ブックタイトルカテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

概要

カテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

b. Protocols for management of postoperative urinary retention, such as nurse-directeduse of intermittent catheterization and use of bladder ultrasound scannersV. Administrative InfrastructureA. Provision of guidelines1. Provide and implement evidence-based guidelines that address catheter use, insertion,and maintenance. (Category IB)a. Consider monitoring adherence to facility-based criteria for acceptable indications forindwelling urinary catheter use. (Category II)B. Education and Training1. Ensure that healthcare personnel and others who take care of catheters are givenperiodic in-service training regarding techniques and procedures for urinary catheterinsertion, maintenance, and removal. Provide education about CAUTI, othercomplications of urinary catheterization, and alternatives to indwelling catheters.(Category IB)2. When feasible, consider providing performance feedback to these personnel on whatproportion of catheters they have placed meet facility-based criteria and other aspectsrelated to catheter care and maintenance. (Category II)C. Supplies1. Ensure that supplies necessary for aseptic technique for catheter insertion are readilyavailable. (Category IB)D. System of documentation1. Consider implementing a system for documenting the following in the patient record:indications for catheter insertion, date and time of catheter insertion, individual whoinserted catheter, and date and time of catheter removal. (Category II)a. Ensuring that documentation is accessible in the patient record and recorded in astandard format for data collection and quality improvement purposes is suggested.Electronic documentation that is searchable is preferable. (Category II)E. Surveillance resources1. If surveillance for CAUTI is performed, ensure that there are sufficient trained personneland technology resources to support surveillance for urinary catheter use and outcomes.(Category IB)< 原文 > II. Summary of Recommendations65