The Joint Commission
has revised for 2017 NPSG.07.06.01, its national patient safety goal for
prevention of CAUTI’s (catheter-associated urinary tract infections).
The elements of
performance for NPSG.07.06.01 are:
-
Limiting
use and duration
-
Performing
hand hygiene prior to catheter insertion or maintenance care
-
Using
aseptic techniques for site preparation, equipment, and supplies
-
Securing
catheters for unobstructed urine flow and drainage
-
Maintaining
the sterility of the urine collection system
-
Replacing
the urine collection system when required
-
Collecting
urine samples
(The NPSG acknowledges that there are certain medical conditions, predominantly
neurological ones, that require a prolonged use of an indwelling urinary
catheter in order to avoid adverse events and promote patient safety.)
-
Selecting
measures using evidence-based guidelines or best practices
-
Having a
consistent method for medical record documentation of indwelling urinary
catheter use, insertion, and maintenance.
-
Monitoring
compliance with evidence-based guidelines or best practices
-
Evaluating
the effectiveness of prevention efforts
(The NPSG notes that surveillance may be targeted to areas with a high volume
of patients using in-dwelling catheters, as identified through the hospital’s
risk assessment.)
Of course, we are
advocates of incorporating your evidence-based criteria into your CPOE system.
That can help ensure appropriate use of catheters and may help you meet some of
the documentation requirements. Innovative hospitals will also use barcoding to
help create documentation for things like time of insertion, review for
continuation, etc.
This NPSG and all
the other 2017 National Patient Safety Goals are now available on The Joint
Commission website (TJC
2016).
Our other columns on urinary catheter-associated UTI’s:
References:
The Joint Commission. Hospital Accreditation Program. National Patient Safety Goals Effective January 2017. Accessed November 18, 2016
https://www.jointcommission.org/assets/1/6/NPSG_Chapter_HAP_Jan2017.pdf
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