Nursing group updates guidelines on preventing catheter-associated UTIs

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A new American Association of Critical-Care Nurses (AACN) Practice Alert stresses the use of pre- and post-catheterization assessments to gauge proper catheter use and to monitor early signs of urinary tract infection.

A new American Association of Critical-Care Nurses (AACN) Practice Alert stresses the use of pre- and post-catheterization assessments to gauge proper catheter use and to monitor early signs of urinary tract infection.

In the alert, the latest in a collection of evidence-based guidelines issued by AACN, the AACN said it expects nursing units to:

  • develop written guidelines for urinary catheterization, including indications for indwelling urinary catheterization and ensuring that catheter placement is limited to patients who meet indications
  • stock devices and supplies, and be aware of techniques that offer alternatives to indwelling catheters
  • design and implement standards and training programs for catheter insertion and manipulation
  • review daily the need for continued catheterization for all patients
  • develop systems to ensure prompt removal of catheters when their use is no longer indicated
  • implement infection surveillance programs that include unit-based urinary catheter days and rates of catheter-associated UTIs
  • develop action plans to address needed improvements.

The full Practice Alert is available here.

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