Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 119 of 159

OSE_1212_part2_Layout 1 12/5/12 9:53 AM Page 120 S T A M P I N G O U T S S I S Appropriate use only Every CAUTI prevention guideline urges providers, first and foremost, to use catheters only when necessary. "The main issue is overuse or inappropriate use," says Thomas Hooton, MD, a professor at the University of Miami (Fla.) School of Medicine and lead author of the IDSA's 2009 clinical practice guidelines on CAUTI. "It's estimated that 30% to 40% of those who are implanted with a catheter don't need it. In long-term care, for instance, a lot of times a catheter is put in for the convenience of staff." In the outpatient setting, a catheter might be inserted to facilitate voiding when a surgical site impacts a patient's bladder or affects the ability to urinate, such as in general, GYN and urological surgery. But IDSA guidelines discourage their use for managing incontinence. Catheters are a go-to solution for treating patients who appear to be suffering from post-op urinary retention, but technology may provide a simpler, less invasive option. Scanning the bladder with a portable ultrasound device can measure urine volume, possibly ruling out retention and needless catheterization. "A bladder scan can help select out who needs to be catheterized," says Dr. Hooton. "It makes sense and is quite useful." It's not a standard of care, but the CDC's guidelines describe bladder-scanning technology as "a promising technology for CAUTI prevention," and a review by Italian researchers in the Nov. 2010 Journal of Clinical Nursing showed its effectiveness. 1 2 0 O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2012

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