Comfort Devices and Pressure Relief
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Maintaining a closed drainage system is paramount for preventing CAUTIs. This means: never disconnecting catheter from tubing; keeping bag below bladder level; ensuring no dependent loops; emptying bag regularly using separate container; and using aseptic technique if entry necessary. Other essential practices: inserting only when necessary; removing promptly; using smallest catheter; securing to prevent movement; daily perineal care; and keeping bag off floor. CAUTIs account for significant healthcare-associated infections. Nurses should question continued need daily and advocate for removal when indications absent. Alternatives: condom catheters; intermittent catheterization; bladder scanners. Education includes: hand hygiene; proper positioning; and signs of UTI. Bundled approaches reduce CAUTI rates. Documentation should include insertion date, indication, and removal efforts. Nurses play key role in prevention through vigilance and advocacy. CAUTIs increase morbidity, length of stay, antibiotic use, and costs.
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