AimCriteria
Identify all patients with LTC, their clinical need for catheterisation, assessed and documented.All patients should have a patient record that documents the reason for catheterisation, type of catheter, catheter insertion, changes and care.

Standard 100%

Data collection: review of patient notes
Ensure that all healthcare personnel are trained and competent in urinary catheterisation.Healthcare personnel receive training and updates in the management of urinary catheters.

Standard 100%

Data collection: review of staff education records
To prevent catheter-related urinary tract infections (CR-UTI) associated with LTCAll healthcare personnel decontaminate their hands and wear a new pair of non-sterile gloves before manipulating the system.

Standard 100%

Data collection: observation/ self audit
To reduce the incidence of CR-UTI by maintaining a closed system.All long-term catheters must be connected to a sterile closed drainage system or valve

Standard 100%

Data collection: observation
To reduce the incidence of CR-UTI caused by blocking.All newly catheterised patients should have a patient record that documents the integrity of the catheter at first change and adjustments made to their change schedule accordingly.

Standard 100%

Data collection: review of patient notes
To ensure patients and carers are informed and educated about catheter managementAll patients and carers are aware of the need to:
Decontaminate their hands;
Keep the system closed.

Standard 100%

Data collection: direct patient questioning of patients and carers.

From: Appendix D, 2003 guideline appendices

Cover of Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care
Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care: Partial Update of NICE Clinical Guideline 2.
NICE Clinical Guidelines, No. 139.
National Clinical Guideline Centre (UK).
Copyright © 2012, National Clinical Guideline Centre.

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