Best practice: Preventing catheter-associated urinary tract infections
HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, July 21, 2009
Organizations pursuing ANCC Magnet Recognition Program® designation or redesignation are expected to collect and benchmark two nursing-sensitive indicators, which the organization can choose, at the unit level. Urinary tract infections is a popular choice, especially since the Centers for Medicare & Medicaid Services made infections a nonpay condition.
Evidence-based strategies help organizations reduce catheter use and thereby prevent many catheter-associated urinary tract infections (CAUTI). The first step for determining whether a patient requires placement or continuation of an indwelling urinary catheter is to establish whether the patient meets one or more of the following criteria:
- Bladder irrigation or medication instillation required
- Lower urinary tract obstruction not manageable by other means
- Neurogenic bladder conditions when intermittent catheterization is not possible
- Need for obtaining accurate intake and output in critically ill patients
- Massive hydration or diuresis
- Need to provide drainage in urologic surgery or surgery to contiguous structures
- Physician's order to place or maintain urinary catheter secondary to difficult insertion or other special procedures
- Managing incontinence in Stage III and IV pressure ulcers
- Promoting comfort in palliative care situations
Source: HCPro's Advisor to the ANCC Magnet Recognition Program®, July issue. Don't have a subscription? Take a look at the benefits of becoming a member of HCPro's Resource Center for the ANCC Magnet Recognition Program®.
Editor's note: Do you have a best practice you would like to share? E-mail them to senior managing editor Rebecca Hendren at rhendren@hcpro.com and see your name in print!
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