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Ans) Nursing Intervention for CAUTI:

• Always use aseptic technique for the placement, manipulation, and maintenance of indwelling catheters – and remember that handwashing is the first and most important preventive measure, followed by the use of barrier precautions such as sterile gloves, drape, sponges, antiseptic solution, and single-use packets of sterile lubricant.
- Following aseptic insertion of the catheter by properly trained staff, maintain a closed drainage and unobstructed urine flow (be sure there are no kinks in the tubing, etc.)

• Every day, conduct a review of all patients with catheters, and advocate for the removal of those that are no longer necessary. Research shows that “forgotten catheters” are often inappropriate catheters – so don’t assume that physicians are always aware of a patient’s catheter status; it’s your job to speak up.
If your hospital has implemented protocols for nurse-directed removal of unnecessary catheters, become familiar with them and follow them – these allow for nursing assessment and intervention without a physician’s order. Some hospitals are instead using prewritten stop orders to ensure that post-op catheters are removed within a specified time period, or are implementing a system of alerts or reminders to remove catheters that are no longer necessary.

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