2.50
Hdl Handle:
http://hdl.handle.net/10755/203207
Type:
Presentation
Title:
Initiation of a Cauti Bundle Program in a Progressive Care Unit
Abstract:
(Summer Institute) Background: Catheter Associated Urinary Tract Infections (CAUTI) accounted for 40% of hospital-acquired infections and is directly associated with increased length of stay, increased costs, and morbidity. Evidence supported that at least 25% of inpatients have urinary catheters (UC) and many remained in place even after its indication expired. Furthermore, the risk for infection with UC increases at least 5% per day of hospitalization. Since the Center for Disease Control (CDC) affirmed that 0% CAUTI rate is an indicator of quality care, it is imperative to implement a CAUTI bundle program in areas where UC are prevalent such as the South Texas Veterans Health Care System’s (STVHCS) Progressive Care Unit (PCU). Level of Educational Program: Associate and Bachelor prepared Registered Nurses (RN) and Licensed Vocational Nurses (LVN) who provide direct care for the PCU patient population. Targeted Learning Outcomes: Learning uptake measured by compliance of the evidence-based CAUTI bundle initiated by STVHCS infection control department. Themes surrounding the CAUTI program focused on concepts of clinical competence, communication, evidence-based practice, and importance of teamwork and interdisciplinary collaboration in improving outcomes. Teaching-Learning Activities: Nurses’ knowledge of UC initiation, management, and discontinuation was evaluated prior to program implementation. Direct observation, simulation, problem-based learning, and reflective learning strategies were used for the UC insertion competency checklist. Teaching methods for staff in-services included lecture, discussion, questioning techniques, and case-based instruction. An evidence-based competency checklist for proper urinary catheter insertion for male and female patients was utilized as an evaluation tool for PCU staff nurses. Evaluation of Approach: Daily data collection and monitoring of the CAUTI bundle by the CAUTI champion every shift. PCU staff nurses’ 100% completion of a CAUTI competency by obtaining a successful score in a 10-question posttest and passing a UC check-off insertion during guided simulation. Bibliography: Center For Disease Control and Prevention. (2010). CAUTIs. Retrieved March 5, 2010 from; http://www.cdc.gov/search.do?queryText=cautis&action=search. Elpern, E. (2009). Reducing use of indwelling catheters and associated urinary tract infections. American Journal of Critical Care. 18:535-541. Retrieved February 28, 2010 from; http://ajcc.aacnjournals.org/cgi/content/full/18/6/535. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Cauti Bundle Program; Care Unit
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInitiation of a Cauti Bundle Program in a Progressive Care Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/203207-
dc.description.abstract(Summer Institute) Background: Catheter Associated Urinary Tract Infections (CAUTI) accounted for 40% of hospital-acquired infections and is directly associated with increased length of stay, increased costs, and morbidity. Evidence supported that at least 25% of inpatients have urinary catheters (UC) and many remained in place even after its indication expired. Furthermore, the risk for infection with UC increases at least 5% per day of hospitalization. Since the Center for Disease Control (CDC) affirmed that 0% CAUTI rate is an indicator of quality care, it is imperative to implement a CAUTI bundle program in areas where UC are prevalent such as the South Texas Veterans Health Care System’s (STVHCS) Progressive Care Unit (PCU). Level of Educational Program: Associate and Bachelor prepared Registered Nurses (RN) and Licensed Vocational Nurses (LVN) who provide direct care for the PCU patient population. Targeted Learning Outcomes: Learning uptake measured by compliance of the evidence-based CAUTI bundle initiated by STVHCS infection control department. Themes surrounding the CAUTI program focused on concepts of clinical competence, communication, evidence-based practice, and importance of teamwork and interdisciplinary collaboration in improving outcomes. Teaching-Learning Activities: Nurses’ knowledge of UC initiation, management, and discontinuation was evaluated prior to program implementation. Direct observation, simulation, problem-based learning, and reflective learning strategies were used for the UC insertion competency checklist. Teaching methods for staff in-services included lecture, discussion, questioning techniques, and case-based instruction. An evidence-based competency checklist for proper urinary catheter insertion for male and female patients was utilized as an evaluation tool for PCU staff nurses. Evaluation of Approach: Daily data collection and monitoring of the CAUTI bundle by the CAUTI champion every shift. PCU staff nurses’ 100% completion of a CAUTI competency by obtaining a successful score in a 10-question posttest and passing a UC check-off insertion during guided simulation. Bibliography: Center For Disease Control and Prevention. (2010). CAUTIs. Retrieved March 5, 2010 from; http://www.cdc.gov/search.do?queryText=cautis&action=search. Elpern, E. (2009). Reducing use of indwelling catheters and associated urinary tract infections. American Journal of Critical Care. 18:535-541. Retrieved February 28, 2010 from; http://ajcc.aacnjournals.org/cgi/content/full/18/6/535. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectCauti Bundle Programen_GB
dc.subjectCare Uniten_GB
dc.date.available2012-01-16T11:03:24Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:03:24Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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