Transcript of LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention and Employee Health.
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- LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention
and Employee Health
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- List the best practices to prevent CAUTI Identify obstacles in
decreasing both CAUTI and indwelling catheter utilization Describe
methodology to engage staff Describe interventions that decrease
CAUTI and indwelling catheter utilization
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- Located in Northwest GA 304 bed facility ICU with 16 beds CCU
with 8 beds Medical residency program Hospitalists
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- Nora McCrary
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- The urinary tract is the most common site of Hospital Acquired
Infections (HAIs) Accounts for more than 30% of infections reported
by acute care hospitals More than 13,000 deaths each year (35/day)
Complications associated with CAUTI Discomfort Prolonged hospital
stays Increased cost and mortality
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- Develop and implement a policy with best practices Ensure that
trained personnel insert catheter Use hand hygiene Perform routine
hygiene Evaluate necessity of catheter every 24 hours Use a closed
drainage system Use smallest gauge catheter if possible Replace
system if a break in asepsis occurs Evaluate alternate methods
Avoid irrigation Use barrier precautions for insertion Do not
change catheter routinely Obtain urine samples aseptically SHEA
Compendium of Strategies to Prevent HAIs, 2008
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- HABIT always insert Foley in ECC ICU Have to have one Lack of
knowledge that an indwelling urinary catheter is harmful Alert
Fatigue Trained staff? Convenience Myth-change catheter every 30
days
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- Lean Six methodology Rapid Cycle test failures Small green
sticker placed on doctors progress note every night made no
difference Big Yellow sheet of paper in front of doctors progress
notes one doctor found annoying, most paid it no attention and it
was found to make no difference Yellow sheet (smaller) placed on
the front of the chart for the nurse to assess made no difference
ASSUMED that Central had ordered all of the sizes and types. Found
out that they had only ordered the regular and were only keeping
two different sizes in the Omnicell
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- Male external catheters Pop On and Regular in four different
sizes Folks SIZE MATTERS!!! Had one box of 30 of each size and type
sent to my office and then distributed by ICU management staff D/C
before transferring out of ICU Alert to doctor in EMR every 48
hours
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- Add to team Frontline staff Laura Laurich, Glenn Smith, Norah
McCrary, Robin Cater, Jeff OKelly Bulletin Boards- Norah McCrary
Rounding Ensure that supplies are stocked Knowledge Get other units
involved ECC ICU Competency training annually
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- QUESTIONS?