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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - For those with catheters, the risk of bacteriuria increases 3 to 7 percent every day the catheter remains … SLIDE 4
SAY:
But if overuse of catheters is a problem, what do we know about guidelines related to … 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 … Alternatives include—
· Condom catheters (evaluate multiple products)
· Moisture-wicking incontinence
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - O
O
O
Are positive displacement needleless connector valves for central venous catheters stocked … O
O
O
Our ICU uses antiseptic or antibiotic-impregnated or coated central venous catheters. … Are staff in your unit aware of alternatives to indwelling urinary catheters? … Yes
No
Do staff in your unit use the following alternatives to indwelling urinary catheters? … alternative products to indwelling urinary catheters stocked in your unit?
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www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Engineering out the risk for infection with urinary catheters. … Condom versus indwelling urinary catheters: a randomized trial. … Condom versus indwelling urinary catheters: a randomized trial. … Are physicians aware of which of their patients have indwelling catheters?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - values, 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? … CAUTI in Hospitals
16
Methods for Mitigating Risk
Optimize insertion practices
Prevent insertion of catheters … Perform 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
Intermittent
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
April 02, 2025 - Healthcare providers who insert catheters say they use aseptic technique. … They may observe peers inserting catheters and notice that aseptic technique is not used.
4
Effectiveness … Review catheter insertion technique during annual competency testing. … practice.
6
Lack of Importance:
Strategies to Overcome
Aseptic insertion of indwelling urinary catheters … If catheter is accidentally contaminated, it is discarded, and a new sterile catheter is obtained.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
April 02, 2025 - CAUTI Event Report Template
When a catheter-associated urinary tract infection (CAUTI) occurs on your … Question
Response
1
Urinary catheter (UC) insertion (date, type, where inserted). … Yes: ______ No: ______
If no, please explain why UC inserted:
9
Was catheter secured per hospital … Yes: ______ No: ______
If yes, please explain:
20
Is the presence of a urinary catheter and date … removal, is there a standard daily reminder to the physician that the catheter is still in?
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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 … Slide 5
Narration:
But if overuse of catheters is a problem, what do we know about guidelines related … 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. … Avoid overuse.
· Observe what happens in your unit and how catheters are used.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-slides.html
December 01, 2017 - Article titled "Determining the Noninfectious Complications of Indwelling Urethral Catheters". … Placement
Maintaining Awareness & Proper Care of Catheters
Prompting Catheter Removal
Preventing … Placement
Maintaining Awareness & Proper Care of Catheters
Prompting Catheter Removal
Preventing … Placement
Maintaining Awareness & Proper Care of Catheters
Prompting Catheter Removal
Preventing … Placement
Maintaining Awareness & Proper Care of Catheters
Prompting Catheter Removal
Preventing
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www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
October 01, 2015 - Slide 41
Urinary catheters are inserted using aseptic technique and sterile equipment
Options to … Slide 42
Urinary catheters are inserted using aseptic technique and sterile equipment
Options to … “rounds"
Protocols for nurse-directed removal of unnecessary catheters
STOP orders for urinary catheters … urinary catheter “rounds” 0.0%, Protocols for nurse-directed removal of unnecessary catheters 0.0 %, … STOP orders for urinary catheters 0.0 %, and None 20.33%.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
October 01, 2015 - In addition, patients who are critically ill or those with urinary retention may have a urinary catheter … Peripheral Venous Catheters
PVCs are the most commonly used catheter in the hospital setting, with … Central Venous Catheters
CVCs are used in the hospital setting to provide patients with venous access … Urinary Catheters
UCs are commonly placed in the hospital, particularly in the ED, ICU, and ORs. … Reducing UC-associated risk includes using the catheter only for an appropriate indication, and removing
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • Distinguish between appropriate and inappropriate uses of urinary catheters according to
HICPAC, … Up to 25 percent of admitted patients have urinary
catheters placed. … Reducing CAUTI
The benefits of reducing inappropriate placements of urinary catheters include:
• A … • Finally, catheters are uncomfortable and the resulting urinary tract infections even more so. … Although personnel who insert catheters are almost exclusively nurses, this training should extend to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - • Distinguish between appropriate and inappropriate uses of urinary catheters according to
HICPAC, … Up to 25 percent of admitted patients have urinary
catheters placed. … Reducing CAUTI
The benefits of reducing inappropriate placements of urinary catheters include:
• A … • Finally, catheters are uncomfortable and the resulting urinary tract infections even more so. … Although personnel who insert catheters are almost exclusively nurses, this training should extend to
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Before portable ultrasound imaging was widely available, central venous catheters were routinely inserted … meta-analysis extended and corroborated an earlier meta-analysis of 7 trials involving 830 hemodialysis catheters … malposition after insertion, as a multi-center study that reviewed the placement of 758 central venous catheters … Use of real-time ultrasound guidance for the placement of hemodialysis catheters: a systematic review … Special article: retained guidewires after intraoperative placement of central venous catheters.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/133-clabsi-prevention-central-line-insertion.docx
October 01, 2024 - Central venous catheter‐related infection in a prospective and observational study of 2,595 catheters … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … Central line catheters and associated complications: a review. Cureus. 2019;11(5):e4717. … The risk of bloodstream infection associated with peripherally inserted central catheters compared with … central venous catheters in adults: a systematic review and meta-analysis.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Poster on Urinary Catheter Risks and Indications
Appendix F. … 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.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.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. … (increasing)
Unfavorable (increasing)
Has case mix changed so more patients appropriately need catheters
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_3-speaker-notes.docx
September 01, 2015 - 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 6
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/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
July 08, 2014 - Appropriate duration for urinary catheter use for patients undergoing thoracic epidural catheters has … Using urinary catheter versus not using your urinary catheters has been studied. … When we started this work, we looked at our inventory of catheters, literally hundreds of catheters in … And the second question is: What are you doing with outside catheters for patients coming in with catheters … With respect to outside catheters, we do not recommend routinely exchanging catheters or obtaining urinalysis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - practice.
10
10
Strategies to Promote Engagement
Aseptic insertion of indwelling urinary catheters … few similarities between the controlled environment in which health care providers learn to insert catheters … They may observe peers inserting catheters and notice that aseptic technique is not used.
12
12 … alternatives to indwelling urinary catheters first:
Bladder scanner to assess volume of urine in bladder … http://www.jstor.org/stable/10.1086/673147
28
Conclusion
Urinary catheters should only be inserted
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4-slides.html
February 01, 2023 - Maintaining awareness and proper care of catheters.
Prompting catheter removal. … Preventing catheter replacement.
1 Meddings J, Saint S. … Disrupting the life cycle of the urinary catheter. … Early removal of the catheter using reminders or stop-orders appears warranted
2 Saint S, Olmsted … Sustain progress
Limit the number of CAUTIs through:
Correct use (and not overuse) of urinary catheters