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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
February 01, 2023 - Slide 5: HICPAC* Indications for a Urinary Catheter 1
Narration:
But if overuse of catheters is … In other words, how often would the ICU’s urinary catheter use conform to HICPAC indications? … The following questions and indications may be helpful in guiding ICUs in developing protocols for urinary … Slide 20: Methods for Mitigating Risk
Narration:
We talked earlier about indications for insertion … Nurses and physicians can also work together to develop ICU-specific indications for catheter use.
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www.ahrq.gov/news/newsletters/e-newsletter/660.html
April 01, 2019 - Fewer Errors Seen in Computerized Prescribing System That Selects Medications Based on Indications . … Fewer Errors Seen in Computerized Prescribing System That Selects Medications Based on Indications … A computerized physician order entry (CPOE) system that incorporated drug indications into prescription … Current CPOE systems do not effectively support adding indications to prescriptions.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Indications include (1) no feasible peripheral venous access, (2) the use of pressors and hemodynamic … The appropriate indications are based on Centers for Disease Control and Prevention and Healthcare Infection … Appropriate indications include—
Acute urinary retention or obstruction. … A recent update of the indications published by the Society for Healthcare Epidemiology of America clarified … Common indications include respiratory failure, cardiac or pulmonary arrest, laryngeal trauma or edema
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - After you listen to all the modules, you will be able to—
· Describe the scope of CAUTI
· State the indications … the CDC’s Healthcare Infection Control Practices Advisory Committee, or HICPAC, described appropriate indications … The following questions and indications may be helpful in guiding ICUs in developing protocols for urinary … SLIDE 19
SAY:
We talked earlier about indications for insertion, so now let’s discuss other ways … Nurses and physicians can also work together to develop ICU-specific indications for catheter use.
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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. … Poster on Urinary Catheter Risks and Indications
Appendix F.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-n.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Poster on Urinary Catheter Risks and Indications
Appendix F.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
October 08, 2015 - Urinary Catheters
Appropriate Urinary Catheter Indications
1. … culture unless signs suggestive
of pneumonia
Urinary Catheters
Appropriate Urinary Catheter Indications
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - inappropriate insertion indications are. … When we talk about our insertion indications, I do like to put pictures to it. … Now's the time to transition over to inappropriate catheter indications. … You've talked about appropriate indications, you've talked about inappropriate indications. … They learned about appropriate and inappropriate indications as well.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - inappropriate insertion indications are. … When we talk about our insertion indications, I do like to put pictures to it. … Now's the time to transition over to nappropriate catheter indications. … You've talked about appropriate indications, you've talked about inappropriate indications. … They learned about appropriate and inappropriate indications as well.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - inappropriate insertion indications are. … When we talk about our insertion indications, I do like to put pictures to it. … Now's the time to transition over to inappropriate catheter indications. … You've talked about appropriate indications, you've talked about inappropriate indications. … They learned about appropriate and inappropriate indications as well.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/icu-clinical-decision-making-slides.html
December 01, 2017 - procedures
Define the first step of CUSP: Educate staff on the Science of Safety
Slide 3
CAUTI Indications … Slide 6
Appropriate Indications for Indwelling Urinary Catheter Use
Appropriate Indications
Patient … Slide 7
Inappropriate Indications for Indwelling Urinary Catheter Use
Inappropriate Indications … For prolonged postoperative duration without appropriate indications (e.g., structural repair of urethra
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Slide 2
Learning Objectives
Describe the indications for urinary catheter use in surgical settings … for Indwelling Urinary Catheter Use
Appropriate Indications
Patient has acute urinary retention … Slide 10
HICPAC Inappropriate Indications for Indwelling Urinary Catheter Use
Inappropriate Indications … Slide 32
Summary—1
Reduce procedure-related urinary catheter use by:
Limiting indications … Slide 42
Implemented Removal and Management Protocol
Indications for catheter clearly spelled
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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
August 10, 2012 - ID and ED physician champions collaborate to establish guidelines
They agree on a list of acceptable indications … for UC use that are clearly identified
Reasons beyond CDC HICPAC appropriate indications for UC placement
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
February 01, 2023 - able to:
Describe the scope of catheter-associated urinary tract infections (CAUTI)
State the indications … Slide 5
HICPAC * Indications for a Urinary Catheter 1
Patient has acute urinary retention or … care if needed
* Healthcare Infection Control Practices Advisory Committee
Slide 6
HICPAC Indications … practices
Prevent insertion of catheters when patient's case does not meet one of HICPAC's approved indications
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Lack of awareness/unnecessary use
Half of central venous catheters have no documentation related to indications … premature line removal may later necessitate line reinsertion
Lack of—
Staff support for consistent use of indications … leadership,
Nurses Technical
Review your ICU’s maintenance policies and checklists (ensure they included indications … CLABSI and CAUTI
14
Summary of Strategies To Overcome Challenges20-26
Educate staff on appropriate indications … assessment for line removal opportunities with rounds or documentation
Educate staff on appropriate indications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/defining-critically-ill-icu.pptx
April 01, 2009 - Protocol:
Review, Remove, Reduce
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Patient no longer meets approved indwelling urinary catheter indications … Review
Approved Indwelling Urinary Catheter Indications
Ordered or placed peri-operatively … Fact: Lasix and I/O measurement are not approved indications for indwelling urinary catheters. … Follow the hospital approved indwelling urinary catheter indications. … Approved indications defines “Accurate measurements of intake and urinary output in critically ill patients
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - • Vague indications for removal within the protocol create confusion for both the provider and
the … Electronic Medical Record Opportunities
• Link the order to insert an indwelling urinary catheter with indications … electronic notifications/flags to
nurses with patients who have catheters to assess if they still meet indications … catheter insertion date for clinicians
during daily rounds to facilitate communications of catheter indications … I think we could link the insertion order to indications with the launch of the revised
removal protocol
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-b.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Poster on Urinary Catheter Risks and Indications
Appendix F. … However, if the patient's nurse does not deem the urinary catheter meets the indications for placement … Indications for change may include mechanical dysfunction or blockage of the urinary catheter system,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
April 01, 2022 - Select Yes, No, or Uncertain.
1) Did the patient meet clinical indications for insertion? … Yes No Uncertain
If yes, which indications apply? … Culture appropriate: Off
Less than 5 days: Off
Placed under sterile conditions: Off
1 meet clinical indications
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
April 01, 2022 - Select Yes, No, or Uncertain.
1) Did the patient meet clinical indications for insertion? … Yes No Uncertain
If yes, which indications apply? … Culture appropriate: Off
Less than 5 days: Off
Placed under sterile conditions: Off
1 meet clinical indications