Diverse Educational Initiatives to Prevent Catheter-Associated Urinary Tract Infection in Critical Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/602397
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Diverse Educational Initiatives to Prevent Catheter-Associated Urinary Tract Infection in Critical Care
Other Titles:
Integrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]
Author(s):
Simon, Erika L.
Lead Author STTI Affiliation:
Lambda Omicron
Author Details:
Erika L. Simon, RN, CCRN, erika.simon@nahealth.com
Abstract:
Session presented on Monday, November 9, 2015: Critical care units demonstrate the highest prevalence of Catheter Associated Urinary Tract Infection (CAUTI) and greatly impact acceptance of catheter use within a facility (Elpern et. al, 2009).  The Critical Care department at Flagstaff Medical Center (FMC) encompasses an intensive care unit (20 beds), cardiovascular intensive care unit (11 beds) and step-down unit (18 beds). Changing the culture of urinary catheter care among these units is challenging in regards to re-focusing nurses to think critically about the current state of catheter use, evidence-based catheter indications, and situations that potentiate the development of a CAUTI.  Addressing education for staff started with catheter kit standardization and standards of care education. Weekly audits and bedside education were provided directly to staff based on the physical presentation of the catheter and patient condition. A hands-on, interactive approach elicited open-ended questions and assessment of nurse understanding of best practice. Evaluation of initial audits of staff performance pointed to clear deficits and need for further education. Common themes for improvement included defining a “dependent loop”, how to use sheeting clips, ensuring securement devices were applied for optimal drainage, prevention of further harm, and the importance of the maintenance phase (i.e. peri-care, use of graduated cylinders, prevention of catheters from touching the floor, keeping drainage bags out of the bed, awareness of catheter days). After assessing these educational needs, nurses in critical care were provided a 30-45 minutes hands-on, skills lab station over a period of 3 months to review appropriate catheter care, techniques and discuss CAUTI prevention specific to the assessed deficits. In combination with skills-lab education and continuing CAUTI audits, education has been adapted specifically to audited performance. References Elpern, E. H., Killeen, K., Ketchem, A., Wiley, A., Patel, G., & Lateef, O. (2009). Reducing use of indwelling urinary catheters and associated urinary tract infections. American Journal of Critical Care, 18(6), 535-541.  doi: 10.4037/ajcc2009938 Halm, M.A. & O’Connor, N. (2014). Do system-based interventions affect catheter-associated urinary tract infection? American Journal of Critical Care, 23 (6), 505-509.
Keywords:
CAUTI; Evidence-based Practice; Critical Care
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15D09
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleDiverse Educational Initiatives to Prevent Catheter-Associated Urinary Tract Infection in Critical Careen
dc.title.alternativeIntegrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]en
dc.contributor.authorSimon, Erika L.en
dc.contributor.departmentLambda Omicronen
dc.author.detailsErika L. Simon, RN, CCRN, erika.simon@nahealth.comen
dc.identifier.urihttp://hdl.handle.net/10755/602397en
dc.description.abstractSession presented on Monday, November 9, 2015: Critical care units demonstrate the highest prevalence of Catheter Associated Urinary Tract Infection (CAUTI) and greatly impact acceptance of catheter use within a facility (Elpern et. al, 2009).  The Critical Care department at Flagstaff Medical Center (FMC) encompasses an intensive care unit (20 beds), cardiovascular intensive care unit (11 beds) and step-down unit (18 beds). Changing the culture of urinary catheter care among these units is challenging in regards to re-focusing nurses to think critically about the current state of catheter use, evidence-based catheter indications, and situations that potentiate the development of a CAUTI.  Addressing education for staff started with catheter kit standardization and standards of care education. Weekly audits and bedside education were provided directly to staff based on the physical presentation of the catheter and patient condition. A hands-on, interactive approach elicited open-ended questions and assessment of nurse understanding of best practice. Evaluation of initial audits of staff performance pointed to clear deficits and need for further education. Common themes for improvement included defining a “dependent loop”, how to use sheeting clips, ensuring securement devices were applied for optimal drainage, prevention of further harm, and the importance of the maintenance phase (i.e. peri-care, use of graduated cylinders, prevention of catheters from touching the floor, keeping drainage bags out of the bed, awareness of catheter days). After assessing these educational needs, nurses in critical care were provided a 30-45 minutes hands-on, skills lab station over a period of 3 months to review appropriate catheter care, techniques and discuss CAUTI prevention specific to the assessed deficits. In combination with skills-lab education and continuing CAUTI audits, education has been adapted specifically to audited performance. References Elpern, E. H., Killeen, K., Ketchem, A., Wiley, A., Patel, G., & Lateef, O. (2009). Reducing use of indwelling urinary catheters and associated urinary tract infections. American Journal of Critical Care, 18(6), 535-541.  doi: 10.4037/ajcc2009938 Halm, M.A. & O’Connor, N. (2014). Do system-based interventions affect catheter-associated urinary tract infection? American Journal of Critical Care, 23 (6), 505-509.en
dc.subjectCAUTIen
dc.subjectEvidence-based Practiceen
dc.subjectCritical Careen
dc.date.available2016-03-21T16:27:54Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:27:54Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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