Best Practices for Reducing Catheter-Associated Urinary Tract Infections (CAUTIs) in the Medical Intensive Care Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/621416
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Best Practices for Reducing Catheter-Associated Urinary Tract Infections (CAUTIs) in the Medical Intensive Care Unit
Author(s):
Trinidad, Joanna Marie
Lead Author STTI Affiliation:
Lambda Rho-at-Large
Author Details:
Joanna Marie Trinidad, BSN, RN, WTA-C, CCRN, Professional Experience: I have been a staff nurse, relief charge nurse, and nurse preceptor at a medical intensive care unit (MICU) of a level 1 trauma academic medical center for the last five years. Additionally, I am cross-trained in the pediatric intensive care unit at the same facility. I possess CCRN and Wound Treatment Associate (WTA-C) certifications, both of which are relevant in my practice as a critical care nurse and wound care liaison. I am interested in nursing quality outcome managementand volunteering in various events and organizations. I am also interested in nursing research and translating evidence-based practice into interventions to improve patient care outcomes. I am an active member of the American Association of Critical-Care Nurses, Sigma Theta Tau International Lambda-Rho-at-Large, American Association of Nurse Practitioners, and The Honor Society of Phi Kappa Phi. I am currently serving as a Board Member of the Philippine Nurses Association of Northeast Florida. Author Summary: I work at a medical intensive care unit (MICU) of a level 1 trauma academic medical center for the last five years. I possess CCRN and WTA-C certifications, both of which are relevant in my practice. I am an active member of the American Association of Critical-Care Nurses, Sigma Theta Tau International Lambda-Rho-at-Large. I am currently serving as a Board Member of the Philippine Nurses Association of Northeast Florida.
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).

Keywords:
Catheter-associated urinary tract infection (CAUTI); Critical Care; healthcare-associated infection
Repository Posting Date:
5-Jun-2017
Date of Publication:
5-Jun-2017
Other Identifiers:
INRC17PST51
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleBest Practices for Reducing Catheter-Associated Urinary Tract Infections (CAUTIs) in the Medical Intensive Care Uniten_US
dc.contributor.authorTrinidad, Joanna Marieen
dc.contributor.departmentLambda Rho-at-Largeen
dc.author.detailsJoanna Marie Trinidad, BSN, RN, WTA-C, CCRN, Professional Experience: I have been a staff nurse, relief charge nurse, and nurse preceptor at a medical intensive care unit (MICU) of a level 1 trauma academic medical center for the last five years. Additionally, I am cross-trained in the pediatric intensive care unit at the same facility. I possess CCRN and Wound Treatment Associate (WTA-C) certifications, both of which are relevant in my practice as a critical care nurse and wound care liaison. I am interested in nursing quality outcome managementand volunteering in various events and organizations. I am also interested in nursing research and translating evidence-based practice into interventions to improve patient care outcomes. I am an active member of the American Association of Critical-Care Nurses, Sigma Theta Tau International Lambda-Rho-at-Large, American Association of Nurse Practitioners, and The Honor Society of Phi Kappa Phi. I am currently serving as a Board Member of the Philippine Nurses Association of Northeast Florida. Author Summary: I work at a medical intensive care unit (MICU) of a level 1 trauma academic medical center for the last five years. I possess CCRN and WTA-C certifications, both of which are relevant in my practice. I am an active member of the American Association of Critical-Care Nurses, Sigma Theta Tau International Lambda-Rho-at-Large. I am currently serving as a Board Member of the Philippine Nurses Association of Northeast Florida.en
dc.identifier.urihttp://hdl.handle.net/10755/621416-
dc.description.abstract<div class="OutlineElement Ltr SCX9269960"> <div class="OutlineElement Ltr SCX263546821"> <p class="Paragraph SCX263546821"><span class="TextRun SCX263546821" lang="EN-US" xml:lang="EN-US">Description</span><span class="EOP SCX263546821"> </span></p> </div> <p class="Paragraph SCX9269960"><span class="TextRun SCX263546821" lang="EN-US" xml:lang="EN-US">Recognize effective interventions to reduce CAUTI rates in the MICU through unit-based protocol formulation, aggressive staff education and hands-on simulation.</span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US"><span class="NormalTextRun SCX9269960"><br /></span></span></p> <p class="Paragraph SCX9269960"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">Purpose</span></p> <p class="Paragraph SCX9269960"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">The purpose of this</span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US"> unit-based</span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US"> study is to provide answers to the best practice question: “What are the best practices for preventing </span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">catheter-associated urinary tract infections (CAUTIs</span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">) in critically-ill adult patients?”</span><span class="EOP SCX9269960"> </span></p> </div> <p class="Paragraph SCX264771586"> </p> <div class="OutlineElement Ltr SCX9269960"> <p class="Paragraph SCX9269960"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">Significance</span></p> <p class="Paragraph SCX9269960"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">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.</span><span class="EOP SCX9269960"> </span></p> </div> <p class="Paragraph SCX264771586"> </p> <div class="OutlineElement Ltr SCX9269960"> <p class="Paragraph SCX9269960"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">Evaluation</span></p> </div> <p class="Paragraph SCX264771586"><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">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</span><span class="TextRun SCX9269960" lang="EN-US" xml:lang="EN-US">.</span></p> <p class="Paragraph SCX264771586"><span class="TextRun SCX264771586" lang="EN-US" xml:lang="EN-US">Implications for Practice</span></p> <p class="Paragraph SCX264771586"><span class="TextRun SCX264771586" lang="EN-US" xml:lang="EN-US">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).</span></p>en
dc.subjectCatheter-associated urinary tract infection (CAUTI)en
dc.subjectCritical Careen
dc.subjecthealthcare-associated infectionen
dc.date.available2017-06-05T19:24:31Z-
dc.date.issued2017-06-05-
dc.date.accessioned2017-06-05T19:24:31Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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