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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
March 01, 2022 - non-intensive care unit (ICU) patients with specific medical devices (i.e., central lines, midline catheters … and port-a-caths)
· Midline catheters[footnoteRef:1] [1: To support the inclusion of midlines, note … This includes not only any central line, midline catheter, or lumbar drain), but also any other drain … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
March 01, 2022 - non-intensive care unit (ICU) patients with selected medical devices (i.e., central lines,
midline catheters … and port-a-caths)
Midline catheters*
Lumbar drains
o Exclude: Patients with known allergies … This includes
not only any central line, midline catheter, or lumbar drain, but also any other drain … , chest
tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to
the … ,
chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are
closest to the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - non-intensive care unit (ICU) patients with specific medical devices (i.e., central lines,
midline catheters … and port-a-caths)
Midline catheters*
Lumbar drains
o Exclude: Patients with known allergies … This includes
not only any central line, midline catheter, or lumbar drain), but also any other drain … ,
chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are
closest to the … ,
chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are
closest to the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
March 01, 2022 - non-intensive care unit (ICU) patients with selected medical devices (i.e., central lines, midline catheters … and port-a-caths)
· Midline catheters[footnoteRef:1] [1: To support the inclusion of midlines, note … This includes not only any central line, midline catheter, or lumbar drain, but also any other drain … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - Patients with qualifying medical devices include those who have:
· Central-lines (including dialysis catheters … and port-a-caths
· Midline catheters
· Lumbar drains
· Peripherally inserted central catheter (PICC)
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
March 01, 2022 - Trial, use CHG baths for patients with the following medical devices is recommended:
· Central venous catheters … (including dialysis catheters and port-a-caths)
· Midline catheters
· Lumbar drains
What if my patient … When we use CHG bathing for patients with central lines and midline catheters, if my patient also has … a urinary catheter, should the urinary catheter be cleaned with CHG as well?
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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/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - Director, MCW Internal Medicine Residency
Learning Objectives
Describe patients with urinary catheters … prevention of CAUTI
2
Polling Question 1: Which of the following is more likely in patients with urinary catheters … asymptomatic bacteriuria
Patient developing bacteremia from a urinary source
Patients with Urinary Catheters … Workload issues leading to work-arounds
Weighing risk of catheters v. other issues (i.e. falls)
Patient … 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/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
April 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Reducing Unnecessary Urinary Catheter … Medical Center
Detroit, MI
Learning Objectives
Explain how to establish guidelines for urinary catheter … the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/topics/antimicrobial-stewardship.html
Research Studies
Effectiveness of an Antimicrobial Stewardship Approach for Urinary Catheter-Associated … multifaceted intervention targeting health care professionals who diagnose and treat patients with urinary catheters
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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/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/tools/mrsa-prevention/toolkit/tools-resources-decolonization.html
October 01, 2024 - percentage of patients who have an increased MRSA risk due to the presence of central lines, midline catheters … patients are at higher risk for MRSA infection due to having devices such as central lines, midline catheters
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www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - 2013)
Total ADE (rounded sum of above 5 measures)
1,320,000
40.3
CAUTIs
MPSMS (2013)
Catheter-Associated … 290,000
8.8
CLABSIs
MPSMS (2013)
Blood Stream Infections Associated With Central Venous Catheters … 23,000
0.71
All Other Hospital-Acquired Conditions
MPSMS (2013)
Femoral Artery Puncture for Catheter … With Knee Joint Replacements
14,000
0.42
MPSMS (2013)
Contrast Nephropathy Associated With Catheter … difficile
100,000
3.1
MPSMS (2013)
Mechanical Complications Associated With Central Venous Catheters
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
December 01, 2017 - “I need a catheter for a short time to drain the urine from my bladder. … Urinary catheters cause urinary tract infections, which could spread to your blood. … Urinary catheters can tend to limit your movement in bed and in your room. … catheter that is placed over the penis rather than in it. … You can put teaching then related to catheters in that section.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
July 09, 2013 - “I need a catheter for a short time to drain the urine from my bladder. … Urinary catheters cause urinary tract infections, which could spread to your blood. … Urinary catheters can tend to limit your movement in bed and in your room. … catheter that is placed over the penis rather than in it. … You can put teaching then related to catheters in that section.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Facilities
Educational bundles provide evidence-based prevention practices and strategies to reduce catheter-associated … Use and Care
Catheter Insertion and Maintenance
Explains the types of catheters used to collect … bladder and how to prevent CAUTIs by using evidence-based practices when inserting indwelling urinary catheters … Maintenance Scenarios ( Word , 279 KB; HTML )
Catheter Maintenance Scenarios Instructions ( … HTML )
Licensed Staff:
Training Video
PowerPoint Slide Set ( PowerPoint , 926 KB; HTML )
Catheter
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-training-materials.html
November 01, 2024 - to a Patient about Nasal Mupirocin 10:24 – 11:54 Video: ABATE Toolkit: Cleaning Central and Midline Catheters … Id2OhR0Sx5c This video demonstrates proper techniques for daily CHG cleaning of central and midline catheters
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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/pfp/hacrate2011-12.html
January 01, 2018 - Total ADE (sum of above 5 measures)
1,594,000
48.67
1,372,000
41.91
CAUTI
MPSMS
Catheter-Associated … 11.30
350,000
10.58
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous Catheters … 32,000
0.99
All Other Hospital- Acquired Conditions
MPSMS
Femoral Artery Puncture for Catheter … Joint Replacements
33,000
1.01
26,000
0.81
MPSMS
Contrast Nephropathy Associated With Catheter … 100,000
3.16
110,000
3.30
MPSMS
Mechanical Complications Associated With Central Venous Catheters