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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