Renal Question #47
A nurse is part of the infection control team on the unit and the goal is to reduce the number of hospital acquired urinary tract infections. Part of the staff instruction will include handwashing and which other reasons? (Select all that apply)
- Improper and inconsistent catheter care.
- Poor perineum hygiene for clients with and without foley catheters.
- Medication errors.
- Poor nutritional follow-through.
Improper and inconsistent catheter care may contribute to hospital acquired urinary tract infections. Additionally, perineum hygiene after bowel movements with clients that have foley catheters and those that do not have catheters increases the rates of hospital acquired urinary infections. Policies vary on products utilized for catheter care and perineum care; however, attention must be given to prevention of catheter associated urinary tract infections (CAUTI), plus hospitalized clients unable to care for self who may not have catheters. Medication errors do not relate to hospital acquired urinary infections and although nutrition is important, it is not the reason for hospital acquired UTI. All personnel both licensed and unlicensed should apply the same type of care for foley catheters including: Use catheters only when necessary (not for convenience); keep system closed and if changed, use aseptic technique and sterile equipment; maintain unobstructed flow; empty collection bag using separate container for each client and keep container clean; use standard precautions at all times; Cleanse meatal area DAILY or more frequently according to policy and supervise all non-licensed personnel to ensure care is completed appropriately.
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