The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the following Best Practice Gudielines:
Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!
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An illustration of the structure of the lower male and female urinary tracts.
Registered Nurses' Association of Ontario. (2006). Self-Learning Package Continence Care Education. Toronto, ON: Retrieved from: http://rnao.ca/bpg/guidelines/resources/continence-care-education-selflearning-package
Visual illustration on placement of catheter within the female bladder.
Registered Nurses' Association of Ontario. (2006). Self-Learning Package Continence Care Education. Toronto, ON: Retrieved from: http://rnao.ca/bpg/guidelines/resources/continence-care-education-selflearning-package
An illustration showing the muscles that control bladder emptying. Two diagrams identifying one with weak control muscles and one with strong bladder control muscles
Registered Nurses' Association of Ontario. (2006). Self-Learning Package Continence Care Education. Toronto, ON: Retrieved from: http://rnao.ca/bpg/guidelines/resources/continence-care-education-selflearning-package
A game using the 'Jeopardy' format with the questions based on the RNAO Best Practices on Continence and Constipation.
Reference: Registered Nurses Association of Ontario. 2014. Best Practice Jeopardy. Toronto, ON.
A detailed, 8 page assessment of urinary and bowel continence issues that can be completed by a staff. Treatment options are suggested and a client record sheet is included.
Reference: Registered Nurses’ Association of Ontario (2006). Transdisciplinary Patient/Client Continence Assessment Tool. Toronto, Canada: Registered Nurses’ Association of Ontario. Retrieved from: http://ltctoolkit.rnao.ca/sites/default/files/resources/continence/Continence_AssessmentTools/RNAO_TransdisciplinaryPatientClient_Continence.pdf
Algorithm for supporting the process including evaluation of promoting continence using prompted voiding
Reference: Registered Nurses' Association of Ontario (2005) Promoting Continence Using Prompted Voiding Appendix B:Promoting Continence Using Prompted Voiding Algorithm p.40 Toronto, Ontario
Retrieved from: http://rnao.ca/bpg/guidelines/promoting-continence-using-prompted-voiding
A succinct algorithm for UTI’s both catheter and non-catheter related with a built-in checklist that can be used to monitor interventions.
Reference: Alberta Health Services. 2014. Urinary Tract Infections in LTCF Checklist. http://www.dobugsneeddrugs.org/wp-content/uploads/uti-checklist.pdf
A best practice guideline on preventing Catheter-associated Urinary Tract Infections. For use by infection prevention staff, administrators, nurses, and other healthcare providers across the continuum of care. Developed by the Centre for Disease Control and Prevention.
Reference: Healthcare Infection Control Practices Advisory Committee (HICPAC) and Centre for Disease Control and Prevention. (CDC). 2009. Guideline for Prevention of Catheter-associated Urinary Tract Infections. http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf.
A fact sheet with a concise overview of Urinary Tract Infections associated with catheter use. Available in poster/printable formats. Suitable for patients, families and health care providers.
Reference: Centre for Disease Control and Prevention (CDC). 2015. FAQ’s about Catheter-associated Urinary Tract Infections. http://www.cdc.gov/hai/pdfs/uti/CA-UTI_tagged-BW.pdf.
This guideline has illustrations and procedures on how to do intermittent catheterizations in adult.
Reference: Vahr, S. Cobussen-Boekhorst, H, Eikenboom, J, Geng, V, Holroyd, S, Lester, M, Pearce, I and Vandewinke, C. 2013. Evidence-based Guidelines for Best Practice in Urological Health Care Catheterisation Dilatation, urethral intermittent in adults. European Association of Urology Nurses. http://nurses.uroweb.org/wp-content/uploads/2013_EAUN_Guideline_Milan_2013-Lr_DEF.pdf.
