{"id":798,"date":"2017-09-25T14:22:59","date_gmt":"2017-09-25T14:22:59","guid":{"rendered":"http:\/\/blogs.cooperhealth.org\/ctd\/?p=798"},"modified":"2017-10-06T14:45:13","modified_gmt":"2017-10-06T14:45:13","slug":"ua-with-reflex-order-optimizations","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ctd\/2017\/09\/ua-with-reflex-order-optimizations\/","title":{"rendered":"UA with Reflex Order Optimizations"},"content":{"rendered":"<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-799\" src=\"http:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI1.png\" alt=\"\" width=\"720\" height=\"191\" srcset=\"https:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI1.png 720w, https:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI1-300x80.png 300w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;font-family: Calibri\">Ordering a <b><u>UA with Reflex<\/u><\/b> in a <b><u>catheterized patient<\/u><\/b> often <b><u>yields false positives<\/u><\/b>.\u00a0 This may result in the patient being identified as having a CAUTI (Catheter associated UTI) which is inappropriate in many of these cases.<\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri\">UAs with Reflex should only be ordered in catheterized patients if you clinically suspect a UTI.\u00a0 Otherwise, you should order a UA only.<\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri\">Starting 9\/26\/17, the UA with reflex order will be updated to include order specific questions regarding catheterized patients as shown below.\u00a0 Specifically, if you state that the patient is catheterized, you must fill out the clinical indication(s) as to why a reflex to culture is needed.<\/span><\/p>\n<p><span style=\"font-family: Calibri\"><span style=\"color: #000000\"><b>If none of the clinical indications apply, you should cancel the UA reflex order and use the UA without reflex order<\/b>.<\/span><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-800\" src=\"http:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI2.png\" alt=\"\" width=\"970\" height=\"757\" srcset=\"https:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI2.png 970w, https:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI2-300x234.png 300w, https:\/\/blogs.cooperhealth.org\/ctd\/files\/2017\/10\/CAUTI2-768x599.png 768w\" sizes=\"auto, (max-width: 970px) 100vw, 970px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Ordering a UA with Reflex in a catheterized patient often yields false positives.\u00a0 This may result in the patient being identified as having a&hellip;<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-798","post","type-post","status-publish","format-standard","hentry","category-tip-sheets"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/posts\/798","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/comments?post=798"}],"version-history":[{"count":1,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/posts\/798\/revisions"}],"predecessor-version":[{"id":801,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/posts\/798\/revisions\/801"}],"wp:attachment":[{"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/media?parent=798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/categories?post=798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/ctd\/wp-json\/wp\/v2\/tags?post=798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}