Nurse-Driven CAUTI Prevention: Saving Lives, Preventing Harm and Lowering Cost. Key Practice Strategies to Reduce CAUTI: 1) Fewer Catheters Used, 2) Timely Removal and 3) Insertion, Maintenance, and Post-Removal Care. Informed by Guidelines for Prevention of Catheter-Associated Urinary Tract Infections (CDC, 2017).
Centers of Excellence
The Latest Research on Bladder Health
I recently saw a 77 year-old Latina woman with complaints of strong urinary urgency resulting in incontinence, frequency every 2 hours with nocturia x4. She described urgency as “pressure in my bladder.” She reported that her symptoms were “terrible.” Her symptoms were longstanding but appeared to be worsening. She had undergone lumbar spinal fusion 18 months ago, her third back surgery. This was about the time symptoms worsened.
Diane K. Newman, DNP, ANP-BC, FAAN is an Adjunct Professor of Urology in Surgery, Perelman School of Medicine, University of Pennsylvania and Co-Director of the Penn Center for Continence and Pelvic Health. She is the author of several books. The most recent is as lead editor of the 1st edition of the SUNA Core Curriculum for Urologic Nursing and of Clinical Application of Urologic Catheters, Devices and Products.
Catheter Resource Guides
This guide and the appended tools are designed to support implementation of evidence-based practices and elimination of catheter-associated urinary tract infections (CAUTI) in your hospital unit.
An external catheter is used by a man to collect urine that leaks from the bladder (called “urinary incontinence”). These catheters are also called “urisheath or sheath” or “condom” or “Texas” catheters. This catheter is used on the outside of the body. It fits over the penis and connects to a drainage bag.
Patient Education Resources
CONTROLLING YOUR BLADDER URGES with BLADDER TRAINING is information about overactive bladder symptoms of urgency, frequency and urgency incontinence. This tool detail bladder training strategies including methods for controlling urinary urgency.
HABITS THAT CAN AFFECT YOUR BLADDER is information about foods and liquids that can irritate the bladder causing urgency, frequency and incontinence. The first page is a list of foods that are known to be bladder irritants, with a list of foods and liquids that contain caffeine. The second page lists other things that can cause bladder symptoms including herbs that have been shown to negatively impact the bladder and information on recommended daily intake of fluids and drinks.
How to Do Pelvic Floor Muscle Exercises are instructions for performing pelvic muscle exercise. These are commonly referred to as “Kegels”. It details how to perform both quick and slow muscle contractions and provides tips for identifying the muscle, when to do them. These instructions are for men and women.
Doing the “Knack” to Stop Bladder Leaks reviews the strategy for stopping insentience, bladder leaks. Some refer to these as “stress strategy”. These instructions will assist a person in the use f the pelvic muscle at the time when urine leakage is most apt to occur.
Urinary tract infections are the most common type of bacterial infection,1 accounting for at least 11 million physician office visits, 2 to 3 million emergency department visits, 400,000 hospitalizations, and approximately $2.3 billion in healthcare costs annually in the United States.2,3,4,5
The Core Curriculum is a first-of-its-kind textbook that can be used by nurses to study for specialty certification as a urology registered nurse, and is a source of material to support urology nursing instruction in academic programs. It has applicability to nurses in acute care, long term care, home care and rehab settings as all encounter patients with urologic problems.
Intermittent catheterization should be performed in the presence of a residual urine volume and symptoms or complications arising from this residual volume of urine. Read More
Adherence to general infection control principles: Hand hygiene - the most important factor in preventing nosocomial infections, Aseptic catheter insertion, Proper Foley catheter maintenance, education, and care by nursing staff, Foley catheter use surveillance and feedback.Read More
The challenge is to produce a catheter that matches as closely as possible to the normal physiological and mechanical characteristics of the voiding system. Read More