PREVENTABLE COMPLICATIONS
This hospital-acquired infection is directly linked to prolonged catheter use.
What is CAUTI?
How often must RNs complete the Urinary Catheter NDP?
What is every shift?
Would a patient on comfort care or at end of life, meet criteria to keep their foley?
What is Yes? (do not remove)
This must be done after catheter removal
What is document the removal?
True or False: RN needs provider approval to remove a catheter if NDP criteria are met.
What is False?
Other than infection, leaving an unnecessary catheter in place increases the risk of?
What are falls, skin breakdown, or decreased mobility?
If one or more “Yes” boxes are checked on the NDP, the RN should do this.
What is stop removal and discuss with the provider during rounds?
A patient had foley placed less than 24 hours ago with no other orders to keep. Would they meet criteria for removal?
What is Yes?
True or False: Accurate documentation ensures catheters are removed in a timely manner.
What is true?
When NDP criteria are met, this role has the authority to remove the catheter.
Who is the RN?
Early catheter removal helps promote this patient outcome.
What is mobility or independence?
Name one condition that automatically stops catheter removal.
What is neurogenic bladder / bladder injury / epidural catheter / hematuria / unstable spine?
A patient has a stage II perineal pressure ulcer and is incontinent, Would they meet criteria for foley removal?
What is Yes?
After removal, RNs must monitor the patient according to this.
What is the post-removal protocol?
This protocol empowers nurses to act independently for patient safety.
What is the Nurse Driven Protocol?
The most common gap/fallout identified when auditing NDP compliance?
What is a delay in foley removal?
This level of sedation (RASS score) qualifies as a “Yes” for continued catheter use.
What is RASS -4 or -5?
A patient was intubated 36 hours ago, Would they meet criteria for foley removal?
What is No?
This documentation error can make it appear a catheter is still indicated when it is not.
What is inaccurate assessment documentation?
Following the NDP supports this professional nursing principle.
What is autonomy or accountability?
The biggest patient safety risk of not following the NDP
What is increased risk of CAUTI and/OR patient harm?
ICU patients on this type of medication may still require accurate urine output measurement.
What are vasoactive agents or continuous diuretics? (Take either answer)
A patient who has zero “Yes” boxes checked, but RN has concerns about removal. Do they meet criteria to keep their foley?
What is clarify with the provider before removal?
The NDP indicates removal, but the RN feels hesitant due to “just in case” thinking.
What is trust the protocol and act within RN scope?
The NDP is completed at the start of the shift, but the patient’s condition improves mid-shift.
What is reassess and update the NDP?