Yes/No/NA

Physician’s order includes size of catheter and balloon and reinsertion orders.

Medical reason for catheter use is documented.

Catheter use is addressed on quarterly CATs and care plans.

Nursing assistant care sheet describes catheter care.

Catheter and perineal care are given with a.m. and p.m. care.

Intake and output record is maintained.

Nurses’ notes include urinary assessment.

Need for continuing catheter use is assessed with each quarterly assessment and as needed.

Urinary analysis is performed as ordered.

A closed, sterile system with tubing free of kinks is maintained.

Catheter tubing is secured to prevent catheter being pulled out.

Catheter tubing is placed below level of bladder.

Catheter bag covers are used to protect resident’s dignity.

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