-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.docx
March 01, 2022 - two 2% CHG cloths:
· Clean the 6 inches of ALL lines, tubes, and drains (e.g., central lines, midline catheters … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-answer-basin-bathing.pdf
March 01, 2022 - Adult non-ICU patients with lumbar drains, midline catheters, and central lines
2.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-answer-basin-bathing.docx
March 01, 2022 - Adult non-ICU patients with lumbar drains, midline catheters, and central lines
2.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.pdf
March 01, 2022 - Starting on admission
day works best to remove germs before
insertion of urinary catheters or
intravenous
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/158-dec-targeted-unit-protocol.docx
October 01, 2024 - is using targeted MRSA decolonization for all patients with devices such as central lines, midline catheters … , peripherally inserted central catheter (PICC) lines, or lumbar drains and/or all patients identified
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-2-slides.pptx
September 01, 2015 - Maintenance
AHRQ Pub No. 15-0073-4-EF
September 2015
Catheter Maintenance ‹#›
AHRQ Safety Program … for Reducing CAUTI in Hospitals
ICU patient has a urinary catheter because of recent extensive urological … bag and places the bag on patient’s abdomen
Nurse notices patient’s urinary catheter isn’t secured to … Catheter Maintenance ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
3
Answer
Three issues: … Urinary catheter bag placement
No securement device
Urine drainage bag was not emptied
Catheter Maintenance
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - 8
8
Safety and Urinary Catheters
9
Seat Belt Yes No
Believe in it x
Built in safety alerts … x
Consequences x
Urinary Catheter Yes No
Believe in it ? … ED)
19
Connect the Dots to the Urinary Catheter
Is management engaged? … Why didn’t you put a catheter in her? You told me she was confused. … Scenario #2
Hospital management Support for Patient Safety
The surgical unit is not discontinuing urinary catheters
-
www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
December 01, 2012 - assess the utility and necessity of infection-related technologies, including special dressings and catheters
-
www.ahrq.gov/news/newsroom/case-studies/201701.html
March 01, 2017 - New Jersey, used AHRQ’s " Toolkit for Reducing CAUTI in Hospitals " to increase staff knowledge about catheter-associated … This resulted in a 264 percent improvement in Foley (indwelling) urinary catheter-free device days between … It promotes the judicious use of catheters, urine cultures, and antibiotics. … It also encourages best practices for catheter use and removal. … Pre- and post-testing showed the increase in staff knowledge of CAUTI and the reduction in catheter use
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.pdf
March 01, 2022 - CHG cloths:
o Clean the 6 inches of ALL lines,
tubes, and drains (e.g., central lines,
midline catheters … , chest tubes,
surgical drains, G-tube/J-tube,
urinary catheter, rectal tube) that
are closest to
-
www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - 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 … e
Adverse Drug Events
1,621,000
1,320,000
301,000
19%
$1,505,000,000
6,020
Catheter
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
September 01, 2015 - The nurse also notices that the patient’s urinary catheter isn’t secured to her leg. … The nurse failed to use a securement device to attach the catheter to the patient’s leg. … Not attaching the catheter to the leg can lead to urethral irritation.
3. … Well, how we handle the catheter tubing and bag can make a big difference.” … Next, the nurse empties the urinary catheter bag.
-
www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - processes for staff training and retraining in appropriate and inappropriate indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of those catheters.
-
www.ahrq.gov/hai/tools/abate/training/index.html
March 01, 2022 - ABATE Toolkit: Overview (13 minutes, 4 seconds)
ABATE Toolkit: Cleaning Central and Midline Catheters
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
December 01, 2017 - placed or should not have a catheter placed. … Avoiding unnecessary catheter utilization in the ED. … Failing to discuss or have plans for catheter removal or assessment of appropriateness. … Failure to clarify who owns responsibility for continuing to leave catheters in patients. … Express concerns about unneeded catheter insertion or retention.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
April 07, 2015 - placed or should not have a catheter placed. … Avoiding unnecessary catheter utilization in the ED. … Failing to discuss or have plans for catheter removal or assessment of appropriateness. … Failure to clarify who owns responsibility for continuing to leave catheters in patients. … Express concerns about unneeded catheter insertion or retention.
-
www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
July 01, 2013 - Approximately a quarter of all hospitalized patients have a urinary catheter placed during their hospital … 10-State On the CUSP: Stop CAUTI initiative can play a critical role in reducing the frequency of catheter … The overall goal of this national expansion is to achieve a sustainable decrease in CAUTI and catheter … The Guideline's recommendations for the appropriate use of indwelling urinary catheters are similar to … Reducing inappropriate urinary catheter use: a statewide effort.
-
www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - processes for staff training and retraining in appropriate and inappropriate
indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could
accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of
those catheters.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - processes for staff training and retraining in appropriate and inappropriate
indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could
accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of
those catheters.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
April 02, 2025 - Urinary Catheter Decision-Making Algorithm
Is there a urinary catheter in place? … Does the patient meet criteria for catheter placement?
Avoid catheter placement. … Accepted Urinary Catheter
Placement Indications
1. Acute urinary retention or obstruction
2. … in the critically ill patients (intensive care)
Contact physician to obtain order to remove urinary catheter … Assess patient daily for possibility of catheter removal.
NO
NO
YES
YES
image1.jpeg
image2.jpeg