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www.ahrq.gov/hai/tools/abate/training/videos.html
March 01, 2022 - encountered patient scenarios, and instructions on the proper techniques for cleaning central and midline catheters … Indwelling Devices: Overview [13 minutes, 4 seconds]
ABATE Toolkit: Cleaning Central and Midline Catheters … This video demonstrates proper techniques of daily CHG bathing of patients with central and midline catheters … video: https://www.youtube-nocookie.com/embed/Id2OhR0Sx5c
ABATE Toolkit: Cleaning Central and Midline Catheters
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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/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - O
O
O
Are positive displacement needleless connector valves for central venous catheters stocked … O
O
O
Our ICU uses antiseptic or antibiotic-impregnated or coated central venous catheters. … Are staff in your unit aware of alternatives to indwelling urinary catheters? … Yes
No
Do staff in your unit use the following alternatives to indwelling urinary catheters? … alternative products to indwelling urinary catheters stocked in your unit?
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www.ahrq.gov/patient-safety/settings/esrd/resource/dialysis-catheter.html
January 01, 2015 - Initiating Dialysis With a Catheter: Catheter Exit Site Care
This video vignette illustrates … proper initiation of dialysis for patients with catheters, as well as proper exit site care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
April 02, 2025 - insertion of a urinary catheter and prompt removal when no longer necessary. … prevent infection:
· Use indwelling catheters only when medically necessary
· Use aseptic insertion … · Maintain drainage bag below level of bladder at all times
· Remove catheters when no longer needed … for urinary catheter on each day of use
· Use reminder systems to target opportunities to remove catheter … · Use external (or condom-style) catheters if appropriate in men
· Use portable ultrasound bladder
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - indwelling urinary catheters has been proven to be effective in
reducing catheter use and preventing … use
• Use of bedside catheter rounds to provide one-on-one coaching about when to remove
catheters … Urinary Catheter Pocket Card
Educate staff in removal of indwelling urinary catheters, risks of catheter … catheters. … Urinary Catheter Brochure
Educate staff in removal of indwelling urinary catheters, alternate solutions
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
December 01, 2017 - Appropriate duration for urinary catheter use for patients undergoing thoracic epidural catheters has … Using urinary catheter versus not using your urinary catheters has been studied. … When we started this work, we looked at our inventory of catheters, literally hundreds of catheters in … And the second question is: What are you doing with outside catheters for patients coming in with catheters … With respect to outside catheters, we do not recommend routinely exchanging catheters or obtaining urinalysis
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … 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. … Example of a Nurse-Driven Protocol for Catheter Removal
Appendix N.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
June 02, 2015 - Today's topic is aseptic catheter insertion practices in the ED. … Even physicians learn how to insert catheters. Where do they learn? … there be oversight for catheter insertion by a licensed provider. … It can be another barrier to aseptic insertion of catheters. … If the catheter is accidentally contaminated, you have to discard it and get a new sterile catheter and
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.docx
April 02, 2025 - Urinary Catheter Pocket Card
Front
Front
Back
Remove that Urinary Catheter! … Foley catheters can cause:
· Infections
· Length of Stay
· Cost
· Patient Discomfort
· Antibiotic … Use
Urinary catheters confine patients to bed, making them more immobile and thus increasing their … OBTAIN ORDERS TO
DISCONTINUE UNNECESSARY URINARY CATHETERS!
REMOVE THAT URINARY CATHETER! … palliative care
· Required strict immobilization for trauma or surgery
· Chronic indwelling urinary catheter
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … Proper catheter insertion and maintenance.
Prompt catheter removal. … Many of these catheters are placed without indications. … for encouraging prompt removal of catheters.
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www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
October 01, 2015 - Urinary Catheter Utilization
The high incidence of catheter-associated urinary tract infections forces … Slide 5
CAUTI reduction
Using catheters only when necessary
Removing catheters immediately … when they are no longer needed
Consider alternatives to indwelling catheters. … Up to 25 percent of admitted patients have urinary catheters placed. … A reduction in CAUTI rates with decreased catheter use.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - Slide 13
Pilot Work: 18 EDs in Ascension Health
Results: less catheters placed, in some instances … Placement
All urinary catheters require an order…
Yet, the decision to place a catheter is not … appropriate indications for catheters with medical staff:
CDC/HICPIC Guidelines
Pathway … as part of evaluation & resuscitation:
ATLS 8th edition recommends urinary catheters for assessing … use
Designate appropriate staff to place catheters
RN not junior resident
Slide 53
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
April 02, 2025 - Urinary Catheters
Appropriate Urinary Catheter Indications
1. … Use aseptic technique when inserting urinary
catheters
2. … Avoid opening the closed urinary catheter
system
3. … Central Venous Catheters
1. … Appropriate Urinary Catheter Indications
Placement and Maintenance
Central Venous Catheters
Mechanical
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
April 02, 2025 - Staff responsible for the
insertion of urinary
catheters should have
instruction on this procedure … When inserting urinary catheters for
patients who will require close urine
output monitoring (e.g. … Do not change
catheters unnecessarily
or as part of a routine
practice. … Engage patients
and their families
in decision making
about catheters. … catheters for
male patients.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
October 01, 2015 - Teamwork and Communication Definitions and Tools
Peripheral and Central Venous Catheters … features of educational interventions lead to competence in aseptic insertion and maintenance of CV catheters … Urinary Catheters (CAUTI)
Al-Qas Hanna F, Sambirska O, Iyer S, et al. … of foley catheters. … Extended use of urinary catheters in older surgical patients: a patient safety problem?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
January 01, 2008 - this assessment tool to identify the senior executive who has the greatest potential for leading a catheter-associated … to understand quality problems related to appropriate use and timely removal of indwelling urinary catheters … Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009. … can use this assessment tool to identify the physician who has the greatest potential for leading a catheter-associated … Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Clinical Practice Guidelines for Central Venous Access Michigan Appropriateness Guide for Intravascular Catheters … precautions
Cleaning skin with chlorhexidine before insertion
Avoiding femoral site
Removing unnecessary catheters … Central Venous Catheters. In: Irwin RS, Rippe JM, eds. … The Michigan appropriateness guide for intravenous catheters (magic): results from a multispecialty panel … Safety and outcomes of midline catheters vs peripherally inserted central catheters for patients with