Module 2: Urinary Catheter Maintenance

Preventing CAUTI in the ICU Setting Slide Presentation

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AHRQ Safety Program for Reducing CAUTI in Hospitals

Preventing CAUTI in the ICU Setting

Module 2: Urinary Catheter Maintenance

AHRQ Pub No. 15-0073-4-EF
September 2015

Slide 2

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Setting the Stage

  • ICU patient has a urinary catheter because of recent extensive urological surgery
  • Nurse and transporter need to take the patient to radiology for followup study
  • Transporter grabs the urinary catheter bag and places the bag on patient’s abdomen
  • Nurse notices patient’s urinary catheter isn’t secured to her leg

Image on right side of slide: a urinary catheter bag.

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Question

  • What did you notice that could lead to the development of a CAUTI?

Slide 4

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Answer

  • Three issues:
    • Urinary catheter bag placement
    • No securement device
    • Urine drainage bag was not emptied

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Question

  • If you were the nurse in this scenario, what would you do?

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Answer

  • Nurse and transporter talk outside the patient’s room

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Back in the Patient's Room

  • Nurse uses the securement device
  • Nurse empties the urinary catheter bag
    • Important to do this aseptically

Images below slide: image of a securement device, and of a urinary catheter bag being emptied.

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Moving the Patient

  • Nurse and transporter move the patient from the bed to the cart
  • What would you do about the urinary catheter bag?

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Important to Remember and Communicate

  • Arrange tubing to avoid dependent loops or kinks

Images below text: the incorrect way (left side) and correct way (right side) to arrange the tubing to avoid loops or kinks.

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Summary

  • Observe
  • Communicate

Return to CAUTI Tools Resources Page

Page last reviewed December 2017
Page originally created November 2015
Internet Citation: Module 2: Urinary Catheter Maintenance. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/cauti-icu/facil-guide/mod2-slides.html