Hot Topics In Infection Control!

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Hot Topics In Infection Control!"

Transcription

1 2015 SASKPIC Fall Conference Hot Topics In Infection Control! According to the Provincial ICCs that is

2 Objectives Provide context for UTI prevention in Continuing Care settings Recommendations and tools to assist LTC facilities in adapting new guidelines SBAR as a provincial tool Reprocessing concerns

3 UTI Prevention in Continuing Care Guideline for the Prevention and Treatment of Urinary Tract Infections(UTIs) in Continuing Care Settings released in April 2013 Tools were developed to assist in implementation and introduced at SASKPIC 2013 Fall conference

4 Guidelines for the Prevention and Treatment of Urinary Tract Infections in Continuing Care Saskatchewan Infection Prevention Program March 2014

5 Table of Contents Final Tools and Guideline on Ministry of Health Website ABCs for Diagnosing UTIs in Continuing Care Settings Power Points without Audio Introduction and Review of the Guideline for the Prevention and Treatment of UTIs in Continuing Care Settings Antibiotic Information Brochure for client/residents and their care givers Urinary Health Part 1: The Basics of UTI Identification and Prevention Guidelines for the Prevention and Treatment of UTIs in Continuing Care Settings Treating Asymptomatic Bacteriuria Urinary Health Part 2: Strategies to Reduce Cather Associated Urinary Tract Infections (CA-UTIs) UTIs and Asymptomatic Bacturiuria Power Points with Audio Introduction and Review of the Guideline for the Prevention and Treatment of UTIs in Continuing Care Settings Urinary Health Part 1: The Basics of UTI Identification and Prevention Urinary Health Part 2: Strategies to Reduce Cather Associated Urinary Tract Infections (CA-UTIs) Tools in Progress Basics of Urinary Health (companion guide to Part 1 ppt.) in both PDF and Microsoft Publisher Strategies to Reduce CA-UTI (companion Guide to Part 2 pp.) in both PDF and Microsoft Publisher Sample Urinary Catheter Checklist in both PDF and Microsoft Word

6

7

8

9

10 2 Educational PPts with & Without Audio

11 Next steps TAG meeting: March 25 th critical incident discussion. A LTC resident admitted to hospital with urosepsis. Catheter in poor condition had been left in place from mid September until February (approx. 5 months) Historically catheter changes were routinely q 4-6 wks UTI Prevention Guideline states do not routinely change, but as required based on client assessment

12 SBAR

13 As a mo

14 Sample Infection Control SBARs

15 Situation/Background Saskatchewan Infection Prevention and Control was asked to make a recommendation on the frequency of replacing longterm urinary catheters in continuing care settings. Routinely changing indwelling urinary catheters when there is no medical reason (i.e. no evidence of infection or obstruction) increases the incidence of urinary tract infections in patients, residents and clients. Currently there are inconsistent practices in the frequency of indwelling urinary catheter replacement which may adversely affect care outcomes.

16 Assessment In Canada, manufacturers recommend changing indwelling urinary catheters when clinically indicated and routinely every 30 days in order to comply with licensing requirements of indwelling devices 1. This is contrary to expert opinion and best practice guidelines which recommend long-term urinary catheter replacement should be based on clinical indications such as infection or evidence of obstruction(encrustations/blockage/leakage, etc.), when the closed system has been compromised, or as per the recommended usage by the long-term catheter manufacturers (usually every 12 weeks). 2,3,4 1. Winnipeg Regional Health Authority, Infection Prevention & Control Manual, Urinary Catheter Change Frequency, January 10, ,3,4,- Refer to SBAR sheet

17 Primary Recommendation Continuing Care Facilities should chose one of the following options regarding urinary catheter change frequency: Follow best practice guidelines and change urinary catheters when there is a clinical indication or before 12 weeks. Use a maintenance bundle checklist and catheter change record to determine individual care requirements, based on previous problems with blockages and encrustations. OR Follow the manufacturers licensing requirements that recommend changing urinary catheters when medically indicated and routinely every 30 days. Develop tools to promote best practice and to identify whether there is a need for a catheter change prior to 30 day change date.

18 Secondary Recommendations to meet the Primary recommendation 1. Carefully evaluate the need for an indwelling urinary catheter on regular basis and consider using other types of long-term devices or incontinence products. 2. Complete a maintenance bundle checklist daily on each client with a long-term indwelling catheter and incorporate the information into the client s health record and care plan as required. 3. If urine drainage problems are identified, refer to a decision flow chart to determine what steps should be taken and record in the client s record.

19 Insertion Bundle Check list (sample) YES NO Resident meets appropriate use for catheter use and reason was documented? Hand hygiene and pre-cleansing of perineum was completed before insertion? Appropriate sterile equipment (sterile gloves, drape, sponges, antiseptic solution) was used for insertion? Aseptic technique was used by a HCW certified in this skill set? A single use packet of lubricant jelly was used for insertion? Catheter and tubing were secured to prevent movement and catheter bag is below the level of the bladder?

20 Maintenance Bundle Check list (daily) YES NO Hand hygiene was performed before client contact and gloves were used to manipulate catheter or drainage system? Catheter and tubing are free of kinks and well secured? Catheter has been continuously connected to tubing? If NO, document reason for the break and if it was managed aseptically. Urine is draining well (e.g., no obstruction or blockages noted)? if NO, use decision flow chart to determine what action may be required Drainage bag is below level of the bladder and does not touch the floor? Drainage bag was emptied regularly into a clean and client dedicated container, with no contact between the container and the drainage spout? Perineal cleansing was provided at least once daily and after each bowel movement? Is there a planned date for catheter replacement based on the 12 week maximum or the client s catheter change record? if NO, review insertion date and/or initiate a catheter change record

21 Education Tool with Rationale for Maintenance Bundle

22

23 Secondary Recommendations to meet the Primary recommendation 4. Develop a client specific care regimen by tracking and reviewing the information collected on the catheter change record. 5. If CAUTI is suspected, change catheter prior to collecting a urine for C&S as per the protocol in the provincial UTI guideline.

24

25

26

27

28

29

30 Safety alert for Reprocessing of Endocavity Probes Nov 2014

31 Safety Alert for Endoscopic Retrograde Cholangiopancreatography (ERCP) Endoscopes Spring 2015 safety alert issues following Outbreaks related to problems with the elevator mechanism Meticulous attention to detail and step-by-step precision in all steps of the cleaning/hld process Do we know where ERCPs are being performed? How often? What kind of scopes you have? Who is doing the reprocessing? Are logs being kept? Is there a system in place to capture post-ercp infections?? Evaluating the effectiveness of your cleaning procedures: Culturing of scopes Qualitative protein and blood testing Adenosine triphosphate (ATP)

32 CDC Health Advisory Sept 11/15 Immediate Need for Healthcare Facilities to Review Procedures for Cleaning, Disinfecting, and Sterilizing Reusable Medical Devices Recommendations: HCF should ensure reprocessing procedures are being done correctly and meeting manufacturers requirements Ensure personnel who reprocess medical devices are trained properly and maintain competence Regularly audit (monitor & document) adherence to cleaning, disinfection, sterilization and devices storage procedures.

33

A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page

A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated

More information

VUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance

VUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance VUMC Guidelines for Management of Indwelling Urinary Catheters UC Insertion Preparation & Procedure Indications for insertion and continued use of indwelling urinary catheters include: Urinary retention

More information

SECTION 12.1 URINARY CATHETERS

SECTION 12.1 URINARY CATHETERS SECTION 12.1 URINARY CATHETERS Introduction Summary of Recommendations taken from Guidelines for the Prevention of Catheter-associated Urinary Tract Infection, Published on behalf of SARI by HSE Health

More information

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013 Catheter-Associated Urinary Tract Infection (CAUTI) Prevention Basics of Infection Prevention 2 Day Mini-Course 2013 2 Objectives Define the scope of healthcare-associated urinary tract infections (UTI)

More information

Catheter Associated Urinary Tract Infection (CAUTI) Prevention. System CAUTI Prevention Team

Catheter Associated Urinary Tract Infection (CAUTI) Prevention. System CAUTI Prevention Team Catheter Associated Urinary Tract Infection (CAUTI) Prevention System CAUTI Prevention Team 1 Objectives At the end of this module, the participant will be able to: Identify risk factors for CAUTI Explain

More information

High Impact Intervention Urinary catheter care bundle

High Impact Intervention Urinary catheter care bundle High Impact Intervention Urinary catheter care bundle Aim To reduce the incidence of urinary tract infections related to short term and long term indwelling urethral catheters. Introduction The aim of

More information

Appropriate Urinary Catheter Use and Management

Appropriate Urinary Catheter Use and Management Appropriate Urinary Catheter Use and Management Nursing Education Material Mohamad Fakih, MD, MPH 1 This presentation This presentation targets all nurses with patient care responsibilities including the

More information

Urinary tract infections (UTIs) are the most common type of healthcareassociated

Urinary tract infections (UTIs) are the most common type of healthcareassociated Overcoming Challenges to CAUTI Prevention By Linda Greene, RN, MS, CIC, Shannon Oriola, RN, CIC, COHN, James Marx, RN, MS, CIC Urinary tract infections (UTIs) are the most common type of healthcareassociated

More information

PATIENT CARE MANUAL PROCEDURE

PATIENT CARE MANUAL PROCEDURE PATIENT CARE MANUAL PROCEDURE NUMBER VII-E-5 PAGE 1 OF 7 APPROVED BY: CATEGORY: Tri-site Nursing Policy and Procedures Review Committee Body Systems; Genitourinary 1.0 GOALS To influence patient care providers

More information

What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines

What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS The Revised Guidance Includes: Interpretive Guidelines Investigative Protocols Compliance & Severity Guidance What s new? The new guidance for

More information

2. Does the patient have one of the following appropriate indications for placing indwelling urinary catheters?

2. Does the patient have one of the following appropriate indications for placing indwelling urinary catheters? A. Decision to Insert a Urinary Catheter: 1. Before placing an indwelling catheter, please consider if these alternatives would be more appropriate: Bladder scanner: to assess and confirm urinary retention,

More information

Essential steps to safe, clean care

Essential steps to safe, clean care Essential steps to safe, clean care Reducing healthcare-associated infections in Primary care trusts; Mental health trusts; Learning disability organisations; Independent healthcare; Care homes; Hospices;

More information

ATI Skills Modules Checklist for Urinary Catheter Care

ATI Skills Modules Checklist for Urinary Catheter Care For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Urinary Catheter Care Student s name Date Verify order Patient record Assess for procedure need Identify, gather, and prepare

More information

PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs)

PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs) PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs) CAUTIs A UTI where an indwelling urinary catheter was in place for >2 calendar days on the date of event. OR If an indwelling urinary

More information

Location: Clinical Practice Manual

Location: Clinical Practice Manual Subject: Area: Classification: Relevant to: Bladder Management Clinical Practice All Clinical Staff Implementation Date: March 2001 Review Date: March 2004 Responsible for Review: Approved by: Distribution:

More information

Infection Control in the Use of Urethral Catheters: Knowledge and Practices of Nurses in a Private Hospital in Iloilo City

Infection Control in the Use of Urethral Catheters: Knowledge and Practices of Nurses in a Private Hospital in Iloilo City Infection Control in the Use of Urethral Catheters: Knowledge and Practices of Nurses in a Private Hospital in Iloilo City MARK LISTER F. OPINA 1 and RYAN MICHAEL F. ODUCADO 2 Central Philippine University,

More information

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care A NICE pathway brings together all NICE guidance, quality standards and materials to

More information

Nosocomial Bloodstream infection. Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand.

Nosocomial Bloodstream infection. Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand. Nosocomial Bloodstream infection Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand. Nosocomial UTI Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand.

More information

PATIENT URINARY CATHETER PASSPORT

PATIENT URINARY CATHETER PASSPORT n PATIENT URINARY CATHETER PASSPORT A guide on how to look after your Catheter NHS Hertfordshire Patient Experience Team Charter House Parkway Welwyn Garden City Hertfordshire AL8 6JL Telephone: 01707

More information

A Summary of the Guideline for the Diagnosis and Management of. Urinary Tract Infections in Long Term Care

A Summary of the Guideline for the Diagnosis and Management of. Urinary Tract Infections in Long Term Care A Summary of the Guideline for the Diagnosis and Management of Urinary Tract Infections in Long Term Care Exclusions Community acquired UTIs UTIs in acute care Prevention Limit use of catheters Ensure

More information

PROCEDURE FOR CATHETER AFTERCARE

PROCEDURE FOR CATHETER AFTERCARE PROCEDURE FOR CATHETER AFTERCARE First Issued May 2010 Issue Version Two Purpose of Issue/Description of Change To promote safe and effective emptying of urinary drainage bags, closed drainage systems

More information

Indwelling urinary catheter. Information for patients and carers. RDaSH. Doncaster Community Integrated Services

Indwelling urinary catheter. Information for patients and carers. RDaSH. Doncaster Community Integrated Services Indwelling urinary catheter Information for patients and carers RDaSH Doncaster Community Integrated Services What is a catheter? A catheter is a hollow flexible tube designed to drain urine from the bladder.

More information

CAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth

CAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth CAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth Deaconess Rehabilitation Hospital Did You Know?? The

More information

Safety FIRST: Infection Prevention Tips

Safety FIRST: Infection Prevention Tips Reading Hospital Safety FIRST: Infection Prevention Tips Reading Hospital is committed to providing high quality care to our patients. Your healthcare team does many things to help prevent infections.

More information

Catheter Care. What you need to know. Jacinta Stewart Continence Nurse

Catheter Care. What you need to know. Jacinta Stewart Continence Nurse Catheter Care What you need to know Jacinta Stewart Continence Nurse Indications for Long Term Catheter Use Long term urinary catheters should only be used with clients who cannot satisfactorily be managed

More information

Urinary Catheter Infection Control Policy

Urinary Catheter Infection Control Policy This is an official Northern Trust policy and should not be edited in any way Urinary Catheter Infection Control Policy Reference Number: NHSCT/11/407 Target audience: This policy is directed to all members

More information

Fact Sheet. Caring for and Changing your Supra-Pubic Catheter (SPC) Queensland Spinal Cord Injuries Service

Fact Sheet. Caring for and Changing your Supra-Pubic Catheter (SPC) Queensland Spinal Cord Injuries Service and Caring for and Changing your Supra-Pubic Catheter (SPC) What is a Suprapubic Catheter? A supra-pubic catheter is a tube that goes into your bladder through your abdominal wall which continuously drains

More information

Guideline for Preventing Catheter- Associated Urinary Tract Infections

Guideline for Preventing Catheter- Associated Urinary Tract Infections Guideline for Preventing Catheter- Associated Urinary Tract Infections Craig Umscheid, MD, MSCE Carolyn Gould, MD, MSCR and David A. Pegues, MD HICPAC Meeting November 13, 2008 Washington, DC Outline Progress

More information

CAUTI Care and Removal Program

CAUTI Care and Removal Program CAUTI Care and Removal Program Preventing Catheter Associated Urinary Tract Infections: What You Need to Know Mohamad Fakih, MD, MPH Associate Professor of Medicine Wayne State University School of Medicine

More information

Prevention of Catheter-Associated Urinary Tract Infections

Prevention of Catheter-Associated Urinary Tract Infections Prevention of Catheter-Associated Urinary Tract Infections Self-Study Module Created March 2012 2012 BJC HealthCare. All rights reserved. Reproduction is strictly prohibited without written consent. Overview

More information

Catheter-associated Urinary Tract Infection (CAUTI) Toolkit

Catheter-associated Urinary Tract Infection (CAUTI) Toolkit Activity C: ELC Prevention Collaboratives Catheter-associated Urinary Tract Infection (CAUTI) Toolkit Carolyn Gould, MD MSCR Division of Healthcare Quality Promotion Centers for Disease Control and Prevention

More information

Infection Prevention & Control Team. Your urinary catheter & how to care for it 0151 430 2452 / 0151 430 1384. Patient Information Leaflet

Infection Prevention & Control Team. Your urinary catheter & how to care for it 0151 430 2452 / 0151 430 1384. Patient Information Leaflet Contact details Infection prevention team - 0151 430 2452 This leaflet can be made available in alternative languages/formats on request. Infection Prevention & Control Team 0151 430 2452 / 0151 430 1384

More information

Patient Information:

Patient Information: Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,

More information

Policies & Procedures. Care of

Policies & Procedures. Care of Policies & Procedures Title: SUPRAPUBIC CATHETER Care of Changing Removal Authorization: [x] SHR Nursing Practice Committee I.D. Number: 1021 Source: Nursing Date Revised: November 2014 Date Effective:

More information

Prevention of catheter associated urinary tract infections

Prevention of catheter associated urinary tract infections Prevention of catheter associated urinary tract infections Dr. Suzan Sanavi, Nephrologist, M.D University of Social Welfare and Rehabilitation Akhavan Physical Spine Center INTRODUCTION Urinary bladder

More information

URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER

URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER PURPOSE To obtain a sterile urine specimen. To facilitate emptying bladder. To relieve bladder distention. To irrigate bladder. To measure residual

More information

Going home with a urinary cathether

Going home with a urinary cathether Going home with a urinary cathether A patient s guide 1 Your doctor has advised that you require a urinary catheter so that urine can be drained from your bladder. This leaflet provides advice to help

More information

Foley Catheter Placement

Foley Catheter Placement Foley Catheter Placement Indications for a Foley Catheter Retention of urine leading to urinary hesitancy, straining to urinate, decrease in size and force of the urinary stream, interruption of urinary

More information

Going Home with a Urinary Catheter

Going Home with a Urinary Catheter Going Home with a Urinary Catheter Doctor: Phone Number: About Your Catheter A urinary catheter is a small tube that goes through your urethra and into your bladder. This tube then drains the urine made

More information

FOLEY CATHETERIZATION

FOLEY CATHETERIZATION FOLEY CATHETERIZATION WHAT IS A FOLEY CATHETER? They seem simple enough: soft tube, goes into the bladder, drains the urine, with a little balloon towards the end, inflated inside the bladder to keep it

More information

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate

More information

Clinical Guideline for: Aseptic Technique

Clinical Guideline for: Aseptic Technique Clinical Guideline for: Technique Summary This guideline provides the principles of, Non Touch, and Clean Techniques to be implemented in the hospital environment. Key Points The essential elements of

More information

Management of Catheters Infectious Diseases Working Party/Nurses Group

Management of Catheters Infectious Diseases Working Party/Nurses Group Management of Catheters Infectious Diseases Working Party/Nurses Group Arno Mank RN PhD, Amsterdam (NL) www.ebmt.org London 09/04/2012 Content Background Management of CVC Types of CVC Care aspect of CVC

More information

Prevention of Catheter-Associated Urinary Tract Infections Nizam Damani

Prevention of Catheter-Associated Urinary Tract Infections Nizam Damani Chapter 18 Prevention of Catheter-Associated Urinary Tract Infections Nizam Damani Key points Urinary catheterisation should be avoided if possible. Do not use urinary catheters for incontinence of urine.

More information

CARE PROCESS STEP EXPECTATIONS RATIONALE

CARE PROCESS STEP EXPECTATIONS RATIONALE URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary

More information

Male Urinary Catheterisation & Catheter Care

Male Urinary Catheterisation & Catheter Care Male Urinary Catheterisation & Catheter Care Mark Jones, Martin Steggall & Marsh Gelbart City University, London. Good practice Consent gain informed consent. Who can catheterise any Registered Nurse who

More information

URINARY CATHETER CARE

URINARY CATHETER CARE URINARY CATHETER CARE INTRODUCTION Urinary catheter care is a very important skill, and it is a skill that many certified nursing assistants (CNAs) must know. Competence at providing urinary catheter care

More information

Reducing catheter associated urinary tract infections

Reducing catheter associated urinary tract infections Reducing catheter associated urinary tract infections M A Y 2 0 1 3 V I C K I E L O N G S T A F F C O N S U L T A N T N U R S E I N F E C T I O N C O N T R O L Content Urinary tract infection Epidemiology

More information

URETHRAL CATHETERIZATION IS THE DRAINAGE OF URINE FROM THE BLADDER BY PASSAGE OF A CATHETER INTO THE BLADDER VIA THE URETHRA

URETHRAL CATHETERIZATION IS THE DRAINAGE OF URINE FROM THE BLADDER BY PASSAGE OF A CATHETER INTO THE BLADDER VIA THE URETHRA Male catheterisation 1 MALE CATHETERIZATION URETHRAL CATHETERIZATION IS THE DRAINAGE OF URINE FROM THE BLADDER BY PASSAGE OF A CATHETER INTO THE BLADDER VIA THE URETHRA ESSENTIAL ANATOMY OF THE MALE URINARY

More information

INTERDISCIPLINARY CLINICAL MANUAL Practice Guideline

INTERDISCIPLINARY CLINICAL MANUAL Practice Guideline INTERDISCIPLINARY CLINICAL MANUAL Practice Guideline TITLE: Insertion of a curved tip Urinary Catheter (Coude/Tiemann) NUMBER: CC 50-013 Effective Date: August 2015 Page 1 of 5 Applies To: All Preamble:

More information

PICU Urinary Catheter Insertion & Care Guideline & Bundles Dr Vinayak Rai & Dr Simon Robinson March 2014

PICU Urinary Catheter Insertion & Care Guideline & Bundles Dr Vinayak Rai & Dr Simon Robinson March 2014 PICU Urinary Catheter & Care Guideline September 2014 Introduction PICU Urinary Catheter Insertion & Care Guideline & Bundles Dr Vinayak Rai & Dr Simon Robinson March 2014 Background: Urinary catheterisation

More information

Nurse-Initiated Removal of Unnecessary Urinary Catheters in the Non-Intensive Care Units

Nurse-Initiated Removal of Unnecessary Urinary Catheters in the Non-Intensive Care Units Nurse-Initiated Removal of Unnecessary Urinary Catheters in the Non-Intensive Care Units (Based on a study performed at St. John Hospital and Medical Center in Detroit, Michigan) November 2010 This toolkit

More information

Spotlight on Success: Implementing Nurse-Driven Protocols to Reduce CAUTIs

Spotlight on Success: Implementing Nurse-Driven Protocols to Reduce CAUTIs Spotlight on Success: Implementing Nurse-Driven Protocols to Reduce CAUTIs Many hospitals today are increasingly allowing nurses to make decisions regarding patients care, treatment, and services without

More information

Nosocomial Infections in the ICU. Gonzalo Bearman MD,MPH Associate Hospital Epidemiologist

Nosocomial Infections in the ICU. Gonzalo Bearman MD,MPH Associate Hospital Epidemiologist Nosocomial Infections in the ICU Gonzalo Bearman MD,MPH Associate Hospital Epidemiologist Nosocomial Infections 5-10% of patients admitted to acute care hospitals acquire infections 2 million patients/year

More information

Welcome and Instructions

Welcome and Instructions Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code: 56350822 Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.

More information

Bladder Catheterization

Bladder Catheterization Approved by: Bladder Catheterization Gail Cameron Senior Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Ensenat Medical Director, Neonatology Neonatal Nursery Policy & Procedures

More information

Patient Information Sheet

Patient Information Sheet TRANSURETHRAL RESECTION OF PROSTATE (TURP) Patient Information Sheet Department of Urology Homerton University Hospital NHS Foundation Trust Homerton Row, London, E9 6SR Reviewed: June 2012 Next date:

More information

Intermittent Self Catheterisation for Women

Intermittent Self Catheterisation for Women ISCW Intermittent Self Catheterisation for Women National Service, Locally Based www.fittleworth.com Opening hours: 8am - 8pm Monday to Friday 9am - 1pm on Saturday Freephone National 0800 378 846 Scotland

More information

Recognizing Signs and Symptoms of a Urinary Tract Infection (UTI)

Recognizing Signs and Symptoms of a Urinary Tract Infection (UTI) Use this checklist to help identify signs and symptoms of a or other illnesses. If the person you support has one or more of these signs and symptoms, call the doctor for advice and a medical appointment.

More information

Select Response 1 Yes, when the patient has been prescribed an antibiotic within the past 14 days specifically for a confirmed or suspected UTI.

Select Response 1 Yes, when the patient has been prescribed an antibiotic within the past 14 days specifically for a confirmed or suspected UTI. (M1600) Has this patient been treated for a Urinary Tract Infection in the past 14 days? 0 - No 1 - Yes NA - Patient on prophylactic treatment UK - Unknown [Omit UK option on DC ] Identifies treatment

More information

MATERNITY SERVICES GUIDELINE POSTPARTUM BLADDER CARE. Sandra Reading, Women s CAG Deputy Director

MATERNITY SERVICES GUIDELINE POSTPARTUM BLADDER CARE. Sandra Reading, Women s CAG Deputy Director MATERNITY SERVICES GUIDELINE POSTPARTUM BLADDER CARE Sandra Reading, APPROVING COMMITTEE(S) Women s CAG Date approved: Deputy Director EFFECTIVE FROM 9 th September 2013 DISTRIBUTION All staff in the maternity

More information

4/5/2013. Dee Webber RN BSN Staff Nurse EMMC CCU. Health care-associated infections are one of the most common complications of hospital care.

4/5/2013. Dee Webber RN BSN Staff Nurse EMMC CCU. Health care-associated infections are one of the most common complications of hospital care. Dee Webber RN BSN Staff Nurse EMMC CCU Critical Care Staff Nurse Leaders Sara Sabal ADN, RN Dee Webber BSN, RN Critical Care Leadership Joyce Hill BSN, RN Tina Closson BSN,RN, CCRN, CSC Cynthia Downs MSN,

More information

Spinal Cord and Bladder Management Male: Intermittent Catheter

Spinal Cord and Bladder Management Male: Intermittent Catheter Spinal Cord and Bladder Management Male: Intermittent Catheter The 5 parts of the urinary system work together to get rid of waste and make urine. Urine is made in your kidneys and travels down 2 thin

More information

Discussions about having a Supra pubic catheter

Discussions about having a Supra pubic catheter Discussions about having a Supra pubic catheter What is a supra pubic catheter? A supra pubic catheter is used to drain urine from the bladder by inserting a catheter (narrow hollow drainage tube) directly

More information

APPROPRIATE URINARY CATHETER PLACEMENT IN THE EMERGENCY DEPARTMENT

APPROPRIATE URINARY CATHETER PLACEMENT IN THE EMERGENCY DEPARTMENT APPROPRIATE URINARY CATHETER PLACEMENT IN THE EMERGENCY DEPARTMENT Updated February 2012 This toolkit was funded by the Agency for Healthcare Research and Quality (AHRQ). i ACKNOWLEDGEMENTS This toolkit

More information

How to Change a Foley Catheter Step-by-step instructions for the caregiver

How to Change a Foley Catheter Step-by-step instructions for the caregiver Patient Education How to Change a Foley Catheter Step-by-step instructions for the caregiver This handout gives stepby-step instructions for changing a Foley catheter, a tube in the bladder to drain urine.

More information

Antibiotic Prophylaxis for Short-term Catheter Bladder Drainage in adults. A Systematic Review (Cochrane database August 2013)

Antibiotic Prophylaxis for Short-term Catheter Bladder Drainage in adults. A Systematic Review (Cochrane database August 2013) Antibiotic Prophylaxis for Short-term Catheter Bladder Drainage in adults A Systematic Review (Cochrane database August 2013) Gail Lusardi, Senior Lecturer Dr Allyson Lipp, Principal Lecturer, Dr Chris

More information

BARD MEDICAL DIVISION UROLOGICAL DRAINAGE. Foley Catheter Care & Maintenance. Patient Education Guide

BARD MEDICAL DIVISION UROLOGICAL DRAINAGE. Foley Catheter Care & Maintenance. Patient Education Guide BARD MEDICAL DIVISION Foley Catheter Care & Maintenance Patient Education Guide WHAT IS A FOLEY CATHETER? Because of your medical problem, your body is having trouble completely emptying your bladder of

More information

Status: Standard Procedure: specifies the procedures to be followed, only in exceptional circumstances should these not be followed

Status: Standard Procedure: specifies the procedures to be followed, only in exceptional circumstances should these not be followed Page 1 of 6 Status: Standard Procedure: specifies the procedures to be followed, only in exceptional circumstances should these not be followed Title: Standard Procedure for the Irrigating (flushing) of

More information

Neonatal rectal washouts

Neonatal rectal washouts Neonatal rectal washouts Neonatal unit NEO/NRW/01 Published: January 2014 Review: January 2016 St George s Healthcare NHS Trust St George s Hospital Blackshaw Road London SW17 0QT Tel: 020 8672 1255 Website:

More information

SAMPLE Policy and Procedure Insertion, Removal and Care of an Indwelling Foley Catheter

SAMPLE Policy and Procedure Insertion, Removal and Care of an Indwelling Foley Catheter SAMPLE Policy and Procedure Insertion, Removal and Care of an Indwelling Foley Catheter Approved by: Policy and Procedure Committee Effective: x/xx Revised: x/xx Description: This policy provides the procedure

More information

URINE MATTERS: A CLINICAL OVERVIEW OF UTIs

URINE MATTERS: A CLINICAL OVERVIEW OF UTIs URINE MATTERS: A CLINICAL OVERVIEW OF UTIs Presented by: Mary E LeBlanc, RN BN CIC Sponsored by: Health PEI & CADTH FEBRUARY 2015 LEARNING OBJECTIVES At the end of this session the learner will be able

More information

SARI. Guidelines for the Prevention of Catheterassociated Urinary Tract Infection

SARI. Guidelines for the Prevention of Catheterassociated Urinary Tract Infection Guidelines for the Prevention of Catheterassociated Urinary Tract Infection Published on behalf of SARI by HSE Health Protection Surveillance Centre 2011 SARI A Strategy for the Control of Antimicrobial

More information

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection L14: Hospital acquired infection, nosocomial infection Definition A hospital acquired infection, also called a nosocomial infection, is an infection that first appears between 48 hours and four days after

More information

NURSE DRIVEN FOLEY CATHETER PROTOCOL

NURSE DRIVEN FOLEY CATHETER PROTOCOL NURSE DRIVEN FOLEY CATHETER PROTOCOL BACKGROUND There are over 1.7 million hospital-acquired infections in US hospitals annually, 40% of which are urinary tract infections. 80% of hospital-acquired UTIs

More information

Aseptic Technique Policy and Procedure

Aseptic Technique Policy and Procedure Aseptic Technique Policy and Procedure Authorising Officer Tom Cahill, Deputy Chief Executive Signature of Authorising Officer: Version: V2 Ratified By: Risk Management and Patient Safety Group Date Ratified:

More information

CARING FOR YOUR URINARY CATHETER GRAMPIANS REGIONAL CONTINENCE SERVICE. Author: GRCS Date: 20/06/09 Catalogue No: 712438

CARING FOR YOUR URINARY CATHETER GRAMPIANS REGIONAL CONTINENCE SERVICE. Author: GRCS Date: 20/06/09 Catalogue No: 712438 CARING FOR YOUR URINARY CATHETER GRAMPIANS REGIONAL CONTINENCE SERVICE Author: GRCS Date: 20/06/09 Catalogue No: 712438 What is a urinary catheter? A urinary catheter is a hollow tube which drains urine

More information

X-Plain Foley Catheter Male Reference Summary

X-Plain Foley Catheter Male Reference Summary X-Plain Foley Catheter Male Reference Summary Introduction A Foley catheter is a tube that is put through the urinary opening and into your bladder to drain urine. Your doctor may have placed or may ask

More information

After care following insertion of a suprapubic catheter

After care following insertion of a suprapubic catheter Other formats After care following insertion of a suprapubic catheter If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign

More information

PROCEDURE FOR ADMINISTERING CATHETER MAINTENANCE SOLUTION AND RESOLVING CATHETER PROBLEMS

PROCEDURE FOR ADMINISTERING CATHETER MAINTENANCE SOLUTION AND RESOLVING CATHETER PROBLEMS PROCEDURE FOR ADMINISTERING CATHETER MAINTENANCE SOLUTION AND RESOLVING CATHETER First Issued Issue Version Purpose of Issue/Description of Change Planned Review Date One Outlines the process for staff

More information

Catheter-Associated Urinary Tract Infections Lauren Tew, Bard Ltd, UK A Webber Training Teleclass Catheter-Associated Urinary Tract Infection

Catheter-Associated Urinary Tract Infections Lauren Tew, Bard Ltd, UK A Webber Training Teleclass Catheter-Associated Urinary Tract Infection Catheter-Associated Urinary Tract Infection Lauren Tew Infection Control Nurse and Clinical Consultant Hosted by Debbie King debbie@webbertraining.com www.webbertraining.com Tew L, Pomfret I & King D (2005)

More information

online version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help

online version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem

More information

An Infusion of Quality and Safety STAT!

An Infusion of Quality and Safety STAT! Quality is not an act, it is a habit. Aristotle An Infusion of Quality and Safety STAT! Quality is not an act, it is a habit. Mary Kakenmaster MSN, RN, CNE Oakton Community College mkakenma@oakton.edu

More information

Having a urinary catheter information for men

Having a urinary catheter information for men Having a urinary catheter information for men This leaflet explains what a catheter is, why you need it and how you should look after it. If you have any further questions, please contact your district

More information

Catheterisation Insertion and Management Protocol (Whole Healthcare Economy)

Catheterisation Insertion and Management Protocol (Whole Healthcare Economy) Catheterisation Insertion and Management Protocol (Whole Healthcare Economy) NHFT policy ICP 013 Version: June11 v2 Ratified by: Trust Policy Board Date ratified: 21 st June 2011 Implementation date: 1

More information

Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI)

Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI) Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI) ARKANSAS METHODIST MEDICAL CENTER: How a foley catheter management system combined with education

More information

Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting

Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting AHRQ Safety Program for Long-term Care: HAIs/CAUTI Learning Objectives Upon completion of the webinar, core team members will be able to: Catheter-Associated Urinary Tract Infection (CAUTI) Definitions

More information

CATHETERISATION. East Lancashire Hospitals NHS Trust Eileen Whitehead 2010

CATHETERISATION. East Lancashire Hospitals NHS Trust Eileen Whitehead 2010 CATHETERISATION East Lancashire Hospitals NHS Trust Eileen Whitehead 2010 1 Indications for catheterisation: A person is unable to void naturally due to injury or a disease process Diagnostic or therapeutic

More information

SELF-CATHETERISATION. A Guide for Female Patients PATIENT EDUCATION. ADHB Urology Department; Reviewed JULY 2005 Ubix code NPEB1 1 ACH/2035/006

SELF-CATHETERISATION. A Guide for Female Patients PATIENT EDUCATION. ADHB Urology Department; Reviewed JULY 2005 Ubix code NPEB1 1 ACH/2035/006 SELF-CATHETERISATION A Guide for Female Patients PATIENT EDUCATION ADHB Urology Department; Reviewed JULY 2005 Ubix code NPEB1 1 This booklet has been designed to help you learn how to carry out self-catheterisation.

More information

Catheter Care How to Care for a Urinary Catheter

Catheter Care How to Care for a Urinary Catheter Catheter Care How to Care for a Urinary Catheter Ensure patient/client is provided with any available product specific instructions along with this booklet. About Your Catheter Your urinary catheter allows

More information

III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004

III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004 III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004 Purpose A. Allow for precise measurement of urine output. B. Collect a sterile urine specimen. C.

More information

A Guide to Help You Manage Your Catheter and Drainage Bags

A Guide to Help You Manage Your Catheter and Drainage Bags A Guide to Help You Manage Your Catheter and Drainage Bags A catheter can make a difference to your health and quality of life. We understand that it can be a big adjustment for you. This information will

More information

To decrease and/or prevent the incidence of catheter associated infections and other complications associated with IUC.

To decrease and/or prevent the incidence of catheter associated infections and other complications associated with IUC. Patient Care Manual Standardized Procedure Number: PC-SP.115 Latest Revision Date: 01/27/2015 Effective Date: 10/10/2011 Standardized Procedure: Urethral Catheter (IUC), Adult, Discontinuance of FUNCTION

More information

Long term Catheter Valves

Long term Catheter Valves Long term Catheter Valves Exceptional healthcare, personally delivered You have been fitted with a urinary catheter, either following surgery or because you have had problems with your bladder. A catheter

More information

NHS Professionals. CG8 Guidelines for Continence and Catheter Care. Introduction

NHS Professionals. CG8 Guidelines for Continence and Catheter Care. Introduction NHS Professionals CG8 Guidelines for Continence and Catheter Care Introduction Continence has been defined as control of bladder and bowel function and continence care is the name given to the total care

More information

Central Line-Associated Bloodstream Infection (CLABSI) Prevention. Basics of Infection Prevention 2-Day Mini-Course 2013

Central Line-Associated Bloodstream Infection (CLABSI) Prevention. Basics of Infection Prevention 2-Day Mini-Course 2013 Central Line-Associated Bloodstream Infection (CLABSI) Prevention Basics of Infection Prevention 2-Day Mini-Course 2013 2 Objectives Describe the etiology and epidemiology of central line associated bloodstream

More information

Speaking the same language: Uniformly defining critically ill patients for Foley use to. decrease catheter utilizations in an Intermediate Care Unit.

Speaking the same language: Uniformly defining critically ill patients for Foley use to. decrease catheter utilizations in an Intermediate Care Unit. 1 Speaking the same language: Uniformly defining critically ill patients for Foley use to decrease catheter utilizations in an Intermediate Care Unit. Abigail O. Imarhiagbe, RN, BSN-Student University

More information

Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s):

Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident with

More information

INFECTIONS OF THE URINARY TRACT AN INFORMATION LEAFLET. Written by: Department of Urology. July 2016

INFECTIONS OF THE URINARY TRACT AN INFORMATION LEAFLET. Written by: Department of Urology. July 2016 INFECTIONS OF THE URINARY TRACT AN INFORMATION LEAFLET Written by: Department of Urology July 2016 Stockport: 0161 419 5698 Website:w w w. s t o c k p o r t. n h s. u k Tameside: 0161 922 6696/6698 Website:

More information

(Facility Name and Address) (1A) Indwelling Urinary Catheter Use in the Long-Term Care Setting

(Facility Name and Address) (1A) Indwelling Urinary Catheter Use in the Long-Term Care Setting Policy Number: 1A Date: 4/16/14 Version: 1 (Facility Name and Address) (1A) Indwelling Urinary Catheter Use in the Long-Term Care Setting Introduction: Urinary tract infection (UTI) is a leading infection

More information