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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - So having a vision about your unit and how Foley catheters are used in terms of no Foley catheters placed … There are still patients who receive Swan-Ganz catheters, and like urinary catheters in the ICU, I don … , or does this patient need to have a catheter in. … We also made more catheter alternatives available. … or urinary catheter.
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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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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/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - And this was listed under the potential inappropriate use of urinary catheters. … can risk infection at the epidural catheter site, so it is very important to look at these catheters … We have posters; the stock poster, the most necessary catheter poster, the most unnecessary urinary catheters … Do you have any patients with catheters? Tell me about your six patients. … The physicians should promptly discontinue catheters when no longer needed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - And this was listed under the potential inappropriate use of urinary catheters. … can risk infection at the epidural catheter site, so it is very important to look at these catheters … We have posters; the stock poster, the most necessary catheter poster, the most unnecessary urinary catheters … Do you have any patients with catheters? Tell me about your six patients. … The physicians should promptly discontinue catheters when no longer needed.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/index.html
October 01, 2015 - Teamwork and Communication Definitions and Tools
Focus on Reducing Catheter-Associated … Preventing Device-Associated Infections
Placement, Maintenance, and Removal
Peripheral Venous Catheters … Central Venous Catheters
Urinary Catheters
Ventilators
Resident Physicians as Safety … the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - adult non-intensive care unit (ICU) patients with selected
medical devices:
o Central lines
o Midline catheters … Patients With Devices
Clean ALL Devices
Patients with selected devices, such as central venous
catheters … , midline catheters, or lumbar drains, may have
other devices as well … These may
include:
o Urinary catheters
o G-tube, J-tubes
o Chest tubes
o Rectal tubes
o EKG leads and … Wrap all devices (e.g., central lines and midline catheters), as
needed, to protect from water
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
March 01, 2022 - for adult non-intensive care unit (ICU) patients with selected medical devices:
Central lines
Midline catheters … Patients With Devices
12
Clean ALL Devices
Patients with selected devices, such as central venous catheters … , midline catheters, or lumbar drains, may have other devices as well. … These may include:
Urinary catheters
G-tube, J-tubes
Chest tubes
Rectal tubes
EKG leads and wires
Basin … Wrap all devices (e.g., central lines and midline catheters), as needed, to protect from water in shower
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www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - Avoid using the femoral vein for catheters in adult patients. … Remove unnecessary catheters.
Slide 11. … Routinely removed catheters should not be sent for culture.
Slide 29. … Under no circumstance should catheters be cut prior to removal. … Femoral or axillary arterial catheters may increase the risk of infection and require maximum barriers
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
December 01, 2017 - Identify with the team what it would look like if catheter utilization was low and CAUTIs were prevented … Educate others in daily rounding assessing for catheter presence and indication
Empowerment
Empower … Part of the Daily Work
Make daily rounding and catheter utilization assessment part of routine patient … Sterile placement of catheter
CUSP
Educate on the Science of Safety
Identify defects … To promptly remove urinary catheters that are no longer needed:
What role might patients and families
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - die in hospitals each year as the result of medical errors 5
Over half a million patients develop catheter-associated … of unnecessary urinary catheters
To promptly remove urinary catheters that are no longer needed … Sterile placement of catheter
CUSP
Educate on the Science of Safety
Identify defects … An intervention to decrease catheter-related bloodstream infections in the ICU. … the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - What’s your greatest challenge with catheter removal? … didn’t have a catheter when they came to the ICU, we put a catheter in. … We don’t really need a catheter in every ICU patient. … So, there’s been a lot of work in stocking all the urinary catheters, the condom catheters, the change … and the urology has to come in and put in the catheter.
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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/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/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/hai/clabsi-tools/guide.html
January 01, 2020 - Full-barrier precautions during central venous catheter insertion. … Prevention of intravascular catheter-related infections. … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters … Guidelines for the management of intravascular catheter-related infections.
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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/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/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pdf
March 01, 2022 - adult non-intensive care unit (ICU) patients with selected
medical devices:
o Central lines
o Midline catheters … , midline catheters, or lumbar drains, may have
other devices as well … These may
include:
o Urinary catheters
o G-tube, J-tubes
o Chest tubes
o Rectal tubes
o EKG leads and … Wrap all devices (e.g., central lines and midline catheters), as
needed, to protect from water … packet of two 2% CHG cloths:
o For ALL lines and tubes, and drains (e.g., central lines,
urinary catheters