HAC SPS Bundle Elements
Which department are you completing this survey for?
Name of the employee observed:
Patient MRN?
Perform hand hygiene immediately before and after insertion or any manipulation of the catheter device or site [CDC Reference]
Use sterile gloves, drape, sponges, and appropriate antiseptic or sterile solution for per urethral cleaning, and a single packet of lubricant jelly for insertion [CDC Reference]
Appropriate CDC Clinical Indications for Urinary Catheter: -Acute urinary retention (sudden/painful inability to urinate) or bladder outlet obstruction. -To improve comfort for end of life care if needed. -Critically ill and need for accurate measurements of I&O. -Selected surgical procedures (GU Surgery/Colorectal surgery) -To assist in healing of open sacral or perineal wounds in incontinent patients -Need for intraoperative monitoring of urinary output during surgery or large volumes of fluid/diuertics anticipated -Prolonged immobilization (potentially unstable thoracic of lumbar spine, multiple traumatic injuries e.g. pelvic fractures)
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