CAUTI Prevention

Question Title

* 1. Case 1
An 86 year old patient was admitted with COPD and who also has a history of chronic kidney disease and a-fib. The patient had a Foley placed at an outside facility. What is the first step you would do when receiving a patient with a Foley from an outside facility?

Place an order for the Foley in the system for POA catheter

Clarify with the patient if they had it at home prior to admission

Ask the physician if it is to be maintained or if it can be removed

Nothing the patient has CKD, so we should maintain it

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* 2. Case 2
A patient with a PMH of COPD, PNA, BPH, TIA and a-fib was admitted to your unit for shortness of breath. The patient has consults for Urology, Pulmonary with the attending being the Hospitalists. The patient had a Foley placed by Urology on the day of admission for retention. The order has the Nurse Driven Protocol ordered by the Hospitalists. The patient has now had the Foley for 8 days and getting ready for discharge. What would you do about the catheter?

Look at the order and see who ordered the catheter then ask them what to do

Nothing, chart that it is to be maintained due to the urology consult

Review the last Urology note to see what they said about the catheter

Call Urology and ask if they can remove the catheter

Just take it out because you don’t think the patient needs it

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* 3. Case 2 Continued
You find that the patient’s last Urology notes state that they are signing off and the Foley is to be maintained per the attending team. The patient has been charted as having the catheter being maintained for Urology by the previous shift RN. What steps would you take?

Call the attending to get a removal order to take out the Foley

Maintain the Foley per the Urology note

Call Urology to clarify the order

Discontinue it per the protocol if appropriate

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* 4. General Question
Do you feel comfortable approaching physicians about the necessity of a Foley Catheter?

Yes

No

Depends on the physician

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* 5. Please provide any feedback or comments regarding the CAUTI Champ group, speaking to physicians about catheters, or any questions that you would like answered regarding our practices here at UPMC Hamot?

Thank you for participating!