The nurse is reviewing the interventions for prevention of urinary catheter infections (CAUTIs). Which of the following interventions will help prevent infection? (Select all that apply.)
a. Maintain a closed system.
b. Perform routine perineal hygiene daily.
c. Only open the system when necessary.
d. Secure the catheter to prevent pulling on the catheter.
e. Maintain an unobstructed flow of urine.
A, B, D, E
Evidence-based interventions to prevent CAUTIs include:
• Use aseptic catheter insertion and sterile equipment.
• Secure indwelling catheters to prevent movement and pulling on the catheter.
• Maintain a closed urinary drainage system.
• Maintain an unobstructed flow of urine through the catheter, drainage tubing, and drainage bag.
• Keep the urinary drainage bag below the level of the bladder at all times.
• When emptying the urinary drainage bag, use a separate measuring receptacle for each patient. Do not let the drainage spi-got touch the receptacle.
• Perform routine perineal hygiene daily and after soiling.
• Quality improvement/surveillance pro-grams should be in place that alert pro-viders that a catheter is in place and in-clude regular educational programming about catheter care.
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