Assess continence, catheter necessity, and infection signs:
Voiding pattern and continence status; the toileting program (scheduled/prompted voiding) and the resident’s response.
For an indwelling catheter: the documented medical indication, patency, securement, and site; urine characteristics; and daily re-evaluation of continued need.
UTI signs including mental-status change, dysuria, urgency, suprapubic/flank pain, fever, and foul/cloudy urine; intake and output / fluid balance.
MDS-supportive data
Continence status, appliances, and toileting programs are coded in MDS Section H; UTI in Section I; antibiotic days in Section N. The record must support the continence coding and the catheter indication (F641), and align with infection-surveillance criteria.
