Ppt on urinary catheter care

Assessment of Renal and Urinary Tract Function (Chap. 43)

Cont….. 5. Prevent infection in the catheterized patient: Use aseptic technique during insertion of the catheter Use sterile closed urinary drainage system Prevent contamination of the closed system: never disconnect the tubing, the drainage bag should/Nursing Management Monitor fluid and electrolyte balance Reduce metabolic rate Promote pulmonary function Prevent infection Provide skin care Provide support Chronic renal failure: Or ESRD is a progressive irreversible deterioration in renal function in which/


On the CUSP: Stop CAUTI 1 Implementing CUSP to Eliminate Catheter-Associated Urinary Tract Infections (CAUTI) Project Initiation Call.

unit 4. Learn from Defects 5. Implement teamwork & communication tools CUSPCAUTI 1.Care and Removal Intervention Removal of unnecessary catheters Proper care for appropriate catheters 2. Placement Intervention Determination of appropriateness Sterile placement of catheter 40 Expected Benefits Increased awareness of appropriate indications for indwelling urinary catheter use Reduced use of indwelling urinary catheters Improved caregiver accountability to assess need and trigger UC discontinuation when UC no/


HANYS’ Continuing Care Issues Forum Nursing Home Surveyor Guidance for Incontinence and Catheters Debbie LeBarron, Director.

and/or treat UTIs. 19 Investigative Protocol Process - for a sampled resident with an indwelling urinary catheter or for a resident with urinary incontinence. Observation Interviews Record Review Interviews with Health Care Practitioners and Professionals 20 Investigative Protocol Observation Staff Understanding and Implementation of care plan Delivery of care – Infection Control/Skin Care Staff approach/resident dignity & privacy Awareness of complications >observations >reporting 21 Investigative Protocol/


AHRQ Safety Program for Long-term Care: HAIs/CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting Onboarding Webinar #2.

and re-hospitalization Increased risk of colonization/infections with MDROs Inappropriate antimicrobial use Operational costs of increased care and treatment Healthcare Infection Control Practices Advisory Committee 5 Question 1: What is an Indwelling Urinary Catheter? An Indwelling Urinary Catheter IS: a drainage tube inserted into the urinary bladder through the urethra; left in place and connected to a closed collection system; and sometimes called a “Foley/


Infectious Complications Related to the Catheter Other than CAUTI 1 Mohamad Fakih, MD, MPH Medical Director, Infection Prevention and Control St. John.

Aug;55 Suppl 2:S88-92)Clin Infect Dis. Recurrence Rates range from 20-30% for first recurrence Increased length of stay with CDI Need for ICU care if severely ill May need urinary catheter…… 27 Antibiotic Stewardship We have met the enemy and he is us Walt Kelly ANTIBIOTIC USE AND CLOSTRIDIUM DIFFICILE 28 Inappropriate antibiotic use and C. difficile infection 29/


Assessment of Renal and Urinary Tract Function (Chap. 43)

….. 5. Prevent infection in the catheterized patient:  Use aseptic technique during insertion of the catheter  Use sterile closed urinary drainage system  Prevent contamination of the closed system: never disconnect the tubing, the drainage bag/  Monitor fluid and electrolyte balance  Reduce metabolic rate  Promote pulmonary function  Prevent infection  Provide skin care  Provide support Chronic renal failure:  Or ESRD is a progressive irreversible deterioration in renal function in which the/


AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Infection Prevention: Recognizing and Communicating CAUTI Onboarding #4 for Long-Term Care Staff.

information Username: ltcsafety Password: ltcsafety 2.TeamSTEPPS® for Long-Term CareTeamSTEPPS® for Long-Term Care 15 3.Long-term Care: Indwelling Urinary Catheter Insertion Checklist and Instructions for UseLong-term Care: Indwelling Urinary Catheter Insertion Checklist Instructions for Use 4.Long-Term Care: Indwelling Urinary Maintenance Checklist and Instructions for UseLong-Term Care: Indwelling Urinary Maintenance ChecklistInstructions for Use 5.CAUTI Surveillance WorksheetCAUTI Surveillance Worksheet


ICU Clinical Decision-Making; Processes To Improve Catheter Insertion And Removal Choices; Science Of Safety Concepts To Improve ICU Culture 1 David Pegues,

by using generous amounts of sterile lubricant Perform Hand Hygiene Patient positioning Timing and location Maintenance Scheduled urinary catheter care 0800-1000 Scheduled bath times 1500-2300 – Bath Team received Hands On training No dependent loops Stat lock Transport 18 Maintenance 19 Do not perform bladder or catheter irrigation unless medically necessary Maintain sterile, closed system Turn, Turn, Turn Bowel Regimen – Either not enough/


Teaching Module International Continence Society Teaching Module Self-Management of Indwelling Urinary Catheters February 2016 Mary H. Wilde, PhD, RN Professor,

. American Journal of Nursing. 114(1): 38-45. Wilde, M. H., McDonald, M. V., Brasch, J., McMahon, J., Fairbanks, E., Shah, S., Tang, W., & Scheid, E., (2013) Long-term urinary catheter users self-care practices and problems. Journal of Clinical Nursing, 22, 356-67. Wilde, M. H., McMahon, J. M., McDonald, M. J., Tang, W., Wang, W., Brasch, J., Fairbanks, E., Shah, S/


بسم الله الرحمن الرحيم. OBJECTIVES To know the definition and indication of urinary catheter insertion. To know what is the types of urinary catheters.

maintain insertion. To know when to remove the urinary catheter. To know what is the foly s care bundle  A urinary catheter is a tube that is inserted into the bladder through the urethra to allow the urine in the bladder to drain out Definition of urinary catheterization  A urinary catheter is used in many different situations: 1.A urinary catheter may be inserted to drain the bladder before or/


Urinary Tract Infection

of therapy Functional or anatomic abnormality of urinary tract Male gender Pregnancy Elderly Diabetes Immunosuppression Childhood UTI Recent antimicrobial agent use Indwelling urinary catheter Urinary tract instrumentation Symptoms for more than 7 /mainly E.coli Gram-positive 5% to 24% of cases  Management : Resuscitation, vasoactive(phenylephrine) Supportive care, monitoring, Administration of broad-spectrum antimicrobial agents (aminoglycoside+/-)   Antimicrobial treatment should be continued until the /


PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs)

and, when combined, significantly improve patient care outcomes. SHEA-IDSA: Society for Healthcare Epidemiology of America/Infectious Disease Society of America What about CMC? Community Medical Center is implementing a bundle approach for Foley Catheter Insertion to reduce CAUTIs The CAUTI Bundle: Hand Washing Avoid unnecessary urinary Catheters Insert urinary catheters using aseptic technique Maintain urinary catheters based on recommended guidelines Review urinary catheter necessity daily CAUTI bundle in/


Indwelling Urinary Catheter Management and CA-UTI Prevention in NICHE Hospitals Heidi Wald, MD, MSPH; Regina Fink, PhD, RN, AOCN, FAAN; Heather Gilmartin,

practices, policies, procedures, and product use is imperative for all healthcare facilities. Objectives To understand the current state of nursing practice in NICHE hospitals with regard to bladder management, indwelling urinary catheter care, and surveillance METHODS Current Practice Survey Survey Methodology Sample: All NICHE Hospitals (n=250) Mechanism: Email survey using Survey Monkey sent to NICHE coordinators. Survey open for 1 month with/


Prevention of Catheter-Associated Urinary Tract Infections

. Infect Control Hospital Epidemiol 2008; 29 (Supplement 1): S 41-S50. http://www.jstor.org/stable/10.1086/591066 High Impact Intervention No 6. Urinary Catheter Care Bundle. London, Department of Health, 2007. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_078125.pdf UK Dept. of Health epic2: Guidelines for preventing infections associated /


Catheter Associated Urinary Tract Infection (CAUTI): A Prevention Plan

, and prior to transporting the patient. Using the EHR to document care and output of the urinary catheter. Objectives for CAUTI Prevention Recall how often to empty the indwelling urinary catheter drainage bag. Identify how often peri and catheter care should be completed and documented on a patient with and indwelling urinary catheter. Identify where the indwelling urinary catheter bag should be placed at all times. Regulations and Reporting Did you/


Preventing Catheter-Associated Urinary Tract Infections

development of infection.” SHEA-IDSA Compendium, October 2008 Preventing CA-UTI Avoid unnecessary urinary catheters Insert using aseptic technique Maintain catheters based on recommended guidelines (daily care) Review catheter necessity daily and remove promptly 1. Avoid unnecessary urinary catheters Studies: 21% of catheters not indicated at insertion 41-58% in place found to be unnecessary Catheters Are uncomfortable for patients Decrease mobility, which may impair recovery and contribute to/


Preventing catheter-associated urinary tract infections:

, using a separate collecting container for each patient, and avoid allowing the draining spigot to touch the collecting container Maintain meatal care with routine hygiene Preventing CAUTI Avoid unnecessary urinary catheters Insert using aseptic technique Maintain catheters based on recommended guidelines (daily care) Review catheter necessity daily and remove promptly Daily review of necessity with prompt removal “The duration of catheterisation is the most important risk/


Urinary Catheter Removal Protocol Nurse Driven Protocol: Go Live June 24, 2014.

Protocol Summary: Protocol that empowers the nurse to drive the removal of urinary catheter based on evidenced based guidelines. Purpose: Reduce urinary catheter days and help prevent catheter associated urinary tract infections (CAUTI), while maintaining compliance with the Surgical Care Improvement Project (SCIP) Core Measure. Scope: Indwelling urinary catheter that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection/


Management of Patients With Urinary Disorders

discomfort, increased knowledge of preventive measures and treatment modalities, and absence of complications. Interventions Prevention: avoid indwelling catheters, care of catheters Personal hygiene Medications as prescribed: antibiotics, analgesics, and antispasmodics Application of heat to the perineum to relieve pan and spasm Increased fluid intake Avoidance of urinary tract irritants such as coffee, tea, citrus, spices, cola, and alcohol Frequent voiding Patient education 2. Chronic/


Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 30 Urinary Elimination.

Wilkins Catheterization (cont’d) Providing catheter care: hygiene measures used to keep the meatus and adjacent area of the catheter clean Catheter irrigation: flushing the lumen of a catheter –Open system: retention catheter is separated from the drainage tubing/exercises may promote strengthening of the pelvic floor muscles Enlargement of the prostate can totally obstruct urinary outflow and make catheterization difficult or impossible General Gerontologic Considerations Copyright © 2013 Wolters Kluwer /


Does the use of Foley Catheters Increase the Occurrence of Urinary Tract Infection? Presented are four evidence based nursing studies showing the risks.

brought on by “linking payment with health care out-comes by paying more for better health care and less for inferior care”(Saint, 2009, pg. 878) CMS believes that if payment is halted for improper care, then the quality of hospital care would improve. CMS uses a system call present-on-admission “Engineering Out the Risk of Infection with Urinary Catheters” was written by Dennis G. Maki/


Update on Revised McGeer Criteria, Clostridium difficile Infections (CDI) and UTIs in the Long Term Care Facility Edward C. Oldfield, III, MD Virginia.

Growing elderly populations with increasingly complex medical problems. Scarce resources. Absent/poor coordination of clinical and nursing care. “The Perfect Storm of Antimicrobial Resistance” Surveillance in LTCFs Surveillance of infections is universally recommended as the/ that are c/w UTI but are not necessary for diagnosis. Urinary catheter specimens for culture should be collected following replacement of the catheter (if current catheter has been in place for >14 d). UTI Surveillance Definition Pyuria/


On the CUSP: Stop CAUTI 1 National Expansion: Implementing CUSP to Eliminate Catheter-Associated Urinary Tract Infections (CAUTI) Project Initiation Call.

unit 4. Learn from Defects 5. Implement teamwork & communication tools CUSPCAUTI 1.Care and Removal Intervention Removal of unnecessary catheters Proper care for appropriate catheters 2. Placement Intervention Determination of appropriateness Sterile placement of catheter 40 Expected Benefits Increased awareness of appropriate indications for indwelling urinary catheter use Reduced use of indwelling urinary catheters Improved caregiver accountability to assess need and trigger UC discontinuation when UC no/


Health Care-associated Infection (HCAI) Was referred to as “nosocomial” or “hospital” infection. An infection occurring in a patient during the process.

. Comments A positive culture of a urinary catheter tip is not an acceptable laboratory test to diagnose a urinary tract infection. Core Prevention Strategies (all Category IB) Insert catheters only for appropriate indications Leave catheters in place only as long as needed Ensure that only properly trained persons insert and maintain catheters Insert catheters using aseptic technique and sterile equipment (acute care setting) Following aseptic insertion, maintain a/


 Questionable Validity of the Catheter-Associated Urinary Tract Infection (CAUTI) Metric for Value-based Purchasing By Mara Rice-Stubbs RN, BSN.

data sets were comparing two different patient populations Recommendations  CAUTI Metric should incorporate BOTH catheter usage and catheter care.  APIC indicates Catheter Usage> Catheter Care  The current metric fails to accurately differentiate between good and poor performers. The CDC Guidelines state that it is inappropriate to use urinary catheters “as a substitute for nursing care of the patient or resident with incontinence.” 7 allnurses.com References 1. Agency for/


NHSN N ATIONAL H EALTHCARE S AFETY N ETWORK Catheter-Associated Urinary Tract Infection (CAUTI) ELSA SANTOS-CRUZ, CIC MOUNT SINAI MEDICAL CENTER (INFECTION.

(CFU)/ml with no more than 2 species of microorganisms. ----------------------------------------------------------OR----------------------------------------------------------- Patient had indwelling urinary catheter removed within 48 hours prior to specimen collection and at least 1 of the following signs or/cancer with liver and bone mets admitted to hospital with advance directive for comfort care and antibiotics only; Foley catheter, peripheral IV and nasal cannula inserted.  Day 4: patient is febrile /


Health Care-associated Infection (HCAI) Was referred to as “nosocomial” or “hospital” infection. An infection occurring in a patient during the process.

. Comments A positive culture of a urinary catheter tip is not an acceptable laboratory test to diagnose a urinary tract infection. Core Prevention Strategies (all Category IB) Insert catheters only for appropriate indications Leave catheters in place only as long as needed Ensure that only properly trained persons insert and maintain catheters Insert catheters using aseptic technique and sterile equipment (acute care setting) Following aseptic insertion, maintain a/


Urinary Tract Infection in Adults YL6 Renal Module.

# 1 exogenous cause of hospital-onset infections. Actions: use catheters only when essential use catheters only when essential use the correct catheter use the correct catheter use proper insertion & catheter-care protocols use proper insertion & catheter-care protocols remove catheters when not essential remove catheters when not essential  Link to: Urinary catheter infection preventionUrinary catheter infection prevention Get the catheters out ! CDC The appropriate intervention is: treat with antibiotic/


بسم الله الرحمن الرحيم. objectives To know the definition and indication of urinary catheter insertion. To know what is the types of urinary catheters.

a Foley is present post invasive cardiac or radiological procedure, confer with physician to remove Foley unless there is a clear reason for not discontinuing the Foley. Caring for a Person with an Indwelling Urinary Catheter  Indwelling urinary catheters are connected by a length of tubing to a urine drainage bag  The tubing is secured loosely to the person’s body near the insertion site/


Health Care Associated Infections You entered medical school with one idea in mind – to Save lives. Having a patient get a healthcare- associated infection.

. Comments A positive culture of a urinary catheter tip is not an acceptable laboratory test to diagnose a urinary tract infection. Core Prevention Strategies (all Category IB) Insert catheters only for appropriate indications Leave catheters in place only as long as needed Ensure that only properly trained persons insert and maintain catheters Insert catheters using aseptic technique and sterile equipment (acute care setting) Following aseptic insertion, maintain a/


AHRQ Safety Program for Long-term Care: HAIs/CAUTI Hydration Practices and Urinary Incontinence Care Planning Mary Sue Collier, RN, MSN, FABC Clinical.

? 8 Remember the “I” in C.A.U.T.I. Medical Indications for Catheter Insertion Appropriate Catheter Use Urinary retention, including bladder outlet obstruction To assist in healing perineal /sacral wounds Prolonged immobilization End of life comfort Inappropriate Catheter Use X Urinary incontinence X Immobility 9 For more information about catheter types, catheter care and catheter alternatives please review the June 2015 LTC Content WebinarJune 2015 LTC Content Webinar/


AHRQ Safety Program for Long-term Care: HAIs/CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting Onboarding #2 for All.

, long-term care staff will be able to: define an indwelling catheter and catheter-associated urinary tract infection (CAUTI); list the signs and symptoms for a CAUTI; and understand the importance of their role in CAUTI identification. 2 Learning Objectives What is a CAUTI? Four Questions to Identify a CAUTI Question 1Question 2Question 3Question 4 Does the resident have an indwelling urinary catheter connected to a/


Improving patient outcomes using a collaborative, inter-professional approach to Catheter Associated Urinary Tract Infection prevention in the ICU. Jo.

summary for 2012, Device- associated module. American Journal of Infection Control, 41 (2013), 1148 – 1166. Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M. and Wald, M. (2012). Indwelling urinary catheter management and catheter associated urinary tract infection prevention practices in nurses improving care for health system elders’ hospitals. American Journal of Infection Control, 1-6. Gorman, D. (2011). Reducing the incidence of/


Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 20 Urinary Elimination.

8 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  The following may be needed: Good skin care and dry garments and linens Good skin care and dry garments and linens Promoting normal urinary elimination Promoting normal urinary elimination Bladder training Bladder training Catheters Catheters Incontinence products to help keep the person dry Incontinence products to help keep the person dry  Incontinence is linked/


Health care associated infections You entered medical school with one idea in mind – to Save lives. Having a patient get a healthcare- associated.

. Comments A positive culture of a urinary catheter tip is not an acceptable laboratory test to diagnose a urinary tract infection. Core Prevention Strategies (all Category IB) Insert catheters only for appropriate indications Leave catheters in place only as long as needed Ensure that only properly trained persons insert and maintain catheters Insert catheters using aseptic technique and sterile equipment (acute care setting) Following aseptic insertion, maintain a/


Purpose Improvement Tools/Methods Limitations / Lessons Learned Fishbone Catheter associated urinary tract infection (CAUTI) prevention To assist with.

process and outcome measures to senior administrative, medical, and nursing leadership and clinicians who care for patients at risk for CAUTI Calculate percent of personnel who have proper training: o Numerator: number of personnel who insert urinary catheters and who have proper training o Denominator: number of personnel who insert urinary catheters o Standardization factor: 100 (i.e., multiply by 100 so that measure is/


Unit Three Nursing Care of Patients with Renal Problems.

. – Assess for pain. – Emotional Assessment. – After a TURP, the client will have a three-way Foley catheter and continuous bladder irrigation for at least 24 hours. – Record intake and output, noting the amount, color, and presence of clots. Nursing care for post-TURP: – Monitor the clients urinary output, after 24 hours of TURP, the urine should be a light pink color. – Encourage a/


Copyright © 2007 Elsevier Canada, Ltd. All rights reserved. Post-operative Care (relates to Chapter 19, “Nursing Management: Post-operative Care,” in the.

, Ltd. All rights reserved. Nursing Management Urinary Complications Nursing Management Urinary Complications If no catheter, client should be able to void 200 mL following surgeryIf no catheter, client should be able to void 200 / in Gastrointestinal Function Potential Alterations in Gastrointestinal Function Nursing ImplementationNursing Implementation Regular mouth care when NPORegular mouth care when NPO Antiemetics administered for nauseaAntiemetics administered for nausea NG tube if symptoms persistNG/


Chapter 22 Care of Patients with Alterations in Health All items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights.

items and derived items © 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. 31 Skills for Urinary or Reproductive Tract Disorders cont’d  Routine catheter care  Provide perineal care and clean the first 2 inches of the catheter every 8 hours  The use of powders or lotions on the perineum is contraindicated  Assess the urethral meatus and surrounding tissues  Change/


 Purpose: Reduce catheter associated urinary tract infections (CAUTI).  Definitions: CAUTI – A nosocomial infection that can develop in patients with.

catheterization Post op/post procedure (less than 48 hours prior) Presence of epidural catheter Spinal cord injury/significant immobilization issues Chronic long term indwelling catheter History of urinary retention MD order to continue urinary catheter Indications present? Yes or No Assess Patient for Indications for Continued Catheter Use :  Continue catheter care per policy.  Ensure compliance with catheter “bundle”:  Securing device used. (example: stat-lock)  No dependent loops in tubing/


Chapter 10 Care of the Patient with a Urinary Disorder

is indicated. What are the nursing responsibilities associated with the care of a patient having an indwelling urinary catheter? (From Lewis, S.M., Heitkemper, M.M., Dirksen, S.R. [2007]. Medical-surgical nursing: assessment and management of clinical problems. [7th ed.]. St. Louis: Mosby.) Different types of commonly used catheters. Disorders of the Urinary System Urinary retention Etiology/pathophysiology The inability to void despite an urge/


Medtronic ITB TherapySM Quick and Easy Troubleshooting for Catheter Complications Is the catheter working?

and head injury patients, respectively: agitation, constipation, somnolence, leukocytosis, nausea, vomiting, nystagmus, chills, urinary retention, and hypotonia. Events Observed during the Pre-marketing Evaluation of LIORESAL INTRATHECAL — Adverse events associated with/ neurological impairment, including paralysis, may occur at the tip of the implanted catheter. Clinicians should monitor patients on intraspinal therapy carefully for any new neurological signs or symptoms, change in underlying symptoms, or/


Urinary Elimination Teresa V. Hurley, MSN, RN. Urinary System Kidneys filter nitrogen, metabolic wastes, excess ions and water Kidneys filter nitrogen,

Postmenopausal women Postmenopausal women Individuals with indwelling urinary catheter Individuals with indwelling urinary catheter Individual with diabetes mellitus Individual with diabetes mellitus Elderly people Elderly people Four Types of Urinary Incontinence Stress — increase in intraabdominal / Empty bladder completely at regular intervals with no discomfort Provide care for urinary diversion and when to notify physician Provide care for urinary diversion and when to notify physician Develop a plan to/


Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Chapter 31 Urinary Elimination and Care.

.A. Davis Company Type of Catheters and Uses  Straight (single lumen)  One-time drainage or sterile specimen  Indwelling (double lumen or Foley)  Urine drainage for a specified amount of time  Three-way (triple lumen or Alcock)  Transurethral resection  Condom (Texas)  Male urinary incontinence Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Care of the Urinary Drainage Bag  Empty every 8/


TEMPLATE DESIGN © 2008 www.PosterPresentations.com Clinical Nurse Leader Impact on Inappropriate Indwelling Urinary Catheter Days Pam Johnson, RN-BC, BSN.

student, and not the staff, staff verbalized the next step of obtaining an order to remove the catheter and followed through without assistance of CNL student. Lateral Integration CNL student integrated care across the microsystem by approaching nursing and physicians to obtain orders to remove inappropriate indwelling urinary catheters. CNL student requested information systems to build in computerized reminders to physicians when an indwelling/


Urinary retention: causes and treatment options Dr. Mátyás Benyó U NIVERSITY OF D EBRECEN M EDICAL AND H EALTH S CIENCE C ENTER D EPARTMENT OF U ROLOGY.

) Tests ◦ Urine (if possible), CRP, WBC, creatinin, GFR Ultrasound, X-ray, iv urograpgy, CT Indication for stenting of lower urinary tract Obstruction (causes) Preparation for surgery: ◦ Urology (PNL, URS, pyeloplasty…) ◦ Surgery, gynaecology ◦ Postoperative care: ◦ Urology (PNL, URS, pyeloplasty…) ◦ Surgery, gynaecology ◦ Transplantology Treatment Ureter catheter Easy to remove Immobilisation 4-6 Ch DJ stent indwelling Harder to remove 4-6 Ch 6 week– 1/


Urinary Catheterization

on highlighted underlined words to get to informative links ! Updated Spring 2010 Recommended video: “Assessing Urinary Care” Available on Blackboard: Professor Hidle’s skills video on Foley Catheter insertion Intermittent/straight catheter vs Indwelling Foley catheter Indications/Purpose To relieve discomfort due to bladder distention (decompression) To assess residual urine from incomplete bladder emptying (retention) To obtain a urine specimen To empty the bladder completely/


Chapter 10 Care of the Patient with a Urinary Disorder

is indicated. What are the nursing responsibilities associated with the care of a patient having an indwelling urinary catheter? (From Lewis, S.M., Heitkemper, M.M., Dirksen, S.R. [2007]. Medical-surgical nursing: assessment and management of clinical problems. [7th ed.]. St. Louis: Mosby.) Different types of commonly used catheters. Disorders of the Urinary System Urinary retention Etiology/pathophysiology The inability to void despite an urge/


CUSP-Stop CAUTI-Learning Session #2

at University of North Carolina Health Care. Tina Adams, RN, Clinical Content Development Lead August 22, 2012 Objectives: Discuss incidence of urinary drainage device use and CAUTI in ICUs State the HIPAC/CDC indications for urinary drainage device use List 3 insertion best practices List 3 maintenance best practices Describe systems to increase the earlier removal of urinary catheters (UC) in ICU These are the/


What Impact Does a Nurse Training Program Designed to Decrease Urinary Catheter Use Have on Bacteruria Rates in the Community Hospital Setting? Jamie Bartley.

were inserviced on indications and non- indications for foley catheters Urinary tract obstruction Neurogenic bladder Urologic study/urologic surgery Stage 3 or 4 pressure ulcer Hospice, comfort care or palliative care only Figure 1: Indications for Urinary Catheter Use Nephrology Transferred from ICU Patient requests Confused Incontinence Other Figure 2: Non-Indications for urinary catheter use Collection of Catheter Data Catheter use was documented for one week (Monday- Friday) and/


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