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UTI Prevention

Prevention of UTIs requires a multidisciplinary approach

QuestionAnswer
True or False? Most hospital-acquired UTI’s are caused by Foley caths, suprapubic caths, and intermittent catheterization. True [66-86%]
How often should a Foley bag be emptied -- routinely? At least every EIGHT (8) hours or when 1/2 to 2/3 full - whichever comes first.
How often should the need for an existing Foley be reassessed? at least daily
True or False? 10% - 20% of Catheter-associated UTIs occur when the Foley is inserted! True
True or False? It does not matter whether or not you wash your hands before touching a Foley cath that is already in place. False. Use Excellent hand hygeine to avoid introducing microbes.
True or False? The longer a Foley is in place, the greater the risk of infection. True
A patient had a total knee replacement yesterday morning. This morning, he is up in the chair, pain is controlled via oral pain meds, and he is alert, awake, and oriented x’s three.Should his Foley remain in place? No. Patient does not meet criteria for appropriate use of a Foley.
On a Med-Surg unit, there are only SIX appropriate uses of a Foley cath. Name at least FOUR (4) of these appropriate uses. urinary retention or obstruction; neurogenic bladder; GU surgery or studies; gross hematuria with clots; incontinence with Stage 3-4 sacral pressure sores; hospice/palliative care
True or False? All UTIs show symptoms. False. A large majority of catheter-associated UTIs are NOT associated with symptoms.
Name at least FOUR (4) symptoms of UTI. cloudy or foul-smelling urine; positive UA or culture; feeling unwell; weak & tired; irritable; restless; c/o feeling hot; burning on urination; frequent voiding or urgency; pressure or discomfort over the bladder; change in mental status.
When should perineal care be done when a Foley cath is in place? At least every shift and after EVERY BM
Type of technique appropriate for insertion of a Foley cath Aseptic -- sterile technique
T/F Switch the drainage system of a Foley cath every 72 hours. False. [Keep the drainage system closed.]
Where a Foley cath should be in relation to the urinary bladder below the urinary bladder
Proper documentation of number of trips to the bathroom in HED undre I&O, Total (O) [for occurrences], place the number of trips to bathroom.
When should a Collection bag be emptied? when it is 1/2 to 2/3 full.
How often should a long-term Foley be replaced? it should be individualized and may be needed every 3 to 6 weeks.
Why should the cath be secured to the patient's leg or abdomen? to decrease the risk of bleeding, trauma, meatal necrosis, and bladder spasms from pressure and traction.
what size catheter is the best to use? the smallest possible that allows free flow of urine.
The single most important step in prevention of infection. Handwashing.
How much flid should the patient with a Foley be encouraged to drink daily (if no contraindications) 30mL per kg of body weight.
Perineal Care for a person with a Foley consists of what? Washing the skin and the tube with wash soapy water, rinse, and dry well.
Created by: ZonaB2