You are on page 1of 1

CATHETER-RELATED URINARY TRACT INFECTIONS (UTIs) Nursing Unit: _______________________ Audit Tool or Ind!"lling Urin#r$ C#t%"t"r D"&i'"s 1.

Placement of urinary catheter appropriate? 2. Risk for UTI elevated prior to patient catheterization? 3. lternative!s" to ind#ellin$ catheter placement discussed prior to catherization? %. Insertion usin$ aseptic techni&ue? '. Use of antimicro(ial of impre$nated catheter? ). *losed+ dependent draina$e system? ,. Proper use collection practice? -. ppropriate urinary catheter care? .. Reassessment of need for continuation of catheter use? 1/. Prompt removal+ #hen possi(le.
Audit ( ) Audit ( * Audit ( + Audit ( , Audit ( -

!1" Use of ind#ellin$ urethral catheters should (e limited to patients re&uirin$ relief of anatomical or physiolo$ic outlet o(struction0 patients under$oin$ sur$ical repair of the $enitourinary tract !to facilitate healin$"0 critically ill or postoperative patients #ho need their urinary output accurately measures0 and+ de(ilitated+ paralyzed+ or comatose patients !to prevent skin (reakdo#n and infect pressure ulcers". !2" 1emales have a su(stantially hi$her risk than males0 patients #ith other active sites of infections or a ma2or pree3istin$ chronic condition+ such as dia(etes+ malnutrition+ or renal insufficiency. Insertion outside of the 4R or late in hospitalization further increases the risk of a UTI. !3" 1or incontinent males #ho do not have (ladder outlet o(struction+ condom draina$e appears to (e associated #ith a lo#er risk than ind#ellin$ urethral catheters. The use of in5and5out catheterization or temporary diaperin$ and (ladder trainin$ should (e considered. !%" 1ollo# facility policy and procedure closely. Use e3cellent hand hy$iene. !'" 6ultiple studies have su$$ested that silicone urethral catheters coated #ith hydro$el and silver salts reduce the risk of developin$ (acteriuria+ compared #ith standard late3 urethral catheters. !)" fter a catheter is inserted+ uncompromisin$ maintenance of closed draina$e is of the hi$hest propriety0 collection tu(in$ and (a$ should al#ays remain (elo# the level of the patient7s (ladder.

!," The catheter draina$e system should (e manipulated as little as possi(le+ and urine output should (e monitored hourly only #hen clearly indicated (y the patient7s condition. !-" 1ollo# facility7s urinary catheter care procedure0 use a separate drainin$ device for each patient. !." Reassess need and alternatives daily. !1/" Prompt removal #hen catheter is no lon$er needed. Audit () . #t ti/" o ins"rtion0 Audit (* - (- don" d#il$ 1211 %ours3