Issue link: https://blog.providence.org/i/1541294
CAUTI Prevention CAUTI is a urinary tract infection (UTI) that occurs in a patient who has had an indwelling urinary catheter in place within the 48 hours before the onset of the infection. Best Practices: 1. Use indwelling catheters only when indicated • Review and utilize the Adult Acute Urine Retention Protocol. This evidence-based practice protocol has a physician page created and vetted by urologists and nephrologists. We need your help! • Acute urinary retention was the most common indication for catheter when patients developed a CAUTI in 2024 in the South Division. • We have alternative devices readily available! Check out what we have in the Indwelling Urinary Catheter Algorithm and Alternative Options Document. 2. Ensure timely catheter removal. The Nurse Driven Removal Protocol is a part of the order to insert an indwelling urinary catheter. This cuts down on the number of calls from nurses to request orders to remove! Please help to empower your nurses to utilize this protocol when the patient no longer has an indication for a catheter. CLABSI Prevention CLABSI is a laboratory-confirmed bloodstream infection in a patient where a central line has been in place for at least 48 hours prior to the onset of symptoms. It is associated with the use of central venous catheters and not attributable to infection at another site. Best Practices: 1. Use central lines only when indicated • Review and utilize the Vascular Access Device Algorithm. This helps to identify the necessary device with the least risk for infection. • Utilize your Vascular Access Device Team as available. 2. Ensure timely catheter removal Review and document the continued indication for a central line at least daily and order removal as soon as possible. Provider Education Training Manual 6 |