Policy and Procedure
CAUTI Prevention
Policy Name: Catheter Associated UTI Prevention
Purpose: To identify causes and take measures for the prevention of Catheter Associated Urinary Tract Infections (CAUTI) in the healthcare setting
Population: Healthcare members and patients who are caring for a urinary catheter either at home or in the hospital setting
Introduction: The mission of this policy is to inform healthcare workers of the proper procedures to follow in regards to the prevention of catheter associated UTI’s in the hospital setting. In order for this mission to be accomplished, all workers must follow this policy in the clinical and work environment. The main goal is to prevent unnecessary catheter associated infections.
Procedure:
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Aseptic hand hygiene must be maintained at all times when coming in contact with a catheter or catheter bag after insertion. Gloves must be worn when manipulating, emptying, or removing catheter to prevent spread of bacteria.
4. Properly maintain drainage system. Keep bag below the bladder at all times to prevent urine from migrating back into the urethra and bladder. Avoid letting the bag come in contact with the floor as this is an opportunity to pick up bacteria. Empty the bag and obtain sample from port using aseptic technique. Always clamp port and attach to bag when emptying or sampling is completed.
5. Provide perineal care daily, especially after bowel movements. Clean catheter from insertion site to the external tube to decrease the number of existing pathogens. Clean with soap and warm water.
6. Observe color, clarity, and odor of urine every shift. Monitor urinalysis results and other labs including WBC counts for possible infection the patient can incur.
7. Follow up with doctor daily and review charts for an order of removal. Removal of catheter as soon as possible decreases the patient’s risk of infection.
DISCLAIMER: This policy is subject to revision according to new research and evidence based practices that occur within the nursing profession. Policy and procedures will be updated as information becomes
d) Setting out procedures When setting out for procedure its done in two stages in our practice. First is initial setting of the instruments and materials before patient enter room. All (chair, spittoon, work tops...) is wipe down with disinfectant wipes and then set up instrument tray with some cotton wool rolls, articulation paper and 3 in 1 tip on little table on the side the chair handy for clinician. This table is moveable and can be set in desirable position. Hand pieces and local anaesthetic syringe with needle are place on the stationary table in the reach of clinical in the case she may need them.
Demonstrate the steps in cleaning and maintaining of the Bladder Scanner.
2010; 340: c279. 5. Minardi, D., d”Anzeo, G., Cantoro, D., Conti, A., & Muzzonigro, G. (2011). Urinary tract infections in women: etiology and treatment options. US National Library of Medicine, National Institutes of Health.
Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient. Sterilization technique ensures that there is no introduction of bacterial agents that may cause serious infectious such as sepsis, and death. Even if a nurse is using the best devices, it does not matter without proper sanitary care (The Fight Against UTIs Continues, 2011). Pericare is an essential component of caring for a patient with a catheter.
The preventive care is usually diverse especially when it comes to controlling the roundworms in places which are not good with hygiene. Most of the nurses usually advise the patients to stay in clean environments in order to prevent them from contamination (prevention, 2016). This is because the preventive measure which is taken are considered to be better than the cure methods. In the prevention of roundworms, the nurses play a very big role in ensuring that the conditions are mitigated completely.
At Toledo Hospital I noticed that the male extern catheters have been completely changed to a new design. Upon further investigation, I found that they have done so by observing and collecting evidence that the old model was doing more harm than good. The old models were very frequently leaking and causing discomfort and skin breakdown from the adhesive as well as the leaking urine that was constantly getting on the patient’s skin. To fix the issue they completely changed the design for external catheters for men and it has been found that application is easy and there is less discomfort and urine leakage from the catheters. From even my own experience this was a great change for the patient and
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
So, what is the definition of health care associated infections? They are infections that patients acquire while being hospitalized to receive treatment for their conditions either medical or surgical. Many of the HCAIs are preventable. In the modern healthcare, there are many types of invasive procedures that is used to treat patients to help them recover, also some devices are used, and all can be a potential risk for transmitting an infection to the patient while receiving the treatment. Instruments used during surgery can be a source of Infection, catheters are a source of urinary tract infections, and ventilators are a source of respiratory tract infections.
Can an increased hand washing practices by health care provides reduce the rate of catheter associated urinary tract infection (CAUTI)? 3. Between hand washing and the use of alcohol which is a more potent way to prevent hospital acquired infections. 4. Which is better?
We also use serotyping, which is the pre-matching of fluids between the host and the recipient to see if they match and do not cause an unfavourable
One of the major stressors as a surgical technologist is to maintain surgical sanitation standards (Qualities and Requirements of a Surgical Technologist ). In the operating room one can come in contact with diseases, sights or odors so there is little room for error (Qualities and Requirements of a Surgical Technologist). The best way to deal with the stress is to practice safety and sanitation standards and to communicate with team members when you something
Discuss the population at increased risk for CAUTI and identify evidence-based practice in maintaining a Foley. 4. Identify the appropriate anatomical location for catheter insertion and demonstrate suitable inches for catheter insertion for male versus female. 5. Demonstrate the correct technique in cleaning a catheter using water and soap. 6.
Patient is advised to wear a front button shirt because it is easier to remove and replace. - Offer a bedpan or place patient on the toilet every one to one and half hour during days and once every three hours or as needed to keep a patient comfortable and also as bladder training. Nursing evaluation - Patient was able to maintain her hygiene and improved comfort and self-care ability. - The self-care needed and dependent is decreasing since the patient can perform well with minimal assistance. Conclusion
Do not manipulate or recap used needles using both hands and any other technique whereby the exposed needle is directed toward any part of the body. If necessary, use of a one-handed "scoop" technique or mechanical recapping device is recommended. Use forceps, suture holders or other instruments and avoid "blind" actions when suturing. Never leave used sharps on a tray, bed, counter, exam table, or other location for someone else to dispose. As soon as possible, do it yourself.
In all areas of healthcare, particularly in acute care settings, patients may be unable to care for their nutritional and/or hygienic needs properly. One area that is especially important to address is the perineal care of patients who are incapacitated, or otherwise unable to care for their hygienic needs independently. Normal bacterial flora can develop into an opportunistic infection if the bacteria reaches certain areas of the body. For example, a common cause of urinary tract infections (UTI) is due to Escherichia coli from the colon coming into contact with the urethra (Copstead & Banasik, 2013). If the patient is immunocompromised, elderly, sedentary, or otherwise compromised in their abilities to void, this can predispose the patient