Clinical Nurses Finding Evidence for Practice: Reducing Catheter Associated Urinary Tract Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/157166
Category:
Abstract
Type:
Presentation
Title:
Clinical Nurses Finding Evidence for Practice: Reducing Catheter Associated Urinary Tract Infections
Author(s):
Reiling, Susan; Hujcs, Marianne
Author Details:
Susan Reiling, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: susan.reiling@uphs.upenn.edu; Marianne Hujcs
Abstract:
PURPOSE: While evidence for guidelines to reduce catheter associated urinary tract infection (CAUTI) exists, implementing these measures and assuring practice compliance did not significantly reduce incidence in our neurocritical care unit. As part of an ongoing performance improvement initiative, the impact of pericare frequency and pericleanser product on CAUTI reduction was evaluated. Description: In order to decrease CAUTI incidence, Clinical Nurses and a Clinical Nurse Specialist (CNS) established guidelines for pericare frequency and specific pericleanser product evaluation. After literature review, few similar standards were identified to define our new practice. Clinical nurses used unit based data generated from CAUTI incidence, device days and practice compliance to measure patient outcome related to this change and the product utilization. Clinical nurses educated nurse colleagues and nursing assistants to the new guideline and evaluation process. After implementation, clinical nurses collected, analyzed and reviewed data monthly. Over one year, a new pericare standard and five pericleanser products were implemented and evaluated. Recommendations for a unit-based guideline and product selection were determined. EVALUATION: Increasing the frequency of pericare alone reduced CAUTI in our unit from the 90th percentile nationally to the 75th percentile. The impact of pericleanser product was varied. Antimicrobial sprays increased CAUTI incidence by increasing the frequency of yeast pathogens. Significant reduction in CAUTI incidence was observed with one specific product; this product was re-evaluated for sustained results. CAUTI incidence decreased from an average six infections./month to one infection/month. Our project exemplifies clinical nurse effectiveness in establishing evidence to promote practice and sustained patient outcomes. 2009 National Teaching Institute Creative Solutions Abstracts. Crit Care Nurse.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleClinical Nurses Finding Evidence for Practice: Reducing Catheter Associated Urinary Tract Infectionsen_GB
dc.contributor.authorReiling, Susanen_GB
dc.contributor.authorHujcs, Marianneen_GB
dc.author.detailsSusan Reiling, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: susan.reiling@uphs.upenn.edu; Marianne Hujcsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157166-
dc.description.abstractPURPOSE: While evidence for guidelines to reduce catheter associated urinary tract infection (CAUTI) exists, implementing these measures and assuring practice compliance did not significantly reduce incidence in our neurocritical care unit. As part of an ongoing performance improvement initiative, the impact of pericare frequency and pericleanser product on CAUTI reduction was evaluated. Description: In order to decrease CAUTI incidence, Clinical Nurses and a Clinical Nurse Specialist (CNS) established guidelines for pericare frequency and specific pericleanser product evaluation. After literature review, few similar standards were identified to define our new practice. Clinical nurses used unit based data generated from CAUTI incidence, device days and practice compliance to measure patient outcome related to this change and the product utilization. Clinical nurses educated nurse colleagues and nursing assistants to the new guideline and evaluation process. After implementation, clinical nurses collected, analyzed and reviewed data monthly. Over one year, a new pericare standard and five pericleanser products were implemented and evaluated. Recommendations for a unit-based guideline and product selection were determined. EVALUATION: Increasing the frequency of pericare alone reduced CAUTI in our unit from the 90th percentile nationally to the 75th percentile. The impact of pericleanser product was varied. Antimicrobial sprays increased CAUTI incidence by increasing the frequency of yeast pathogens. Significant reduction in CAUTI incidence was observed with one specific product; this product was re-evaluated for sustained results. CAUTI incidence decreased from an average six infections./month to one infection/month. Our project exemplifies clinical nurse effectiveness in establishing evidence to promote practice and sustained patient outcomes. 2009 National Teaching Institute Creative Solutions Abstracts. Crit Care Nurse.en_GB
dc.date.available2011-10-26T19:28:51Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:28:51Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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