PC- Nurse-Driven Urinary Catheter Removal. Purpose : Reduce catheter associated urinary tract infections (CAUTI). Definitions: CAUTI – A nosocomial infection that can develop in patients with an indwelling urinary catheter.
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PC- Nurse-Driven Urinary Catheter Removal
Assess Patient for Indications
for Continued Catheter Use:
Indications present? Yes or No
Are any indications present?
And re-evaluate need at each subsequent SBAR Handoff
Patient care to include:
RN may remove catheter without MD order
74 yo female
ED admission to Med/surg nursing unit
Dx: ALOC, Laceration to forehead due to fall at home
Hx: Diabetes type II, osteoarthritis, mild HTN, lives alone & independent.
Labs: normal CBC, Na+ 125, K+ 3.8
UA: normal, obtained from urinary cath while in ED
CAT Scan: Negative for stroke
Admission to nursing unit from ED
The next day on Med/surg
According to the policy,
Nurse Driven Urinary Catheter Removal,
you can discontinue the catheter without the need of calling the Physician, for a d/c urinary catheter order.
Patient education post catheter removal
Instruct patient and family of the:
Reference / Regulations