When a catheter is in place, the daily risk of developing a CAUTI ranges between 3% and 7%Īpproximately 25% of bacteriuria patients will develop a CAUTI CAUTI has been identified by the Centers for Medicare and Medicaid Services (CMS) as a hospital acquired condition that can be prevented through the application of evidence-based guidelines, and therefore acute care hospitals will no longer be reimbursed for these infections.īetween 15% and 25% of hospitalized patients may receive short-term indwelling urinary cathetersĢ6% of patients with indwelling urinary catheters for 2 to 10 days will develop bacteriuria Bacteriuria in a catheterized patient is often asymptomatic and will resolve spontaneously with removal of the catheter. Catheter-associated urinary tract infections (CAUTIs) have been associated with increased morbidity, mortality, hospital cost, and length of stay. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract. Introduction A urinary tract infection (UTI) is the most common type of healthcare-associated infection (HAI), accounting for more than 35% of infections reported by acute care hospitals. summarize the criteria for the discontinuation of a urinary catheter using the HOUDINI nursing protocol list the elements of the Surgical Care Improvement Project (SCIP) postoperative catheter removal protocol 5. explain the proper procedure for collecting a catheterized urine specimen 4. describe the proper technique for urinary catheter insertion and care 3. list several risk factors for catheter-associated urinary tract infections 2. Learning Objectives Upon completion of this module, the participant will be able to: 1. Reproduction is strictly prohibited without written consent. 13 Home Care of an Indwelling Urinary Catheter. 11 Algorithm for SCIP and HOUDINI Protocols. 10 The Surgical Care Improvement Project (SCIP). 8 Removal of Urinary Catheter – HOUDINI Nursing Protocol. 6 Proper Techniques for Urinary Catheter Maintenance. 5 Steps to Proper Bladder Catheter Insertion. 4 Proper Techniques for Urinary Catheter Insertion. 4 Inappropriate Indications for Indwelling Urinary Catheters. 4 Appropriate Indications for Indwelling Urinary Catheters. 3 Appropriate Inwelling Urinary Catheter Use. 3 Institute for Healthcare Improvement How-to Guide: Prevent CAUTI. This information may contain errors or inaccuracies or, due to advances in medical and scientific knowledge, may be or become outdated or inaccurate. Clinicians should base their medical decisions on all data and information available to them, as well as their professional judgment. This information is intended solely as general reference material and should not be relied upon solely in making any medical or clinical decisions. The information contained in these documents is not medical advice and should not be relied upon as such. After completing this module, additional information may be obtained from your Unit Manager, Supervisor or your Infection Prevention Specialist. If you do not achieve a score of 80%, please review the self-study module and retake the test. A score of 80% is required on the post-test. Please read all of the information provided in the self-study module. For additional information, please note the links located throughout and the references found at the end of the self-study module. The underlined words noted throughout the module are defined in the glossary at the end. All healthcare workers that participate in insertion and/or maintenance of urinary catheters should utilize this information. Overview This self-study module has been developed to provide essential information about the prevention of catheter-associated urinary tract infections (CAUTI). Self-Study Module Created March 2012 © 2012 BJC HealthCare. Prevention of Catheter-Associated Urinary Tract Infections
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