NO CAUTI Insertion Bundl e INDICATION HYGIENE TECHNIQUE

NO CAUTI Insertion Bundl e INDICATION HYGIENE TECHNIQUE SECUREMENT DOCUMENTATION • Appropriate indication • Confirm order, to include catheter and balloon size; use the smallest effective catheter size • Perform hand hygiene • Don clean gloves • Cleanse perineal area with appropriate bath wipes • Remove gloves and perform hand hygiene • Open sterile kit on clean surface using sterile technique • Don sterile gloves • Insert urinary catheter using sterile technique • Gently pull on catheter after balloon inflated to feel resistance • Secure catheter to patient’s leg with securement device • Ensure tubing is not kinked and drainage bag below bladder • Remove gloves and perform hand hygiene • Document type and size of catheter and balloon • Amount of fluid inserted in the balloon • Amount of urine obtained • Characteristics of urine • Date of insertion • Name of person performing insertion

HAND HYGIENE • Appropriate hand hygiene upon entering & exiting every patient room SHIFT NEEDS ASSESSMENT URINE SAMPLE COLLECTION • Alcohol swab the port prior to drawing specimen • Use sterile syringe to draw sample MAINTAIN CLOSED SYSTEM • Maintain sterile continuously closed drainage system (except when irrigating catheters and applying leg bags/CBI; adhere to policy) PERICARE • Pericare min once per shift • Educate patient/family about necessity of pericare • Appropriate indication • Can catheter be removed • Alternative products considered NO CAUTI Care & Maintenance CATHETER POSITIONING • Drainage bag off ground/ below bladder • Tubing free of kinks, clipped to bedding with green clip SECUREMENT DEVICE • Securement device is applied; clean, dry, intact • Rotated every 7 days