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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - What we found was, with the intervention, less catheters were placed and in some instances, up to 50 … with these catheters, so a large proportion of these patients are going up with catheters that were … So these are sort of the traditional reasons why emergency nurses put in catheters. … Roles for physicians are to review appropriate indications for catheters with the medical staff. … Have them identify specific clinical conditions where catheters are used but can be avoided.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - Urinary Catheter Brochure
Promptly
Remove
Urinary
Catheters
Focus on Patient Safety
Urinary … AHRQ Pub No. 15-0073-2-EF
September 2015
Evaluation of Urinary
Catheter Need
Urinary Catheter Facts … Indications for
Urinary Catheters
Urinary Catheters Are
NOT Indicated for … NO
NO
YES
YES
Avoid urinary
catheter placement. … Does the patient
meet criteria for a
urinary catheter?
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www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI)
Catheter-associated urinary … AHRQ tools, research, and resources related to reducing catheter-associated urinary tract infections … Rates of CAUTIs and catheter use in participating ICUs were unchanged. … Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection: A Statewide … Issues Regarding Identification of Urinary Catheter Use From Medical Records The authors describe their
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www.ahrq.gov/patient-safety/settings/esrd/resource/dialysis-catheter.html
January 01, 2015 - Initiating Dialysis With a Catheter: Catheter Exit Site Care
This video vignette illustrates … proper initiation of dialysis for patients with catheters, as well as proper exit site care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
April 02, 2025 - Furthermore, a catheter that’s placed in the ED is much more likely to be removed once the patient is … In order to accomplish this it’s important to change the culture of urinary catheter placement in the … The first is to establish a collaborative guideline for ED catheter placement. … Only about 50% of urinary catheters had a physician order documented. … In our 2010 study, we did find the physician ordered about 40% less urinary catheters after these processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
June 02, 2015 - Today's topic is aseptic catheter insertion practices in the ED. … Even physicians learn how to insert catheters. Where do they learn? … there be oversight for catheter insertion by a licensed provider. … It can be another barrier to aseptic insertion of catheters. … If the catheter is accidentally contaminated, you have to discard it and get a new sterile catheter and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-d.pdf
April 02, 2025 - Poster on Indications for Urinary Catheters
AHRQ Safety Program for Reducing CAUTI in Hospitals … Poster on Indications for Urinary Catheters
In lower right, use Adobe Acrobat Pro to insert contact … Does your patient
really need that
catheter? … Appropriate
indications for
urinary catheters
include:
■ Assistance in healing of severe
perineal
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - Slide 13
Pilot Work: 18 EDs in Ascension Health
Results: less catheters placed, in some instances … Placement
All urinary catheters require an order…
Yet, the decision to place a catheter is not … appropriate indications for catheters with medical staff:
CDC/HICPIC Guidelines
Pathway … as part of evaluation & resuscitation:
ATLS 8th edition recommends urinary catheters for assessing … use
Designate appropriate staff to place catheters
RN not junior resident
Slide 53
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
April 02, 2025 - 11
Inappropriate catheter indications
Incontinence
Catheters do not protect skin
12 … mobility or debility
Catheters do not prevent falls
14
Inappropriate catheter indications … Dementia or confusion
Catheters do not prevent falls
15
Inappropriate catheter indications … catheter risks
18
Inappropriate catheter indications
Staff convenience
Catheters don’t save … Demonstrated competency
28
Education
When, where and how to nurses learn to place indwelling urinary catheters
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/do-dont.html
March 01, 2017 - When an indwelling urinary catheter is present, follow these guidelines to prevent a catheter-associated … Do keep the catheter and tubing from kinking and becoming obstructed . … Do replace catheters and urine collection bags that become disconnected . … Do educate residents and families about proper catheter care. … Don't change catheters or urine collection bags at routine, fixed intervals .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
April 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Reducing Unnecessary Urinary Catheter … Medical Center
Detroit, MI
Learning Objectives
Explain how to establish guidelines for urinary catheter … the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-f.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Urinary Catheter Decision-Making Algorithm
Appendix G . … Urinary Catheter Project Fact Sheet
Appendix H. Urinary Catheter Pocket Card
Appendix I. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … ↓
If No:
Curved rectangle: Avoid catheter placement.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-g.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Urinary Catheter Project Fact Sheet
Appendix H. Urinary Catheter Pocket Card
Appendix I. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … To reduce the unnecessary use of urinary catheters in the inpatient setting. … Remember: promptly remove unnecessary urinary catheters!
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
October 01, 2020 - Poster on Indications for Urinary Catheters
Appendix E. … Urinary Catheter Project Fact Sheet
Appendix H. Urinary Catheter Pocket Card
Appendix I. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … Below is an example of a nurse-driven protocol to evaluate and discontinue unnecessary urinary catheters … Catheter need: The catheter is acceptable for any (at least one) of the following reasons below:
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-i.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … prevent infection:
Use indwelling catheters only when medically necessary. … Properly secure catheters to prevent movement and urethral traction. … Remove catheters when no longer needed. … Use external (or condom-style) catheters if appropriate in men.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Slide 12
Inappropriate Catheter Indications
Incontinence
Catheters do not protect skin … Slide 14
Inappropriate Catheter Indications
Limited mobility or debility
Catheters do not … Slide 15
Inappropriate Catheter Indications
Dementia or confusion
Catheters do not prevent … Slide 19
Inappropriate Catheter Indications
Staff convenience
Catheters don't save time … Competency
Slide 29
Education
When, where and how to nurses learn to place indwelling urinary catheters
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/insertion-checklist.html
March 01, 2017 - The risk of acquiring a catheter-associated urinary tract infection (CAUTI) due to urinary catheter insertion … Confirm order, to include catheter and balloon size; use the smallest effective catheter size.
… Then advance the catheter 2-3 inches more. (Do not force the catheter through the urethra). … Leave the catheter in the vagina, if accidentally inserted, until after the new sterile urinary catheter … Hold the catheter with the nondominant hand; use the dominant hand to fully inflate the catheter balloon
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-h.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … Foley catheters can cause :
↑ Infections
↑ Length of Stay
↑ Cost
↑ Patient Discomfort … OBTAIN ORDERS TO
DISCONTINUE UNNECESSARY
URINARY CATHETERS! … Foley Catheters are indicated for:
Acute urinary retention or obstruction
Perioperative use in
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www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - A quick analysis of records revealed that clinicians were inserting indwelling catheters at a rate of … Officials found that clinicians were inserting catheters for a variety of reasons, many of which were … The number of patient catheter days has not topped 26 per month since April 2023. … In many months, the total catheter days is closer to 10. … Appropriate catheter use has become part of the culture.
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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