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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Second, if a catheter is used, maintain awareness and proper care of catheters already in place. … Third, promote prompt catheter removal. … strategies:
A, for adhering to sound infection prevention principles when using catheters
B, for … remember that you can limit the number of CAUTIs directly, through a few key ways:
Use urinary catheters … Observe what happens in your unit and how catheters are used.
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4a.html
July 01, 2013 - Catheter utilization reflects a ratio of the total catheter days divided by the total number of patient … Units Missing Expected Data in CAUTI Rates and Catheter Utilization Ratio Figures (n=1,051) a … across the 3 baseline periods (BL1–BL3), the average baseline CAUTI rate was 2.55 infections per 1,000 catheter … Catheter utilization rates have also been measured; however, this rate has stayed relatively constant … Baseline (BL) and Post-Baseline (P) Collection Periods – NHSN Calculation – By ICU Status – (CAUTIs/Catheter
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter remains … HICPAC Indications for a Urinary Catheter
Say:
But if overuse of catheters is a problem, what do … HICPAC Indications for a Urinary Catheter
Say:
In the perioperative setting, catheters are used … Are nurses reluctant to remove urinary catheters even when the patient no longer meets criteria for a … You also have alternatives to indwelling urinary catheters, and you should consider increasing their
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Many of these catheters are placed without indications. … insertion and maintenance of catheters. … and maintenance. 13 Many catheters are placed without appropriate indications. … Using suprapubic, in/out, or penile condom catheters, if possible. … and answers to the care and maintenance of catheters, leg bags, and bath basins.
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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 … even when the patient no longer meets criteria for a catheter? … Slide 17
Methods for Mitigating Risk
Optimize insertion practices
Prevent insertion of catheters … 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/reducing-urinary-catheter-use-ed-transcript.html
December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Webinar Transcript
On … Furthermore, a catheter that's placed in the ED is much more likely to be removed once the patient is … 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/hai/cauti-tools/phys-championsgd/section8.html
October 01, 2015 - Resident Physician Device Risk Checklist
Device
Action Taken (if necessary)
Urinary Catheter … a
Yes
No
Catheter secured?
Yes
No
Bag below bladder? … Yes
No
Peripheral Venous Catheter (PVC)
Dressing intact? … Yes
No
Central Venous Catheter (CVC)
Dressing intact? … b
Yes
No
a The appropriate indications for urinary catheter include: urinary flow obstruction
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
February 01, 2023 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter remains … Slide 5: HICPAC* Indications for a Urinary Catheter 1
Narration:
But if overuse of catheters is … Slide 6: HICPAC Indications for a Urinary Catheter
Narration:
In the perioperative setting, catheters … Are nurses reluctant to remove urinary catheters even when the patient no longer meets criteria for a … You also have alternatives to indwelling urinary catheters, and you should consider increasing their
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www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015)
Webinar … Furthermore, a catheter that's placed in the ED is much more likely to be removed once the patient is … 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/hai/quality/tools/cauti-ltc/resources.html
March 01, 2017 - Guides
Implementation: Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract … Sustainability: Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections … Safety Culture
Engage Residents and Families
Practice General Infection Prevention Skills
Prevent Catheter-Associated … Urinary Tract Infection
Catheter-Associated Urinary Tract Infection Surveillance
Reduce Unnecessary
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-b.docx
April 24, 2015 - Coude catheters may be placed by nursing staff based on urology orders.
1.5 Indwelling catheters should … Catheter Change
1.13 Catheters of postop urology patients should only be changed or removed with urology … ’s approval.
1.14 Catheter change: The interval between catheter changes should be determined by the … should handle catheters. … Engineering out the risk for infection with urinary catheters.
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module3-speaker-notes.html
February 01, 2023 - removing catheters that met criteria defined in the protocol. … X, a patient on a ventilator, no longer required a urinary catheter. … Was she right to remove the catheter? What other actions might Sally have taken? … Slide 7
Say:
Did you agree with the decision to remove the catheter? … X no longer met criteria for continuation of the urinary catheter.
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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 … removing catheters that met criteria defined in the protocol. … Second, if a catheter is used, maintain awareness and proper care of catheters already in place. … Observe what happens in your unit and how catheters are used.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
April 02, 2025 - insertion of a urinary catheter and prompt removal when no longer necessary. … prevent infection:
· Use indwelling catheters only when medically necessary
· Use aseptic insertion … · Maintain drainage bag below level of bladder at all times
· Remove catheters when no longer needed … for urinary catheter on each day of use
· Use reminder systems to target opportunities to remove catheter … · Use external (or condom-style) catheters if appropriate in men
· Use portable ultrasound bladder
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Examples of inappropriate uses for indwelling catheters include means of obtaining urine for culture … Addressing the appropriateness of placement of urinary catheters in the emergency department and promoting … removal of the urinary catheters post-operatively in the recovery area may also help reduce unnecessary … evaluate the indications for urinary catheter utilization
Physicians should promptly discontinue catheters … no longer needed urinary catheters
Strongly agree and agree
190/228 (83.3)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
April 02, 2025 - Staff responsible for the
insertion of urinary
catheters should have
instruction on this procedure … When inserting urinary catheters for
patients who will require close urine
output monitoring (e.g. … Do not change
catheters unnecessarily
or as part of a routine
practice. … Engage patients
and their families
in decision making
about catheters. … catheters for
male patients.
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
April 02, 2025 - Urinary Catheter Decision-Making Algorithm
Is there a urinary catheter in place? … Does the patient meet criteria for catheter placement?
Avoid catheter placement. … Accepted Urinary Catheter
Placement Indications
1. Acute urinary retention or obstruction
2. … in the critically ill patients (intensive care)
Contact physician to obtain order to remove urinary catheter … Assess patient daily for possibility of catheter removal.
NO
NO
YES
YES
image1.jpeg
image2.jpeg
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www.ahrq.gov/hai/quality/tools/cauti-ltc/implement.html
March 01, 2017 - implement a quality improvement project to prevent healthcare-associated infections (HAIs), especially catheter-associated … Guide
Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term … ( PDF , 341 KB)
Start with the Guide to Implementing a Program To Reduce Catheter-Associated Urinary … Bundles
Educational bundles provide evidence-based prevention practices and strategies to reduce catheter-associated
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - Second, if a catheter is used, maintain awareness and proper care of catheters already in place. … Third, promote prompt catheter removal. You can do this through catheter reminders and stop-orders. … strategies:
· A, for adhering to sound infection prevention principles when using catheters
· B, for … , remember that you can limit the number of CAUTIs directly, through a few key ways:
· -Use urinary catheters … Avoid overuse.
· -Observe what happens in your unit and how catheters are used.