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Slide 1

����APPSafety Program for Reducing CAUTI in Hospitals

Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps

����APPPub No. 15-0073-4-EF
September 2015

Slide 2

Summary of Module 1

• CAUTI is a common and harmful healthcare- associated infection
• Evidence-based guidelines exist about catheter use
• Mitigating CAUTI risk requires a team approach

Slide 3

Summary of Module 2

• Introduction to urinary catheter maintenance issues
• Use of “teachable moments” to empower others in preventing CAUTI

Slide 4

Summary of Module 3

• Use of unit protocols to minimize catheter use
• Importance of communication regarding urinary care plans

Slide 5

Evidence-Based Guidelines and CAUTI Prevention¹

Circular flowchart showing how to prevent CAUTI.

1. Preventing unnecessary and improper placement.
2. Maintaining awareness and proper care of catheters.
3. Prompting catheter removal.
4. Preventing catheter replacement.

¹ Meddings J, Saint S. Disrupting the life cycle of the urinary catheter. Clinical Infectious Diseases. 2011;52(11):1291–1293. PMID: 21596672.

Slide 6

CAUTI Prevention, as Easy as ABCDE²

• Adherence to infection control principles (e.g., aseptic insertion, proper maintenance, education) is important
• Bladder ultrasound may avoid indwelling catheterization
• Condom or intermittent catheterization in appropriate patients
• Do not use the indwelling catheter unless you must!
• Early removal of the catheter using reminders or stop-orders appears warranted

² Saint S, Olmsted RN, Fakih MG, et al. Translating healthcare–associated urinary tract infection prevention research into practice via the bladder bundle. Joint Commission Journal on Quality and Patient Safety / Joint Commission Resources. 2009;35(9):449-455. PMID: 19769204.

Slide 7

Your Challenge

• Promote a safety culture
• Sustain progress
• Limit the number of CAUTIs through:
  • Correct use (and not overuse) of urinary catheters.
  • Observation.
  • Communication.

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