1. Perform a complete assessment of patient’s risk factors for Cauti.
It is important to assess the patient's risk factors for Cauti in order to create an effective prevention and treatment plan. The main risk factors for developing a Cauti include frequent urinary catheterization, impaired host defenses such as immunosuppression and indwelling catheters. It is also important to assess the patient's use of antibiotics, prior Cauti infections and other medical conditions that may increase their risk for developing a Cauti.
2. Educate the patient on preventive measures and proper catheter use.
Patient education is an important component in preventing and managing Cauti infections. Health care providers should educate patients on proper catheter insertion technique, cleaning the area before inserting or changing the catheter, emptying collection bags regularly, washing hands after contact with any equipment used for catheterization, self-monitoring for signs/symptoms of infection such as pain, burning or fever when urinating, reporting any changes in their condition immediately.
3. Develop a treatment plan if signs or symptoms are present.
If the patient is exhibiting any signs or symptoms of Cauti infection, an appropriate treatment plan should be developed and implemented. Treatment plans may include antibiotics, draining urine from the bladder, changing catheters more often, and/or discontinuing indwelling catheters. The type of treatment will depend on the severity and extent of the infection as well as other factors such as age and underlying medical conditions.
4. Clean the genitourinary tract with soap and water prior to catheter insertion.
It is important to cleanse the genitourinary tract prior to inserting a catheter to reduce risk of contamination during insertion process. The healthcare provider should use soap and water to cleanse the urethra, penis or vulva prior to catheter insertion.
5. Use an appropriate-sized catheter for age, gender and size of patient.
It is important to ensure that the size of the catheter being used is appropriate for the age, gender and size of the patient. A larger catheter can cause trauma during insertion, while a smaller one may not be able to drain enough urine from the bladder. It is also important to consider which type of catheter (indwelling or intermittent) would be best for each individual patient.
6. Clean the catheter insertion site with an antiseptic.
Prior to inserting a catheter, it is important to clean the insertion site with an antiseptic solution. This will reduce the risk of contamination and infection during the procedure. The healthcare provider should wait until the antiseptic has dried before inserting the catheter.
7. Monitor and document all urine output.
Healthcare providers should be vigilant in assessing changes to urine output when a patient is catheterized, as this could potentially signify the presence of a Cauti infection or other complications. In order to detect any irregularities early on, it is necessary for providers to document both the color and volume of urine regularly.
8. Change the catheter according to institutional protocol.
It is essential to follow institutional protocols for changing catheters in order to avoid Cauti infections. The catheter should be changed regularly according to institutional guidelines, including when the patient reports any changes in their condition or is exhibiting symptoms of Cauti infection.
9. Document any changes in patient's condition, including fever, pain or other symptoms.
It is important to assess the patient's condition regularly and document any changes or symptoms that may indicate a Cauti infection. This includes fever, pain or other changes such as cloudy urine or foul smelling discharge. Documenting these findings allows healthcare providers to monitor for potential complications and intervene promptly if needed.
10. Complete a Cauti Risk Assessment tool annually.
It is important to complete an annual Cauti Risk Assessment tool (CRAT), which is designed to evaluate the patient's risk for developing a Cauti infection. This helps healthcare providers recognize potential risks before they become complications and allows them to take steps to prevent infections from occurring.
11. Maintain regular communication with all members of the care team.
Maintaining regular communication with the patient and all members of the care team is essential to preventing Cauti infections. This includes discussing any changes in the patient's condition as well as clarifying expectations for catheter care. Regular communication ensures that everyone involved in the patient's care is on the same page, which can help reduce risk of infection.
12. Follow up with patients after discharge to review treatment plan and prevent recurrence of Cauti.
Once a patient is discharged, it is important to follow up with them to review the treatment plan and ensure that they understand how to properly care for their catheter. This can help prevent recurrent infections and ensure that the patient has knowledge about proper catheter care.