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Cauti

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Catheter Associated Urinary
Tract Infections (CAUTIs) By: Janelle Davidson
& Liz Ellis Picot Question Thesis Preventing catheterization Nursing Initiatives Nursing Initiatives Continued Aseptic Technique Current Practice
P: Any catheterized patient in the health care setting.
I: Special initiative for prompt catheter removal.
C: Versus routine procedure for catheter removal.
O: Decrease catheter associated urinary tract infections.
T: During the patient's length of hospital stay. Preventing catheterization, aseptic technique, nursing initiatives, and prompt removal are all factors that contribute to the decline of indwelling catheter infections. No clear protocol for catheter placement.

Criteria included in the research:
-Urinary retention (neurogenic bladder)
-Urine Tract Obstruction (blood clots, enlarged prostate, urethral problems)
-Close monitoring of urine output of critically ill and immobile patients.
-Urinary incontinence that poses a risk for a stage 3 pressure ulcers.
-Comfort care for terminally ill patients. Overall reduces the risk for infection
Competency Based Training
-Wash hands
-Don sterile gloves
-Maintain sterile technique while cleaning the meatus and upon insertion.

Important factors: Keep the tubing unclamped, disinfect the drainage spigot after emptying the bag, and place the bag below the bladder at all times. 1.Concept map for management of urinary retention -Daily checklist was applied to see if the catheter was still needed.
Catheter days decreased from 402 to 390. Overall Cauti rate reduced from 2.88 per 1000 catheter days to 1.46
2. Nursing identifies patient's with catheter placement. Daily communication with the Dr. about continued placement and if it is still necessary after 5 days.
Indwelling catheter days from 311.7 to 238.6
CAUTIs from 4.7/100 catheter days to zero. Physicians are only aware of…...

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