Cauti Bundle

Question 1

What is a Cauti-Bundle stands for?

Answer 1

Catherter Urinary Tract Infection Care Bundle

Question 2

What is the aim of the Cauti Bundle?

Answer 2

REDUCE,REMOVE,CARE

To REDUCE the incidence of Urinary Catheter-associated Infection

REMOVE the catheter as soon as possible

CARE for catheters individually

Question 3

1.
Check the clinical indication why the UC is in situ?

Is it stil required?

Answer 3

ALL UC are INDICATED.

If there is no indication, the catherter can be removed.

•
urinary catheter has been reviewed. (i.e. daily for short-term and on a regular basis for long-term catheters) If the continuing need for the catheter has not been documented, check with the patient’s nurse/doctor whether the urinary catheter can be removed.

Question 4

2.
Check the catheter has been continuously connected to the drainage system.

Answer 4

Urinary catheters must be continuously connected to the drainage bag.

• Ask the patient or a nurse whether the catheter has been disconnected-find out whether the disconnection was appropriate.

Question 5

3.
The patient is AWARE of his/her ROLE in MINIMISING the RISK of DEVELOPING a urinary tract infection (UtI)

or ensure routine daily meatal hygiene is performed.

Answer 5

Patients are involved in their urinary catheter care and educated as to how they can minimise complications.

• Ask the patient if they know what they can do to minimise the risk of infection – if they are not aware, inform the patient how to minimise the infection risks.

Routine daily meatal hygiene is performed.

If the patient cannot perform self-catheter care, confirm the nurse that daily meatal hygiene has been performed.

Question 6

4.

Regularly empty urinary drainage bags as separate procedures, each into a clean container.

Answer 6

The urinary catheter bag should be emptied regularly, as a separate procedure, into a clean container.

• The use of ‘separately’ here implies that the same container has not been used to empty more than one catheter bag - without appropriate decontamination of the container, change of personal protective equipment and performing hand hygiene.

• If the container is for single use it must not be reused – with or without decontamination.

Confirm that the urinary catheter bag has been emptied regulary as a separate
procedure, into a clean container.

Question 7

5.
Perform hand hygiene and wear gloves and apron prior to each catheter care procedure; on procedure completion, remove gloves and apron and perform hand hygiene again.

Answer 7

Decontaminate hands (soap and water or alcohol hand rub/gel).

• Before accessing the catheter drainage system.

• After glove removal following access to the catheter drainage system.

• On removal of gloves.

• confirming with patient or nurse that that hand hygiene has been unsdertaken before and after accessing the urinary catheter drainage system by HCWs wearing plastic aprons and gloves.

Question 8

Summary of Bundle

1. Is it indicated? Is its required?
2. Is it continually connected? Should it be disconnected. Was it properly disconnected?
3. Patient participation or awareness to catheter / meatal hygiene
4. Emptying the urinary bag separately
5. Hand hygiene before and after the procedure. Before going to the next patient.

Question 9

SEQUENCE:

1. Hand hygiene
2. Take the cauti bundle form and complete the data
3. Identify all px who has UC
4. Go to the 1st px together with the nurse.
5. Introduce yourself and explain that you are checking all px who has UC if any can be removed
6. Ask if it is still indicated
7. Ask if it is continuously connected or removed properly
8. Ask if he is aware on how to minimize the risk of infection.
   If no, explain how to minimize by doing pericare.
   If px cant do catheter-self care. The nurse will say that meatal hygiene has been performed.
9. Drain the bag regulary in a clean container separately.
   Separately, container was decontaminated
   New gloves
   New apron
   Hand hygiene
10. Hand hygiene
11. Record action. Make arrangement for removal of cath if necessary
12. Go to the next px

Question 10

• Urinary catheters are used frequently in healthcare; however, their use can lead to serious life- threatening complications.

• Urinary catheters cause urinary tract infections and are a common cause of blood stream infections.

• Complications arise directly from their use and in particular if the care is sub-optimal.

• The risk of infectious complications increases the longer they are in use.
We have a duty to our patients to optimise urinary catheter care.

Monitoring our urinary catheter care will assist in optimising procedures and reducing the risk of urinary tract infection.

Question 11

OBJECTIVES

1. To optimise prevention of catheter-associated urinary tract infection (CAUTI) in OUR ward and thereby minimise the risk of secondary bacteraemias.
2. To be able to demonstrate quality urinary catheter care in OUR ward.