Care and Maintenance Bundle

ERASE CAUTI

Performing Perineal Care & Catheter Maintenance

For patients who have an IUC, it is important that caregivers perform proper perineal care and catheter maintenance. The Care and Maintenance Bundle includes tools and educational resources to follow evidence-based practices for securement, perineal hygiene, drain bag placement and emptying, and timely IUC removal.

SafeSecure Securement Device

Guidelines issued by CDC/HICPAC and the Joint Commission’s National Patient Safety Goals recommend securing the catheter tubing to ensure unobstructed urine flow and drainage.^{4, 16} SafeSecure has a low profile designed to minimize urethral traction and be gentle to skin.

Foley InserTag

IUCs should be used for the shortest amount of time possible.¹⁶ Medline’s Foley InserTag offers clinicians a visual reminder of when the IUC was inserted and whether it is still clinically needed. It also helps support compliance with CDC/HICPAC recommendation to document catheter insertion date.⁴

ReadyCleanse Meatal and Perineal Care Cleansing Cloth

One of the biggest risks involved with urinary catheters is the potential for infection.¹⁷ Proper hygiene can help to reduce this risk. The ReadyCleanse system provides five soft, smooth cloths premoistened with a pH-balanced, hypoallergenic solution for cleaning the perineum of catheterized patients.

The following courses and training material are available with the Care and Maintenance Bundle of the ERASE CAUTI Comprehensive Care Solution. Contact your Medline representative about how to bring ERASE CAUTI into your organization.

Online Courses

Maintaining an IUC and Closed Drainage System

Reviews best practice techniques, including daily assessment of catheter need, securement, and drain bag placement and emptying.

Training Videos

Securement Device Application

Shows how to apply and remove the securement device.

Proper Perineal and Catheter Care

Demonstrates how to use ReadyCleanse to clean

Support Materials

Proper Peri-Care and IUC

Describes the importance of and correct cleansing method for the perineal area and external part of the catheter.

Maintenance Poster

Facilitating Drainage Poster

Explains best practice techniques for maintaining a closed drainage system and facilitating urine flow.

Proper Balloon Deflation Poster

Reviews best practices for balloon deflation.

IUC Bundle

The core of the ERASE CAUTI solution is the IUC Bundle. Its patented one layer tray introduces a systematic approach to evaluating IUC appropriateness and ensuring proper insertion technique.

See Bundle

Bladder Bundle

The Bladder Bundle supports the IUC Bundle by providing the tools necessary to reduce IUC use.

See Bundle

Care & Maintenance Bundle

The Care and Maintenance Bundle supports the IUC Bundle by facilitating the proper management, continual assessment and timely removal of IUCs.

See Bundle

References
- 1. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection (CAUTI) and Non-Catheter-Associated Urinary Tract Infection (UTI) and Other Urinary System Infection (USI) Events. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Accessed August 21, 3015.
  
  2. Saint S, Olmsted RN, Fakih MG, et al. Translating Health Care-Associated Urinary Tract Infection Prevention Research Into Practice via the Bladder Bundle. The Joint Commission Journal on Quality and Patient Safety. 2009;35(9), September 2009:449-455. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791398/ Accessed August 24, 2015.
  
  3. How-To Guide: Prevent Catheter-Associated Urinary Tract Infection. Institute for Healthcare Improvement; 2011. Available at: http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventCatheterAssociatedUrinaryTractInfection.aspx Accessed August 21,2015.
  
  4. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. Infec Control Hosp Epidemiol 2010;31:319-26. Available at http://www.jstor.org/stable/10.1086/651091 Accessed August 21,2015.
  
  5. 1 R3 Report: Catheter-Associated Urinary Tract Infections, Oakbrook Terrace, IL: The Joint Commission; 2011. Available at http://www.jointcommission.org/assets/1/18/R3_Report_Issue_2_9_22_11_final.pdf Accessed August 21, 2015.
  
  6. Meddings J, Kreiin SL, Fakih MG, et al. Reducing Unnecessary Urinary Catheter Use and Other Strategies to Prevent Catheter-Associated Urinary Tract Infections: Brief Update Review. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 9. Available from: http://www.ncbi.nlm.nih.gov/books/NBK133354/ Accessed August 25, 2015.
  
  7. Barlow K. 44% of Hospitals To Receive Multiple P4P Penalties—Will You? The Advisory Board Company. Available at: https://www.advisory.com/research/cardiovascular-roundtable/cardiovascular-rounds/2015/03/p4p-penalties Accessed October 3, 2015.
  
  8. Association for Professionals in Infection Control and Epidemiology. On the CUSP: Stop CAUTI Supplement—Spring 2014. Available at: http://apic.org/Resource_/PublicationIssueForm/10510bd2-57f0-42f4-ace0-ccd0ddf23b65/File/On-CUSP-Stop-CAUTI-final-supplement.pdf Accessed August 21, 2015.
  
  9. Hanchett M. Preventing CAUTI: A Patient-Centered Approach. Prevention Strategist 2012;9:42-50. Available at: http://apic.org/Resource_/TinyMceFileManager/epublications/CAUTI_feature_PS_fall_12.pdf Accessed September 16, 2015.
  
  10. Krein SL, Kowalski CP, Harrod M, et al. Barriers to Reducing Urinary Catheter Use: A Qualitative Assessment of a Statewide Initiative. JAMA Internal Medicine. 2013;173(10):881-886. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665648/ Accessed September 21, 2015.
  
  11. Green M. Standard Use Catheter May Be Linked to CAUTIs: 6 Things to Know. Becker’s Hospital Review. July 29, 2015. Available at: http://www.beckershospitalreview.com/quality/standard-use-catheter-may-be-linked-to-cautis-6-things-to-know.html?tmpl=component&print=1&layout=default&page= Accessed July 31, 2015.
  
  12. Internal data. Report available upon request.
  
  13. Streamline Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention. American Nurses Association. Available at: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/ANA-CAUTI-Prevention-Tool/ANACAUTI-Prevention-Tool.pdf Accessed August 24, 2015.
  
  14. Greene L, Marx J, Oriola S. Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs). Association For Professionals in Infection Control and Epidemiology. Available at: http://www.apic.org/Resource_/EliminationGuideForm/c0790db8-2aca-4179-a7ae-676c27592de2/File/APIC-CAUTIGuide.pdf.
  
  15. Saint S, Kowalski CP, Kaufman SR, et al. Preventing Hospital-Acquired Urinary Tract Infection in the United States: A National Study. Clin Infect Dis. 2008;46(2):243-250. Available at: http://cid.oxfordjournals.org/content/46/2/243.full Accessed August 21, 2015.
  
  16. 2015 National Patient Safety Goals. The Joint Commission. Available at: http://www.jointcommission.org/assets/1/6/2015_NPSG_HAP.pdf Accessed November 4, 2015.
  
  17. Transcript of catheter-associated UTI’s presentation by Dr. Sanjay Saint. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hicpac/uti_saint_video.html Accessed August 6, 2015.
  
  18. Urinary Catheter Care: Cleaning and Personal Hygiene. Presented by ATI™ Nursing Education. Available at: http://www.atitesting.com/ati_next_gen/skillsmodules/content/urinary-catheter-care/equipment/cleaning-and-personal-hygiene.html Accessed October 2, 2015.
  
  19. Data on file. Available upon request.