Chapters Transcript SureStep™ Intermittent Catheter Tray introduction catheter associated urinary tract infections also known as scotty's are associated with increased morbidity, mortality and costs. Guidelines are in place to reduce kati risk factors and have led to extensive focus being placed on improving aseptic insertion practices. As a result, hospitals have made considerable improvements in fully catheter insertions. However, over 40% of urinary catheter insertions are performed with intermittent catheters that require the same aseptic insertion technique as a fully catheter differences between fully and intermittent catheter trays, increased practice variation and the risk for non aseptic insertions. The sure step intermittent catheter tray is designed to help hospitals standardize urinary catheter insertions to reduce practice variation and encourage proper aseptic technique, no matter which type of catheter is used, proper technique and procedural setup, proper technique for urinary catheter insertion, perform hand hygiene immediately before and after insertion insert urinary catheters using aseptic technique and sterile equipment. Use the smallest catheter possible consistent with good drainage and document the indications for catheter insertion, date and time of catheter insertion and the individual who inserted the catheter. Prior to starting the procedure, obtain all of your necessary supplies, clean gloves and the sure step, intermittent catheter. Kid perry care and insertion, wash hands and dawn. Clean gloves. Explain the procedure to the patient and open the peri care kit. Use the provided packet of wipes to cleanse the patient's peri urethral area remove gloves and perform hand hygiene with provided alcohol hand sanitizer gel. Using proper aseptic technique. Open the CSR rap. Don sterile gloves. Place under pad beneath the patient with the plastic or shiny side down position. Finished rated drape on the patient Saturate three foam swab sticks in providence iodine lubricate the catheter, Prepace the patient with the three foam swab sticks saturated in pavilion iodine. Use your non dominant hand for the genitalia and your dominant hand for the swab sticks. Note. Use each swab stick for one swipe only female patient with a downward stroke. Cleanse the right labia menorah and discard the swab. Do the same for the left labia menorah with the last swab stick. Cleanse the middle area between the labia menorah. Male patient cleanse the penis in a circular motion, starting at the urethral metis and working outward. Proceed with catheterization using your dominant hand. When the catheter tip has entered the bladder, urine will be visible in the drainage tube. Document the procedure according to your hospital protocol barred. Easy lock sampling ports indicated by the blue stem in the ports, accepts lure lock or slip tip collection devices. B. D. Vacuum tainer urine products can be used for collection storage and transport of urine specimens from a urinary catheter swab the surface of the bard. Easy lock sampling ports with an antiseptic such as the site scrub I. P. A device which is an effective disinfecting agent for lure hubs Using aseptic technique, position the collection device in the center of the sampling ports. Press the device firmly and twist gently to access the sampling ports. If using the BD vacuum tainer lure lock access device, collect urine into the B. D. Vacuum tainer tubes per your hospital protocol. If using a syringe slowly aspirated the urine sample into the syringe and transfer the sample to a collection cup. Or follow your hospital protocol For sample transfers after the sample is obtained. Discard the collection device according to your hospital's protocol. Follow your hospital's protocol for specimen labeling and transport indications intermittent catheters are intended for use in the drainage and or collection and or measurement of urine cautions. Federal usa law restricts these devices to sail by or on the order of a physician sterile and less packages opened or damaged except for any individually packaged components within the tray which are not labeled as sterile. These components are not terminally sterilized. Single use only. Do not re sterilize for urological use only. Warning on catheter. Do not use ointments or lubricants having a petroleum base they will damage the catheter warning after use this product may be a potential biohazard handle and dispose of in accordance with accepted medical practices and applicable local state and federal laws and regulations visually inspect the product for any imperfections or surface deterioration prior to use if packages opened or if any imperfection or surface deterioration is observed. Do not use. Please consult product label and insert for any indications. Contra indications hazards warnings, cautions and directions for use Created by
