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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
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/maintenance-checklist.html
March 01, 2017 - The risk of acquiring a catheter-associated urinary tract infection (CAUTI) due to urinary catheter insertion … depends on aseptic technique during catheterization, duration of catheter use, the quality of catheter … For All Indwelling Urinary Catheter Procedures:
Resident Name. … A catheter securement device is in place to prevent catheter movement and urethral traction. … Use an IUC insertion checklist if changing the catheter.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/prevent.html
July 01, 2018 - Prevent Catheter-Associated Urinary Tract Infection
Catheter Insertion, Care, and Maintenance … Educational modules and resources that explain the types of catheters used to collect or drain urine … to prevent CAUTI by using evidence-based practices when inserting and caring for indwelling urinary catheters … and don'ts of catheter care. … care of residents who have a catheter in place.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze? … Maintaining Awareness & Proper Care of Catheters
3. Prompting Catheter Removal
4. … Maintaining Awareness & Proper Care of Catheters
3. Prompting Catheter Removal
4. … Maintaining Awareness & Proper Care of Catheters
3. Prompting Catheter Removal
4. … Maintaining Awareness & Proper Care of Catheters
3. Prompting Catheter Removal
4.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Slide 11
Strategies to Promote Engagement
Aseptic insertion of indwelling urinary catheters is … 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. … Slide 14
Alternatives
Consider alternatives to indwelling urinary catheters first:
Bladder … http :// www.jstor.org/stable/10.1086/673147
Slide 29
Conclusion
Urinary catheters should only
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www.ahrq.gov/topics/healthcare-associated-infections-hais.html
May 12, 2015 - AHRQ's Healthcare-Associated Infections Program
Antibiotic Stewardship Toolkits
Aseptic Catheter … Insertion Practices in the Emergency Department
Breaking Down Barriers to Aseptic Catheter Insertion … Patient Safety Imperative: Final Report Companion Guide
Guide to Implementing a Program To Reduce Catheter-Associated … Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014)
Reducing Unnecessary Urinary Catheter
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Most have urinary catheters 2-4 days
Daily risk of acquisition of bacteriuria:
3% to 8% … Slide 8
Why Use Urinary Catheters Perioperatively? … for patients with thoracic epidural catheters? … Slide 37
Protocol
Protocolize catheter removal:
Empower the unit RNs to remove urinary catheters … Presence of catheter part of IMOC rounds
Education of nurses to empower them to remove catheters--
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
April 02, 2025 - Example of a Nurse-Driven Protocol for Catheter Removal
Algorithm for observing patient after discontinuing … urinary catheter
Appendix M. … to evaluate and discontinue unnecessary urinary catheters and to evaluate urinary needs after catheter … Does the patient have a urinary catheter? If no, reevaluate the next day. … Catheter need: The catheter is acceptable for any (at least one) of the following reasons below:
· Urinary
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
September 01, 2015 - Poster on Urinary Catheter Risks and Indications
AHRQ Safety Program for Reducing CAUTI in Hospitals … Poster on Urinary Catheter Risks
and Indications
■ Acute urinary retention or obstruction
■ … postoperative use
■ Morbid obesity
■ Immobility
■ Confusion or dementia
■ Patient request
Urinary Catheters … Urinary Catheters Increase... … Catheters Are NOT Indicated for...
...and patients with urinary
catheters tend to stay in bed,
increasing
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - Slide 2
Learning Objectives
Describe patients with urinary catheters as potential reservoirs … Slide 3
Polling Question 1: Which of the following is more likely in patients with urinary catheters … bacteriuria
Patient developing bacteremia from a urinary source
Slide 4
Patients with Urinary Catheters … Workload issues leading to work-arounds
Weighing risk of catheters v. other issues (i.e. falls) … I would say that again, well, we are very justified, you know, most of the time in having Foley 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 … 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/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
December 01, 2017 - Healthcare providers who insert catheters say they use aseptic technique. … They may observe peers inserting catheters and notice that aseptic technique is not used. … Review catheter insertion technique during annual competency testing. … Slide 7
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/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 … Units: Implementation Guide)
Educate staff on the problem of CAUTI, removal 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters
Mohamad Fakih, MD, MPH
Professor of Medicine … 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 … the indications for urinary catheter utilization
Physicians should promptly discontinue catheters when … no longer needed
Nurses evaluating catheters and finding no indication should contact the physician
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - procedure restores normal sinus rhythm by delivering energy (commonly
radiofrequency energy) through catheters … The procedure is typically
performed in a catheter lab and involves guided insertion of catheters from … Restores normal sinus
rhythm by delivering energy through catheters guided from the arm, groin, or neck … catheters to ablate the source of the arrhythmia. … CryoCor Cryoablation System (CryoBlator Catheters &
Model 2020 Console) (P050024)
2007 CryoCor, Inc
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html
March 01, 2017 - C
Catheter Removal
Think about catheters in any of your residents. … Are the catheters really necessary?
Remove the catheter if there is no good indication for it. … A
Aseptic Insertion
Only trained personnel should insert catheters. … U
Use Regular Assessments
Insert new urinary catheters only where there is a good indication. … Implement a process to see whether residents need catheters.