Professional Documents
Culture Documents
Reducing
CAUTI
Munroe Regional Medical Center
Objectives
Where we started
What weve accomplished
What our vision is for the future
In the beginning
August 2008- Munroe joined a VHA
Rapid Adoption Network (RAN) Initiative
to reduce CAUTI
With a specific goal to reduce device days
Consider alternatives
Condom Catheters
Urinals/female urinals
Cloth Chux
Frequent toileting
Bladder scanning
Date of insertion
# of days (pop-up warning)
Catheter size
Continue catheter reason
Science of Safety
Invited all staff to preview the science of
safety video
Promoted a culture of safety on our unit
Date/Time of bags
Securement device use
Catheter reminder tool on chart
Electronic charting compliance
Physician Education
Physician champion educated MDs on
proper criteria for urinalysis
Avoid routine urinalysis on asymptomatic
patients
Discourage unnecessary antibiotic therapy
Utilization Trends
Looking ahead
Incorporating more education into
orientation house wide
Include Science of Safety video during
general orientation
Continue to track and trend CAUTIs
house wide to improve quality
References
Center for Disease Control (2009). Guideline for prevention of catheter-associated urinary tract
infections 2009. Retrieved December 28, 2011 from,
http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf
Gokula, R., Hickner, J., and Smith, M. (2004). Inappropriate use of urinary catheters in elderly
patients at a midwestern community teaching hospital. American Journal of
Infection Control, 32 (4), 196-199.
Mosbys Nursing Skills (2010). Specimen collection: sterile urine from a catheter. Excerpted
and adapted from Perry AG, Potter PA: Clinical nursing skills & techniques, ed 7, St.
Louis, 2010, Mosby.
Michigan Health and Hospital Association (2011). Care Counts Account. Retrieved from,
http://mhacarecounts.org/UserLogin.aspx?Url=/
Pronovost, P. (2005). Improving patient safety. Johns Hopkins University.
Retrieved from,
http://www.safercare.net/OTCSBSI/Staff_Training/Entries/2009/9/6_1._The_Science_of_Im
proving_Patient_Safety.html
Robinson, S., Allen, L., Barnes, M., Berry, T., Foster, T., Foster, T., Friedrich, L., et al. (June
2007). Development of an evidence-based protocol for reduction of indwelling urinary
catheter usage. MEDSURGE Nursing, 16(3), 157-161.
Munroe Regional Medical Center