Preventing Catheter-Associated Urinary Tract Infections in Medical-Surgical/Telemetry Units: Five Units, Five Cultures, One Goal

2.50
Hdl Handle:
http://hdl.handle.net/10755/602408
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Preventing Catheter-Associated Urinary Tract Infections in Medical-Surgical/Telemetry Units: Five Units, Five Cultures, One Goal
Other Titles:
Integrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]
Author(s):
Campbell, Shannon
Lead Author STTI Affiliation:
Non-member
Author Details:
Shannon Campbell, RN, PCCN, shannon.campbell@nahealth.com
Abstract:
Session presented on Monday, November 9, 2015: Flagstaff Medical Center’s (FMC) effort to combat CAUTI in its Medical/Surgical-Telemetry (MST) units is as multifaceted as the five units themselves.  Each unit is tasked with being able to care for any patient ordered to be MST status. One of the biggest obstacles all these units faced is the historical view that there must be a physician order to remove the catheter (Fakih et al., 2014).  This has been a primary issue on the orthopedic surgery specialty unit.  The unit is well-known as having a unique culture.  The nurses were aware that the facility has a nurse-driven urinary catheter removal protocol but were driven by the history of pulling the catheters when the physician ordered removal.   The other units’ nurses knew the CAUTI prevention evidence but their biggest obstacle was providing task–driven care.  The nurses often would wait until the end of the shift to discontinue the catheter because toileting patients increased nursing workload.   The educators’ initial approach was staff education regarding CAUTI complications and reinforcement of the nurse-driven urinary catheter removal policy.  The real change did not occur until the nursing staff were shown the “so what factor”.  Productivity is a main factor in the hospital’s short term incentive program, which is a yearly bonus focused on goals set by administration for each fiscal year.  Nurses were shown each CAUTI has the potential to cost the hospital over $2700 dollars per episode and decrease productivity (Gokula et al., 2012).  In addition to emphasizing the financial impact of CAUTI, peer to peer education through educational audits was the final positive change to decrease CAUTI rates (Meehan & Beinlich, 2014).   References: Fakih, M. G., Krein, S. L., Edson, B., Watson, S. R., Battles, J. B., & Saint, S. (2014). Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm. American Journal of Infection Control, 42, S223-S229.   doi:10.1016/j.ajic.2014.03.355 Gokula, M., Smolen, D., Gasper, P. M., Hensley, S. J., Benninghoff, M. C., & Smith, M. (2012). Designing a protocol to reduce catheter-associated urinary tract infections among hospitalized patients. American Journal of Infection Control, 40, 1002-1004.   doi:10.1016/j.ajic.2011.12.013 Meehan, A., & Beinlich, N. (2014). Peer-to-peer learning/teaching: An effective strategy for changing practice and preventing pressure ulcers in the surgical patient. International Journal of Orthopedic and Trauma Nursing, 18, 122-128.   doi:10.1016.org/10.1016/j.ijotn.2013.12.004
Keywords:
Catheter-associated urinary tract infection; Practice change; Evidence-based practice
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.titlePreventing Catheter-Associated Urinary Tract Infections in Medical-Surgical/Telemetry Units: Five Units, Five Cultures, One Goalen
dc.title.alternativeIntegrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]en
dc.contributor.authorCampbell, Shannonen
dc.contributor.departmentNon-memberen
dc.author.detailsShannon Campbell, RN, PCCN, shannon.campbell@nahealth.comen
dc.identifier.urihttp://hdl.handle.net/10755/602408en
dc.description.abstractSession presented on Monday, November 9, 2015: Flagstaff Medical Center’s (FMC) effort to combat CAUTI in its Medical/Surgical-Telemetry (MST) units is as multifaceted as the five units themselves.  Each unit is tasked with being able to care for any patient ordered to be MST status. One of the biggest obstacles all these units faced is the historical view that there must be a physician order to remove the catheter (Fakih et al., 2014).  This has been a primary issue on the orthopedic surgery specialty unit.  The unit is well-known as having a unique culture.  The nurses were aware that the facility has a nurse-driven urinary catheter removal protocol but were driven by the history of pulling the catheters when the physician ordered removal.   The other units’ nurses knew the CAUTI prevention evidence but their biggest obstacle was providing task–driven care.  The nurses often would wait until the end of the shift to discontinue the catheter because toileting patients increased nursing workload.   The educators’ initial approach was staff education regarding CAUTI complications and reinforcement of the nurse-driven urinary catheter removal policy.  The real change did not occur until the nursing staff were shown the “so what factor”.  Productivity is a main factor in the hospital’s short term incentive program, which is a yearly bonus focused on goals set by administration for each fiscal year.  Nurses were shown each CAUTI has the potential to cost the hospital over $2700 dollars per episode and decrease productivity (Gokula et al., 2012).  In addition to emphasizing the financial impact of CAUTI, peer to peer education through educational audits was the final positive change to decrease CAUTI rates (Meehan & Beinlich, 2014).   References: Fakih, M. G., Krein, S. L., Edson, B., Watson, S. R., Battles, J. B., & Saint, S. (2014). Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm. American Journal of Infection Control, 42, S223-S229.   doi:10.1016/j.ajic.2014.03.355 Gokula, M., Smolen, D., Gasper, P. M., Hensley, S. J., Benninghoff, M. C., & Smith, M. (2012). Designing a protocol to reduce catheter-associated urinary tract infections among hospitalized patients. American Journal of Infection Control, 40, 1002-1004.   doi:10.1016/j.ajic.2011.12.013 Meehan, A., & Beinlich, N. (2014). Peer-to-peer learning/teaching: An effective strategy for changing practice and preventing pressure ulcers in the surgical patient. International Journal of Orthopedic and Trauma Nursing, 18, 122-128.   doi:10.1016.org/10.1016/j.ijotn.2013.12.004en
dc.subjectCatheter-associated urinary tract infectionen
dc.subjectPractice changeen
dc.subjectEvidence-based practiceen
dc.date.available2016-03-21T16:28:12Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:28:12Zen
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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