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âProfessional standards of qualityâ means services that are provided according to accepted standards of clinical practice. Standards may apply to care provided by a particular clinical discipline or in a specific clinical situation or setting. Standards regarding quality care practices may be published by a professional organization, licensing board, accreditation body or other regulatory agency.
Recommended practices to achieve desired resident outcomes may also be found in clinical literature.
Possible reference sources for standards of practice include:
o Current manuals or textbooks on nursing, social work, physical therapy, etc.
o Standards published by professional organizations such as the American Dietetic Association, American Medical Association, American Medical Directors Association, American Nurses Association, National Association of Activity Professionals, National Association of Social Work, etc.
o Clinical practice guidelines published by the Agency of Health Care Policy and Research.
o Current professional journal articles.
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It also goes on to say that "if a negative resident outcome is determined to be related to the facility's failure to meet professional standards, and the team determines a deficiency has occurred, it should be cited under the appropriate quality of care or other relevant requirement."
Since the CDC is the authoritative source from which standards of clinical practice related to infection control are developed, I would not recommend ignoring them. Discussions with urologists as well as articles in professional journals indicate that urologists across the country in general no longer recommend routine catheter changes or "catheter care" other than routine peri care. These practices changed some years ago. Since someone else has posted the reference from the CDC, I won't repeat that here.
Rena
Subj: RE: catheter changesThis is based totally on facility policy and the wishes of your medical director. Some want foleys changed monthly and some want foleys changed prn.
Date: 11/20/03 2:18:17 PM Pacific Standard Time
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Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Sherry Salinas [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 20, 2003 1:52 PM
To: [EMAIL PROTECTED]
Subject: catheter changes
Can someone point me to a source on when indwelling foley catheter changes should be done?
Thanks!
Sherry
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Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Healthcare Consultant
