Urinary tract infections are the most common hospital-acquired infection, accounting for up to 40% of infections reported by acute care hospitals. The major risk factors for catheter-associated urinary tract infection (CAUTI) are the presence of an indwelling urinary catheter and the length of its use. The occurrence of CAUTI is associated with increased morbidity and mortality, as well as increased hospital cost. The Centers for Medicare & Medicaid view CAUTI as a preventable condition and provide no additional payment for the treatment of CAUTI.
Assess the patient for accepted indications and alternatives before placing any indwelling urinary catheter.
Adhere to aseptic technique for placement, manipulation, and maintenance of indwelling urinary catheters.
Document all instances of indwelling urinary catheters, including insertion date, indication, and removal date.
Discontinue indwelling urinary catheters promptly as soon as indications expire.
Develop written guidelines for urinary catheterization that include specific indications.
Form a team with colleagues...