PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs)"

Transcription

1

2 PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs)

3 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 catheter was in place for > 2 calendar days and then removed, the date of event for the UTI must be the day of discontinuation or the next day for the UTI to be catheter-associated.

4 CAUTIs Urinary tract infections (UTI) are the commonest healthcare-associated infections (HAI), accounting for up to 40% of all HAIs. Most involve urinary drainage devices, such as bladder catheters. The risk of a catheterized patient acquiring bacteriuria increases with the duration of catheterisation,rising from approximately 5% per day during the first week to almost 100% at 4 weeks. One to four percent of patients with bacteriuria will ultimately develop clinically significant infection, e.g., cystitis, pyelonephritis, and septicaemia

5

6 Recommendations from CDC, SHEA-IDSA for indications of placement of urinary catheter Perioperative use for selected surgical procedures Urine output monitoring in critical ill patients Management of acute urinary retention and urinary obstruction

7 Recommendations continued... Assistance in pressure ulcer healing for incontinent patients At patient request to improve comfort or for comfort during end of life care (CDC)

8 Another indications for urinary bladder catheters During surgery to assess fluid status (ie, prolonged procedures, large volume fluid infusion). Management of hematuria associated with clots. Management of immobilized patients (eg, stroke, pelvic fracture). Management of patients with neurogenic bladder. Intravesical pharmacologic therapy (eg, bladder cancer). Management of patients with urinary incontinence following failure of conservative, behavioral, pharmacologic and surgical therapy

9 Contraindication The only absolute contraindication to the placement of a urethral catheter is the presence of urethral injury which is typically associated with pelvic trauma. The presence of blood at the meatus or gross hematuria associated with trauma is evaluated first with retrograde urethrogram; urologic consultation and urethroscopy may be necessary.

10 Inappropriate use of catheters Unwarranted urinary catheters are placed in 21 to 50 percent of hospitalized patients. The most common inappropriate indication for placing an indwelling urethral catheter is management of urinary incontinence. While catheter use in these patients may have a shortterm nursing benefit, the increased risk of complications associated with their use outweighs any benefit

11 It is also inappropriate to use catheters to obtain urine for testing in individuals who are capable of voiding spontaneously or who can reliably collect urine for monitoring output. Catheters are also often used to measure residual urinary bladder volume in hospitalized patients; however, its preferable to the use of a portable ultrasound unit (eg, BladderScan ). These devices correctly estimate residual volume greater than 50 ml in >90 percent of patients

12 Complications The most common complication of urinary bladder catheters is catheter-associated urinary tract infection. In males, urinary infection can lead to epididymitis or orchitis. Other rare complications of indwelling catheters include urinary tract obstruction from retained balloon fragments, bladder fistula, bladder perforation, or bladder stone formation. Improper or prolonged application of condom catheters can cause pressure-related complications including skin depigmentation, ulceration, or penile necrosis. These complications are more frequent in patients with penile sensory loss and can be prevented with proper application of the device and frequent patient monitoring.

13 The traumatic insertion of urethral catheters can create a false passage which may, if infected, lead to periurethral abscess. This complication is more frequent in patients with prior urethral stricture and can result in significant soft tissue infection. Long-term complications associated with chronic urethral catheters (indwelling or intermittent) include urethral stricture and incontinence

14 CHOICE OF CATHETER Indications Urinary retention Urine output monitoring in critically ill patient Patients undergoing prolonged duration of surgery Indwelling urethral Type of catheter Intermittent urethral Suprapubic Condom Y Y Y N Y Y Y N Intra- and post-operative monitoring: Y N Y N

15 Type of catheter Indications Indwelling urethral Intermittent urethral Suprapubic Condom Patients requiring large volume infusions or diuretics Patients requiring intraoperative monitoring of urinary output Patients with urinary incontinence Y N Y N Y N Y N Y N Y Y

16 Type of catheter Indications Indwelling urethral Intermittent urethral Suprapubic condom Post-prostate, bladder or gynecologic surgery Hematuria with clots Prolonged immobilization Urinary incontinence in patients who fail behavioral and pharmacologic al therapy and incontinence pads Y Y Y N Y N Y N Y Y Y Y Y N N Y

17 Type of catheter Indications Indwelling urethral Intermitten t urethral Suprapubic condom Neurogenic bladder/ spinal cord patients Assist in healing of open sacral or perineal wounds in incontinent patients Improve comfort for end of life care Y Y Y Y Y Y Y Y Y Y Y Y

18 CAUTI s... Increases patient length of stay Increases antibiotic use Increase patient discomfort

19 Risk factors for catheter associated UTIs Errors in catheter insertion Not doing pericare routinely Duration of catheterization Microbial colonization of the drainage bag Female gender Use for reasons other than surgery or output measurement Diabetes

20 Prevention Strategy No single strategy used to prevent these infections have been found to help decrease CAUTI. A recent Compendium of Strategies to Prevent Healthcare Associated Infections in Acute Care Hospitals emphasized the importance of reducing CAUTIs by using the bundle approach. - This information was taken published by SHEA-IDSA

21 What is a bundle approach? The bundle is a collection of process needed to effectively and safely care for patients undergoing a particular treatment/procedure with inherent risk. Several interventions are bundled together and, when combined, significantly improve patient care outcomes. SHEA-IDSA: Society for Healthcare Epidemiology of America/Infectious Disease Society of America

22

23 Hand Washing The CAUTI Bundle: Avoid unnecessary urinary Catheters Insert urinary catheters using aseptic technique Maintain urinary catheters based on recommended guidelines Review urinary catheter necessity daily

24 CAUTI bundle in detail Hand Washing: First and most important preventative measure Avoid unnecessary urinary Catheters: No invasive device should ever be used unless absolutely necessary(placing catheters increase risk of infection, decreases mobility and increases urethral trauma)

25 CAUTI bundle in detail continued... Criteria for foley catheter has been meet Verification that these have been met are required prior to insertion. Assessing a patient for urinary retention, severely ill thus decreasing mobility, and lack of bladder control. Never place for convenience for staff

26 CAUTI bundle in detail continued... Insert urinary catheters using aseptic technique: Utilize appropriate hand hygiene practice Insert catheters using aseptic technique and use sterile equipment Use as small a catheter as possible that is consistent with proper drainage to minimize urethral trauma

27 CAUTI bundle in detail continued... Review urinary catheter necessity daily and remove promptly Keeping foley catheter in place greater than 48 hours puts patient at risk for infection

28 Maintain urinary catheters based on recommended guidelines: Assure that foley care occurs for every patient, every day, and every shift Do pericare for patients that don t have a foley catheter everyday and every shift Maintain a closed drainage system Keep catheter properly secured to patient to prevent movement and urethral trauma

29

30 Maintain urinary catheters based on recommended guidelines: Keep collection bag below the level of the bladder at all times Maintain unobstructed urine flow

31 Maintain urinary catheters based on recommended guidelines: Empty collection bag at least every eight hours or as needed. Do not allow the drainage spigot to touch the collecting container, to avoid cross contamination when emptying foley Collection of specimen is done with aseptic technique Never take a sample from the urinary drainage bag. Take a urine sample from the sample port

32 Short Term Urinary Catheter Care Bundle User friendly Patient documentation Care pathway Recommend practice Recommend selection of catheter product and size Record of CSU s sent Record of patient education given

33 INSERTION Date / / (Day 1) 1. REASON FOR CATHETERISATION (please circle) Retention Residual Volume.mls Fluid Monitoring Post Operative Spinal / Epidural 2. CATHETER CHOICE (please circle) Does the patient have a confirmed latex allergy? NO / YES NO Latex allergy use latex PTFE coated catheter Female 12Fg FSS949 female FSS588 standar 3. INSERTION TECHNIQUE Hand hygiene Male 14Fg standard FSS589 16Fg standard FSS592 Haematuria Debris TURP State size:..fg Paediatric State size:...fg Latex allergy use silicone catheter Female 12Fg FSS650 (F) FSS 601 (M) Male 14Fg FSS602 16Fg Other Please state: Haematuri a Debris TURP State size:..fg Paediatric State size:...fg YES NO YES NO Catheter Sticker (found on Sterile gloves catheter packaging) Facial protection (If risk of splashing) Apron /Gown Urethral meatus cleaned prior to insertion (0.9% normal saline) Instillagel used Sterile Field... mls of water used to inflate the balloon Signed Print.

34 Catheter Specimen Urine (CSU) CSU s are ONLY to be taken if there is a clinical suspicion of Infection, with the exception of Critical Care patients. For further details please consult the Trusts policy. Date UTI suspected YES N O If YES please state symptoms Sample taken aseptically from catheter port Results Lab Specime n nos. Treated YES NO YES NO Patient details Patient Education Undertaken Assessors details Signature Name Signature Position

35 D A Y DATE Is the catheter still needed? Drainage bag positioned below the bladder & off the floor Gloves worn - manipulate catheter preceded & followed by hand hygiene Urethral Meatal hygiene performed Catheter circuit not broken (except for good clinical reason) Overnight link system discarded (Leg bags only) SIGN & Designati on YES NO YES NO YES NO YES NO YES NO YES NO Catheter drainage bag changed? YES / NO 28 IF THE CATHETER IS STILL REQUIRED CHANGE THE CATHETER, DRAINAGE BAG & COMMENCE NEW DOCUMENTATION Date catheter removed / /

36

37

38

39 Implementation Care Bundle piloted in acute areas, using PDSA cycle adjusted accordingly and introduced Weekly then monthly compliance audits Developed Short Term Urinary Catheter policy to support Care Bundle Staff Training & Education Saving 1000 Lives campaign Gained Clinical Governance support

40

41 Recommendations for future Practice Continue to roll out Implementation & audit of care bundle until Trust wide Develop the policy & documentation for long term catheters

42 In summary... looks at foley catheter placement in a bundle approach. When caring for and inserting foley catheters, be sure to: Wash your hands Avoid unnecessary catheters Always use aseptic technique Maintain catheters based on current recommended guidelines Review the necessity daily Implementation of bundles is so important

43 THANK YOU

44

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Male Urethral Catheterisation Education Package

Male Urethral Catheterisation Education Package Male Urethral Catheterisation Education Package TABLE OF CONTENTS 1. Accountability 2. Introduction 3. Types of Catheters 4. Guidelines for catheter selection 5. Patient Preparation 6. Equipment 7. Procedure

More information

Female Urethral Catheterisation Education Package

Female Urethral Catheterisation Education Package Female Urethral Catheterisation Education Package ACCOUNTABILITY It is essential that you can demonstrate an understanding of the following RUH NHS Trust Policies using The Royal Marsden Hospital Manual

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

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

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

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

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

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

Complication Prevention

Complication Prevention Nursing Best Practice for the Stroke Patient Complication Prevention Tara Panazzolo, MSN, RN-BC Nursing Performance Improvement Advisor Hackensack University Medical Center New Jersey State Stroke Conference

More information

Male Catheterisation

Male Catheterisation 1 Prepare your equipment, put what you need on to the trolley, choose catheter appropriate for urethral size and check the volume of water needed to inflate the balloon. All this information is written

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

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

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

Kaiser Oakland Urology

Kaiser Oakland Urology Kaiser Oakland Urology The Main Purpose of Bladder Catheterization Complete Bladder Emptying! Help maintain a healthy bladder Help maintain healthy kidneys Reduce the chances of significant urinary tract

More information

Catheter Associated Urinary Tract Infections (CAUTI) TAKING PRECAU-TIONS

Catheter Associated Urinary Tract Infections (CAUTI) TAKING PRECAU-TIONS Catheter Associated Urinary Tract Infections (CAUTI) TAKING PRECAU-TIONS Evidence-Based Practice in Prevention of Catheter Associated Urinary Tract Infections (CA-UTI) Catheter Associated Urinary Tract

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

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

Managing your bladder with a suprapubic catheter at home

Managing your bladder with a suprapubic catheter at home Managing your bladder with a suprapubic catheter at home Gateshead Primary Care Trust South Tyneside Primary Care Trust Sunderland Teaching Primary Care Trust What is a suprapubic catheter? A suprapubic

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

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

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

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

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

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

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

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

PROCEDURE FOR URINARY CATHETERISATION

PROCEDURE FOR URINARY CATHETERISATION PROCEDURE FOR URINARY CATHETERISATION First Issued Issue Version One Purpose of Issue/Description of Change Planned Review Date To promote safe and effective urinary catheterisation for patients in a community

More information

Care of the Catheterised Patient and Urinalysis

Care of the Catheterised Patient and Urinalysis Care of the Catheterised Patient and Urinalysis Male Pelvic Anatomy Female Pelvic Anatomy What does a urinary catheter do? Urinary Catheters Urinary Catheters Urinary Catheters Why do patients have catheters?

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

Hot Topics In Infection Control!

Hot Topics In Infection Control! 2015 SASKPIC Fall Conference Hot Topics In Infection Control! According to the Provincial ICCs that is Objectives Provide context for UTI prevention in Continuing Care settings Recommendations and tools

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

ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES

ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES The following pages provide examples of clinical guidelines to enable clinicians to develop their own resource material relevant to their hospital

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

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. Initial assessment and investigation of urinary incontinence bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used

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

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

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

Catheter Management. Justine Andrew Urology Nurse Specialist

Catheter Management. Justine Andrew Urology Nurse Specialist Catheter Management Justine Andrew Urology Nurse Specialist catheterisation to let or send down History of the catheter belongs to urology At the end of the 19 th C, patients carried catheters in the shafts

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

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

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

Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula

Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a

More information

Urinary Tract Infections

Urinary Tract Infections Urinary Tract Infections Overview A urine culture must ALWAYS be interpreted in the context of the urinalysis and patient symptoms. If a patient has no signs of infection on urinalysis, no symptoms of

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

CAUTI Project Implementation of a Nurse Driven Protocol to Reduce Utilization of Indwelling Urinary Catheters: A Quality Improvement Project

CAUTI Project Implementation of a Nurse Driven Protocol to Reduce Utilization of Indwelling Urinary Catheters: A Quality Improvement Project CAUTI Project Implementation of a Nurse Driven Protocol to Reduce Utilization of Indwelling Urinary Catheters: A Quality Improvement Project By Sarah Pierce, DNP, MSN, AGACNP-BC, CCRN, PLNC & Charlene

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

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased.

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks

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

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

Bladder and Bowel Control

Bladder and Bowel Control Bladder and Bowel Control Dr Sue Woodward Lecturer, Florence Nightingale School of Nursing and Midwifery 2 Why do we need to understand anatomy? Normal physiology Normal adult bladder capacity = 450-500mls

More information

Catheter-Associated Urinary Tract Infection (CAUTI) Event

Catheter-Associated Urinary Tract Infection (CAUTI) Event Catheter-Associated Urinary Tract Infection () Event Introduction: Urinary tract infections (UTIs) are tied with pneumonia as the second most common type of healthcare-associated infection, second only

More information

How-to Guide: Prevent Catheter-Associated Urinary Tract Infections

How-to Guide: Prevent Catheter-Associated Urinary Tract Infections Updated December 2011 How-to Guide: Prevent Catheter-Associated Urinary Tract Infections Prevent catheter-associated urinary tract infections by implementing the four components of care recommended in

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

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

Urinary tract and perineum

Urinary tract and perineum 9 Urinary tract and perineum Key Points 9.1 9.1 THE URINARY BLADDER URINARY RETENTION Acute retention of urine is an indication for emergency drainage of the bladder The common causes of acute retention

More information

NUR 111 Anne Marie Holler RN MSN(c)

NUR 111 Anne Marie Holler RN MSN(c) NUR 111 Anne Marie Holler RN MSN(c) Assignments Required Readings: Potter & Perry: pp. 1042-1085 Skills book: 809-840 Knowledge Base Anatomy Control Mechanisms Factors that inhibit micturation (voiding)

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

Bladder Health Promotion

Bladder Health Promotion Bladder Health Promotion Community Awareness Presentation Content contributions provided by the Society of Urologic Nurses (SUNA) National Association for Continence (NAFC) Simon Foundation for Continence

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

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

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

Are Urinary Catheters necessary during Endovascular Procedures? A prospective randomized pilot study. Medical Student Research Project.

Are Urinary Catheters necessary during Endovascular Procedures? A prospective randomized pilot study. Medical Student Research Project. Are Urinary Catheters necessary during Endovascular Procedures? A prospective randomized pilot study Medical Student Research Project Jordan Knepper Faculty advisor: Mark Langsfeld, MD Introduction Background

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

Looking after your urinary catheter at home. An information guide

Looking after your urinary catheter at home. An information guide TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Looking after your urinary catheter at home An information guide Looking after your urinary catheter at home This leaflet is provided for

More information

Prevention of CAUTI is discussed in the CDC/HICPAC document, Guideline for Prevention of Catheter-associated Urinary Tract Infection 4.

Prevention of CAUTI is discussed in the CDC/HICPAC document, Guideline for Prevention of Catheter-associated Urinary Tract Infection 4. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events Introduction: Urinary

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

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

Urinary Catheters in Acute Care: State of the Evidence in the New Frontier

Urinary Catheters in Acute Care: State of the Evidence in the New Frontier Urinary Catheters in Acute Care: State of the Evidence in the New Frontier Katherine Moore, PhD, RN Professor Emeritus University of Alberta Katherine.moore@ualberta.ca UEC Ottawa September 2014 Outline

More information

Guidelines for the Insertion, Ongoing Care and Removal of Indwelling Urethral Catheters

Guidelines for the Insertion, Ongoing Care and Removal of Indwelling Urethral Catheters Derby Hospitals NHS Foundation Trust Guidelines for the Insertion, Ongoing Care and Removal of Indwelling Urethral Catheters Aim Reference No: CG-T/2011/140 These evidence based guidelines seek to provide

More information

Bard: Intermittent Catheters. A guide to. Bard: Pelvic Organ Prolapse. An REIMBURSEMENT. overview of OF INTERMITTENT. Prolapse CATHETERS

Bard: Intermittent Catheters. A guide to. Bard: Pelvic Organ Prolapse. An REIMBURSEMENT. overview of OF INTERMITTENT. Prolapse CATHETERS Bard: Intermittent Catheters A guide to Bard: Pelvic Organ Prolapse An REIMBURSEMENT overview of Pelvic OF INTERMITTENT Organ Prolapse CATHETERS 1 Intermittent catheterization is a covered Medicare benefit

More information

Instruction Guide to Sterile Self-Catheterization for Women Using the Cure Catheter Closed System

Instruction Guide to Sterile Self-Catheterization for Women Using the Cure Catheter Closed System Cure Medical donates 10% of net income to medical research in pursuit of a cure for spinal cord injuries and central nervous system disorders. For information on scientific advancements, visit www.curemedical.com.

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

Looking after your bladder

Looking after your bladder Looking after your bladder A guide for women after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who

More information

Catheterisation. Indwelling catheters in adults. Evidence-based Guidelines for Best Practice in Urological Health Care. Urethral and Suprapubic

Catheterisation. Indwelling catheters in adults. Evidence-based Guidelines for Best Practice in Urological Health Care. Urethral and Suprapubic Evidence-based Guidelines for Best Practice in Urological Health Care Catheterisation Indwelling catheters in adults Urethral and Suprapubic 2012 European Association of Urology Nurses 2 Catheterisation:

More information

GU Assessment, Diagnosis and Case Studies. Jami Windhorn, RN BSN SOAR Session #7

GU Assessment, Diagnosis and Case Studies. Jami Windhorn, RN BSN SOAR Session #7 GU Assessment, Diagnosis and Case Studies Jami Windhorn, RN BSN SOAR Session #7 GU System Kidneys: Ultrafiltration of the blood, maintain water and electrolyte homeostasis Pelvicalyceal systems: urine

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

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

Bladder Health Promotion

Bladder Health Promotion Bladder Health Promotion Community Awareness Presentation endorsed by the Society of Urologic Nurses (SUNA) National Association for Continence( NAFC) Simon Foundation for Continence This presentation

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

Having a supra pubic urinary catheter

Having a supra pubic urinary catheter Having a supra pubic urinary catheter Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

150640_Brochure_B 4/12/07 2:58 PM Page 2. Patient Information. Freedom From an Enlarged Prostate

150640_Brochure_B 4/12/07 2:58 PM Page 2. Patient Information. Freedom From an Enlarged Prostate 150640_Brochure_B 4/12/07 2:58 PM Page 2 Patient Information Freedom From an Enlarged Prostate 150640_Brochure_B 4/12/07 2:58 PM Page 3 GreenLight Laser Therapy 1 150640_Brochure_B 4/12/07 2:58 PM Page

More information