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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - A pulmonary artery (PA) catheter was placed after induction of anesthesia in order to closely monitor … One comprehensive guideline on pulmonary artery catheters ( 1 ) provides an overview. … Indications for PA catheter monitoring continue to be debated. … PA catheters are used much less often than before. … Take-Home Points Pulmonary artery catheters may still be used in cardiac surgery cases, but they
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - to get out of bed:
“Urinary catheters can be harmful.” … “Urinary catheters can tend to limit your movement in bed and in your room. … “Urinary catheters can be uncomfortable and patients can misinterpret the sensation of the catheter as … Research shows that sometimes urinary catheters can interfere with your movement.”
… “Before we did not know how harmful urinary catheters can be.”
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Applied to CAUTI Prevention:
Improves patient understanding of catheters:
Appropriate reasons … “Urinary catheters can tend to limit your movement in bed and in your room. … “Urinary catheters can be uncomfortable and patients can misinterpret the sensation of the catheter as … Research shows that sometimes urinary catheters can interfere with your movement.” … “Before we did not know how harmful urinary catheters can be.”
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - These misconnections are particularly common in critical care units because patients have multiple catheters … used drug for inducing general anesthesia intravenously. 18,19 Ischemic complications from arterial catheters … insertion (including central catheters that are inserted into artery-adjacent peripheral veins such as … Clearly label arterial catheters An arterial catheter should always be clearly labelled. … to be a clear line of communication between the staff inserting the catheters and the staff who administer
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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 … AACN Practice Alert: Catheter-Associated Urinary Tract Infections. November 2011.
2. … 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/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - The devices addressed include central and peripheral venous catheters, urinary
catheters, and ventilators … Peripheral Venous Catheters
PVCs are the most commonly used catheter in the hospital setting, with … of foley catheters. … Central Venous Catheters
Urinary Catheters
Ventilators
Examples of Patient Harm Related to Invasive … Central Venous Catheters
Urinary Catheters
Ventilators
Resident Physicians as Safety Champions
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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
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - In general, two types of central venous catheters may be used for apheresis, a tunneled central venous … catheter and a nontunneled central venous catheter. … (Tunneled catheters enter the skin and then go through a tunnel right beneath the skin before entering … lines and subclavian catheters].) … with fewer infections than nontunneled catheters and can be used for longer periods of time.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
October 01, 2024 - This definition includes tunneled and non-tunneled catheters, implanted ports, and umbilical catheters … Arterial catheters are usually not considered central lines for CLABSI surveillance, though they can … Also excluded are arterial-venous (AV) fistulas and grafts, atrial catheters, extracorporeal membrane … outside of the catheter increases. … A recent review of over 5,000 patients with central venous catheters in a large U.S. health system compared
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www.ahrq.gov/patient-safety/settings/esrd/resource/checklist.html
January 01, 2015 - by direct-care staff at the dialysis station, on the following topics:
Access of Central Venous Catheter … for Initiation of Dialysis [ PDF version - 197.13 KB ]
Central Venous Catheter Exit Site Care … Storage, Preparation, and Administration [ PDF version - 183.47 KB ]
Access of Central Venous Catheter … checklists, for use by facility audit staff, on the following topics:
Access of Central Venous Catheter … for Initiation of Dialysis [ PDF version - 211.18 KB ]
Central Venous Catheter Exit Site Care
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psnet.ahrq.gov/issue/ana-cauti-prevention-tool
September 14, 2016 - Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). … Patients strategy, focuses on promoting nursing behaviors to prevent CAUTIs including decreasing catheter … use and improving catheter maintenance . … July 16, 2014
Eliminating Catheter-Associated Urinary Tract Infections. … About The Topic
Hospitals
Nurses
Nurse Managers
Nurse Care
Indwelling Tubes and Catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Central venous catheter insertion kit. … Central venous catheters (triple lumens, swans, PICCs, etc.). … :
Identify indications for catheter insertion and use. … Confirm catheter placement via x-ray after placement. … o Do not replace catheters:
At scheduled time intervals.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - followed by use of an independent line cart or kit stocked with essentials for placing a central line catheter … chlorhexidine (20.7 percent) followed by use of an antiseptic or antibiotic impregnated or coated central catheter … likely to, 1) use an independent line cart or kit stocked with essentials for placing a central line catheter … 4
Use of an independent line cart or kit, stocked with essentials for placing a central-line catheter … Does your ICU/Clinical Care Area currently use antiseptic or antibiotic impregnated or coated central catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
May 12, 2015 - In that 6 month period we observed 65 patients who had their catheters inserted. … like a female patient's labia closing over the catheter during insertion and contaminating the catheter … Physicians, many times, they insert catheters as medical students in the OR. … I'll watch you insert a catheter if you watch me insert a catheter. … Do you allow your nurse techs and nurse aids to insert indwelling catheters?
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated … Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream … May 25, 2011
Sustaining reductions in catheter related bloodstream infections in Michigan … September 10, 2013
Sustaining reductions in catheter related bloodstream infections in … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc.). … Remove umbilical catheters as soon as possible. … Umbilical artery catheters should not
stay in place for more than 5 days and umbilical venous catheters … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4k_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc … ○ Do not replace catheters:
At scheduled time intervals. … ○ Remove and do not replace umbilicial artery catheters if any signs of Catheter-Related
Bloodstream … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc.). … Remove umbilical catheters as soon as possible. … Umbilical artery catheters should not
stay in place for more than 5 days and umbilical venous catheters … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - The devices addressed include central and peripheral venous catheters, urinary catheters, and ventilators … Although the toolkit provides a frame to “optimize venous catheter, urinary catheter, and ventilator … Nationally, peripheral venous catheters (PVCs) are used in up to 90 percent of patients, and central … venous catheter (CVC) use averages 35–50 percent of intensive care unit (ICU) and 10–20 percent of non-ICU … The average use of urinary catheters (UCs) in adults varies between 50 and 80 percent of ICU patients
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
February 01, 2023 - 2
Setting the Stage
ICU with high CAUTI rates
Unit instituted a nurse-driven protocol for catheter … Slide 6
Questions for You
What about Sally’s decision to remove the catheter? … Slide 7
Discussing the Decision
Were there enough factors to justify removing the catheter? … Slide 11
Summary
Decision tree about catheter removal.
Importance of communication.