Abstract
Description: Recognize effective interventions to reduce CAUTI rates in the MICU through unit-based protocol formulation, aggressive staff education and hands-on simulation.
Purpose: The purpose of this unit-based study is to provide answers to the best practice question: "What are the best practices for preventing catheter-associated urinary tract infections (CAUTIs) in critically-ill adult patients?"
Significance: Findings from the 2014 NDNQI Data led the Medical Intensive Care Unit (MICU) Council to establish unit-based initiatives including MICU CAUTI Bundles and aggressive staff education and hands-on simulation. A review of the current literature and guidelines (Flodgren et al., 2013, Wald et al., 2012) led to the formulation of the unit-based protocol during the fourth quarter of 2014, including indwelling catheter indication, early catheter removal, bladder scanner utilization, and good nursing practice. Commencement of staff education during the first quarter of 2015 in the form of annual skills fair, monthly Unit Council meetings, and daily charge nurse huddles ensured fast dissemination of information and skills. Laminated badge cards specifying elements of the CAUTI Bundles are also distributed to the staff during this timeframe. Additionally, designation of a CAUTI Unit Champion for both day and night shifts monitored staff compliance and performed inpatient rounding twice a week.
Evaluation: From the first quarter of 2014, the MICU had 12.16 cases of CAUTI per 1,000 catheter days. A drastic fall in CAUTI rates starting in the first quarter of 2015 (0 cases per 1,000 catheter days) proved that evidence-based changes in nursing interventions are indispensable in preventing CAUTIs. Based on 2015 NDNQI data, MICU"s CAUTI rate is well below the national benchmark. The utilization of the MICU CAUTI Bundles and aggressive staff education proved, and continue to be a success.
Implications for Practice: Nursing implications include assessment of catheter indication, early catheter removal, and continuing assessment of skills and knowledge of nursing staff to be successful indicators of decreased CAUTI rates (Wald et al., 2012).
Sigma Membership
Lambda Rho at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Catheter-Associated Urinary Tract Infection (CAUTI), Critical Care, Healthcare-Associated Infection
Recommended Citation
Trinidad, Joanna Marie, "Best practices for reducing catheter-associated urinary tract infections (CAUTIs) in the medical intensive care unit" (2017). INRC (Congress). 267.
https://www.sigmarepository.org/inrc/2017/posters_2017/267
Conference Name
28th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Dublin, Ireland
Conference Year
2017
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Best practices for reducing catheter-associated urinary tract infections (CAUTIs) in the medical intensive care unit
Dublin, Ireland
Description: Recognize effective interventions to reduce CAUTI rates in the MICU through unit-based protocol formulation, aggressive staff education and hands-on simulation.
Purpose: The purpose of this unit-based study is to provide answers to the best practice question: "What are the best practices for preventing catheter-associated urinary tract infections (CAUTIs) in critically-ill adult patients?"
Significance: Findings from the 2014 NDNQI Data led the Medical Intensive Care Unit (MICU) Council to establish unit-based initiatives including MICU CAUTI Bundles and aggressive staff education and hands-on simulation. A review of the current literature and guidelines (Flodgren et al., 2013, Wald et al., 2012) led to the formulation of the unit-based protocol during the fourth quarter of 2014, including indwelling catheter indication, early catheter removal, bladder scanner utilization, and good nursing practice. Commencement of staff education during the first quarter of 2015 in the form of annual skills fair, monthly Unit Council meetings, and daily charge nurse huddles ensured fast dissemination of information and skills. Laminated badge cards specifying elements of the CAUTI Bundles are also distributed to the staff during this timeframe. Additionally, designation of a CAUTI Unit Champion for both day and night shifts monitored staff compliance and performed inpatient rounding twice a week.
Evaluation: From the first quarter of 2014, the MICU had 12.16 cases of CAUTI per 1,000 catheter days. A drastic fall in CAUTI rates starting in the first quarter of 2015 (0 cases per 1,000 catheter days) proved that evidence-based changes in nursing interventions are indispensable in preventing CAUTIs. Based on 2015 NDNQI data, MICU"s CAUTI rate is well below the national benchmark. The utilization of the MICU CAUTI Bundles and aggressive staff education proved, and continue to be a success.
Implications for Practice: Nursing implications include assessment of catheter indication, early catheter removal, and continuing assessment of skills and knowledge of nursing staff to be successful indicators of decreased CAUTI rates (Wald et al., 2012).