CAUTI PEARLS
CAUTI PEARLS Quiz
Test your knowledge about Catheter-Associated Urinary Tract Infections (CAUTIs) with our engaging quiz designed for healthcare professionals. This quiz covers important guidelines and best practices for Foley catheter care, indications for use, and methods for urine sample collection.
Enhance your understanding of CAUTIs and improve patient outcomes by learning:
- The correct procedures for Foley catheter insertion and maintenance.
- Indications for catheter placement.
- Proper urine sample collection techniques.
Your patient has had a foley for 4 days. Because they spiked a temp and have an elevated WBC, the MD has ordered a UA w/ reflex culture. Which is the correct process for obtaining a urine sample?
Disinfect the sample port and collect only fresh urine coming straight from the bladder.
Collecting urine when you empty the drainage bag. It is a closed-system.
Avoid collecting urine from the current foley as the tubing contains biofilm. Remove the foley and either straight cath the patient to collect urine or have them provide a sample once they void.
A foley has been ordered along with a urine sample. You can collect urine from the drainage bag as along as it is a new foley.
True
False
A patient had a foley placed at Northside Gwinnett Monday afternoon. They are discharged home that evening. Tuesday morning they come to the ED at Piedmont Walton. When documenting your assessment, you will document this foley as "Present on Admission".
True
False
A patient had a foley placed at Piedmont Rockdale on Monday at 10am. They went home and then came to the ED at Piedmont Walton on Tuesday at 7am. During their admission assessment, you would document their foley as "Present on Admission".
True
False
You can insert a foley if a bladder scan shows over 1000ml and the patient is symptomatic.
True
False
Your patient has had a foley placed for retention after following the ITV Algorithm. When should you remove it?
When the MD orders it to be discontinued.
After a follow-up with the urologist.
48 hours after insertion.
Your patient had a foley placed 18 hours ago. A UA w/ reflex culture has been ordered. At this point you can collect it from the sample port.
True
False
Which of the following indications are appropriate for insertion of a foley. Select all that apply.
Strict Q2H output
Hip fracture
Potential skin breakdown
Urinary retention (ITV Algorithm)
Neurogenic bladder
Ordered by the Urologist
The suction setting for the Purewick external catheter should be set at a minimum of 75mmHg.
True
False
Which scenario is correct? Select all that apply.
Bob's patient has had a foley for 3 days. A UA w/ reflex culture. To collect the specimen, Bob clamps the tubing distal to the sample port and collects fresh urine after disinfecting the port with Prevantics swabs.
Mary's patient has had a foley for 5 days. A UA w/ reflex culture has been ordered. Mary removes the foley and instructs the patient on how to collect a urine sample midstream when she is able to void.
Mary's patient has not been able to void after removing her foley. It has been 9 hours and she needs a urine sample. After her first bladder scan shows 600ml, Mary straight caths her patient to obtain a sample.
Your patient had a foley ordered and placed for retention on Monday. You discuss removing the foley Wednesday during MDR, however, the MD says to keep it in for I&O. No order is needed, however, the indication needs to be changed with charting the shift assessment.
True
False
Which statement is false regarding routine foley care and maintenance?
The red seal must always be intact unless it is absent due to a urology-placed catheter.
Foleys must be secured with a StatLock or some other approved securing device.
If a patient has a foley, perineal hygiene and catheter care must be performed and documented each shift.
The indication for a foley must be consistent from shift to shift.
The foley tubing can have loops as long as the drainage bag is below the bladder.
CAUTIs are the 2nd most common healthcare-associated infection.
True
False
A patient comes to the ED with a foley. They cannot tell you when, where, or why it was placed. After some research, you can determine it wasn't placed by a urologist, but you still do not know when or why. What is the correct step to take next?
Document as "Present on Admission" and perform foley care per protocol.
Remove the foley and replace with a new one for retention.
If the red seal is intact and the patient has a clean UA, leave the foley in place and secure with the proper securement device.
Remove the foley and use alternatives methods if necessary, such as a Purewick, as long as there are no indications to place a new foley.
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