.5 MB) / Transcript ( Word ) / mp3 audio (6.2 MB)
Breaking Down Barriers to Aseptic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter
remains … Slide 5
But if overuse of catheters is a problem, what do we know about guidelines related to catheter … Competency in aseptic insertion should be
documented by direct observation. … In the previous slide we talked about aseptic insertion, so now let’s discuss how we maintain
the catheter … Second, if a catheter is used, maintain awareness and proper care of catheters already in place.
-
www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Posa – How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters … Donovan – How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic … www.youtube-nocookie.com/embed/DQ9AwEWaLF4
Video – Empowering Nurses To Implement a Protocol for Urinary Catheter
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2-slides.html
February 01, 2023 - Module 2: Urinary Catheter Maintenance: Slide Presentation
Preventing CAUTI in the ICU Setting … Pub No. 15-0073-4-EF
September 2015
Slide 2
Setting the Stage
ICU patient has a urinary catheter … bag and places the bag on patient’s abdomen
Nurse notices patient’s urinary catheter isn’t secured … to her leg
Image on right side of slide: a urinary catheter bag. … Slide 4
Answer
Three issues:
Urinary catheter bag placement
No securement device
Urine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist1a-access-cvc.pdf
April 27, 2025 - Access of Central Venous Catheter for Initiation of Dialysis Procedural Checklist 1a … Access of Central Venous Catheter … uncapped hub with
antiseptic, using friction, removing any residue/blood
Note: If using “needleless” catheter … initiate
treatment; remove gloves
☐ Hand hygiene
Note: If troubleshooting or manipulation of catheter … Access of Central Venous Catheter for Initiation of Dialysis Procedural Checklist 1a
Check Box1: Off
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
February 01, 2023 - attitudes, or beliefs (i.e., “behavior based”)
Examples:
Are nurses reluctant to remove urinary catheters … Slide 17
Methods for Mitigating Risk
Optimize insertion practices
Prevent insertion of catheters … when patient's case does not meet one of HICPAC's approved indications
Promote aseptic insertion by … clinical assessment for signs/symptoms of UTI
Increase use of alternatives to indwelling urinary catheters … `Condom catheters (evaluate multiple products)
Moisture-wicking incontinence pads
Bladder scanners
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter remains … Competency in aseptic insertion should be documented by direct observation. … Potential points for discussion or questions from the learner:
· How much training around aseptic insertion … In the previous slide we talked about aseptic insertion, so now let’s discuss how we maintain the catheter … Second, if a catheter is used, maintain awareness and proper care of catheters already in place.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Most of these infections are due to the use of urinary catheters specifically indwelling Foley catheters … If they do need to be catheterized, we should make sure that proper aseptic technique is used as recommended … workers, and it could be medical students, physicians, nurses, nursing aides, are not using proper aseptic … This is where a lot of catheters are used. … There are certain condom catheters that fit better than others.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - Most of these infections are due to the use of urinary catheters specifically indwelling Foley catheters … If they do need to be catheterized, we should make sure that proper aseptic technique is used as recommended … workers, and it could be medical students, physicians, nurses, nursing aides, are not using proper aseptic … This is where a lot of catheters are used. … There are certain condom catheters that fit better than others.