UCSF Center for Healthcare Value - Caring Wisely 2.0

Crowd-sourcing innovative cost savings ideas from the front lines of care delivery systems

Scheduled Foley catheter removal to minimize un-necessary catheter re-insertion, to lower CAUTI rates

Idea Status: 

[Submitted with Tina Quon, RN]

 

Background: To minimize CAUTI, we currently ask primary teams to assess, on a daily basis, need for ongoing indwelling urinary catheter use, and order removal when indicated.

 

Problem: Foley catheters are often removed late in the day, which often results in catheter replacement during or after night-shift transfer of care, despite actual need. 

 

Solution:  We alert primary teams to order removal by 10 am, daily, and nurses to remove Foley’s by noon, daily, to allow adequate time for patients to void and for PVR’s to be checked by evening change of shift. Fill-Pull-Void and PVR-check guidelines provided by GU (Garcia). 

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