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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - The hospital providing regular treatment services should perform functions of aseptic access, evaluation … education for physicians and nurses focuses on infection prevention, particularly the necessity of aseptic … immunocompromised patient, she was at greater risk for infection and required close observation, careful aseptic … catheter. … central venous catheters.
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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/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.
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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
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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.
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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
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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/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.
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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
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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.
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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.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - B’s urinary catheter?
Change it to an antimicrobial coated catheter. … utilization
Cost/CAUTI
Slide 30
Flow
Skin care
Bladder scanner
Condom cath
Female urinals
Aseptic … Peers
Slide 36
Structure: Things
Images: Photos of a hospital commode, a hospital monitor, a catheter … Slide 37
Process: Protocols
Image: Screen shot of the flowchart titled Foley Catheter Removal Protocol … chart reviewed
automated
mixed
Slide 45
Evaluation: Metrics
Catheter Prevalence
CAUTI
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-2-slides.pptx
September 01, 2015 - Maintenance
AHRQ Pub No. 15-0073-4-EF
September 2015
Catheter Maintenance ‹#›
AHRQ Safety Program … for Reducing CAUTI in Hospitals
ICU patient has a urinary catheter because of recent extensive urological … bag and places the bag on patient’s abdomen
Nurse notices patient’s urinary catheter isn’t secured to … Catheter Maintenance ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
3
Answer
Three issues: … Urinary catheter bag placement
No securement device
Urine drainage bag was not emptied
Catheter Maintenance
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
October 01, 2015 - What features of educational interventions lead to competence in aseptic insertion and maintenance of … CV catheters in acute care? … Urinary Catheters (CAUTI)
Al-Qas Hanna F, Sambirska O, Iyer S, et al. … of foley catheters. … Extended use of urinary catheters in older surgical patients: a patient safety problem?
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - colonizing the skin may have been introduced at the time of PVC placement or in maintenance of the catheter … Her physician and nurses felt that keeping the urinary catheter in place would make her more comfortable … Summarizing this case, we found that the patient developed complications related to urinary catheter … Blood cultures grew Staphylococcus aureus , and the catheter tip grew the same organism. … The process should include all of the components needed to place a CVC in an aseptic manner.