Catheter Associated UTI.ppt

Catheter Associated UTI Remove That Foley! Objectives Review evidence that foley catheters cause infection Employ algorithm to determine if foley catheter is appropriate Apply guidelines for when to remove foley catheter Foley Catheters Cause ? Infections ? Length of stay ? Cost $$$ ? Patient Discomfort ? ? Antibiotic Usage ? Risk of falls (tethered to bed/1 point restraint) ? Risk of skin breakdown, DVT and pneumonia due to immobility Urinary Tract Infection (UTI) and Indwelling Catheters UTIs: THE most common Hospital Acquired Infection (HAI) and are directly associated with the use of indwelling foley catheters 40% of all HAI are caused by UTI 80% are secondary to foley catheters Risk of infection ? 5% each day ? 25% at 1 week 100% at one month Duration SCIP INF-9* recommends that post-operative foley catheters are removed by the end of post op day 2 Use urinary catheter in operative patients only as long as necessary SCIP INF-9 requires physician documentation for foley catheter continuation When to Discontinue Foley Catheters? Decreasing the duration of an indwelling urinary catheter will reduce the risk of a catheter-associated UTI The time frame for foley catheter removal is dependant on clinical judgment and findings Indwelling catheters should not be changed at arbitrary intervals Foley Catheter Checklist* Foley Catheter Sticker*: Doctor’s Order Documentation of catheter criteria Sticker for Chart Front to Alert MD Place on front of chart Foley Catheter in place…… See Doctor’s Order Sheet Date__________ Cat # 86605 Unit Flyer How does this apply to nursing? Nurses must advocate for the removal of unnecessary indwelling catheters. Use the criteria-based guidelines to determine need for foley catheter. Document foley criteria, insertion date, and discontinuation date. Nursing Guidelines Use the decision-making algorithm Use the Criteria-Based Foley Catheter Checklist daily for areas that do not chart in GECE/IDX If no crite