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{"sheet":"CAUTI","index":0,"n_rows":31,"n_cols":36,"rows_kept":31,"cut":false,"hidden":false,"merged":[[30,2,30,17],[0,1,3,1],[4,0,4,20],[11,0,15,0],[9,0,10,0],[16,0,24,0],[27,0,29,0]]}
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["In the section below, please enter an \"y\" or \"n\" for patient being tracked to indicate if the following elements were completed. Note: All fields must be filled in. "]
["Dates being tracked:","Please enter the current period being tracked here:"]
["Element","Best Practice","Patient Sample"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,"Total","Percentage"]
["Patient ID# (optional)",null,"ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE"]
["Appropriate indication for urinary catheter per policy","Physician order",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C10:AF10,\"y\")","v":0},{"$f":"IFERROR(AG10/(AG10+AI10),\"0\")","v":"0"},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0}]
[null,"Documented indication",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C11:AF11,\"y\")","v":0},{"$f":"IFERROR(AG11/(AG11+AI11),\"0\")","v":"0"},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0}]
["Catheter insertion\n","Insert catheters using aseptic technique and sterile equipment ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"a. Perform hand hygiene before and after insertion",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"b. Use sterile gloves, drape, sponges, antiseptic or sterile solution for periurethral cleaning, single-use packet of lubricant jelly",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"c. Properly secure catheters",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Two-staff team for insertion, if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Catheter maintenance","Identify and remove catheters that are no longer medically necessary",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Daily review for continued medical necessity",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Alternative to indwelling catheter considered",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Sealed catheter tubing junctions",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Catheter and tubing is free from kinks",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Collection bag is below bladder level and not touching floor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Collection bag is secured to the leg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Every patient with a catheter has a labeled urine collection container at the bedside",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Educate patient and care partner on catheter maintenance",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Post-surgical indwelling catheter","Automatic discontinuation order or MD-ordered, nurse discontinuation protocol in use ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Transfers to lower level of care","Medical necessity evaluation for discontinuation of indwelling catheter",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Indwelling catheter discontinuation","Bladder training program initiated if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C28:AF28,\"n\")","v":0},0]
[null,"Use of ultrasound to assess retention, if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Alternative to indwelling catheter considered",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C30:AF30,\"n\")","v":0},0]
[null,"\n","This material was prepared by the Healthcare Association of New York State, Inc., a Hospital Quality Improvement Contractor under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. 12SOW/EQIC/HQIC-0011-12/09/22"]