What measures can we use to reduce UTI infections?
Good perineal, and hand hygeine Fluid intake Promoting bladder emptying Acidifying urine Educate patient- how to wipe, how tighter clothes irritate
How do we apply external catheters?
We want to make sure they are not to tight They slip over the top of the penis ( leaving 1-2 in between the tip of penis and end of catheter) Secure with elastic adhesive
What routine care do we do for patients with indwelling/external catheters?
Perineal hygeine at least 3 times a day or PRN, can use soap and water Also clean after every defacation or bowel incontinence to minimize discomfort/infection Enourage fluid intake of 2000-2500 mL Irrigate and instill catheter PRN
What spots on the catheter are most common for infection to enter?
site of insertion drainage bag spigot tube junction junction of tube/bag
How do we collect a specimen from a catheter?
collect urine from port on drainage tubing using a sterile needle