Under the leadership of the Nursing Quality Safety Council the Catheter Associated Urinary Tract Infection (CAUTI) committee has implemented a variety of interventions, in addition to the surgical debriefing checklist, aimed at decreasing the CAUTI rate. These interventions include:
- When ordering an indwelling urinary catheter (IUC), the provider is required to identify the Centers for Disease Control and Prevention (CDC) criteria for the use of the IUC.
- A rule was built, within the electronic health record, to alert the surgeon on post-operative day 1 and 2 that their patient has an IUC. The surgeon is able to order discontinuation of the catheter directly from the alert or identify the reason the IUC is appropriate to remain in place.
- Adult Critical Care (ACC) CAUTI Taskforce was formed to target the critical care units where IUC utilization and CAUTI rates are the highest. This taskforce, led by the cardiothoracic nurse practice associate, is a multidisciplinary team comprised of staff representatives from each unit, critical care physicians and advance practice providers, critical care nurse educator, nursing quality representative, infection prevention representatives, nursing director, clinical nurse specialist. The role of this task force, with the support of the CAUTI committee, is to determine practice gaps, collectively design and implement interventions, increase awareness, educate staff, and to overall improve the rate of CAUTIs in critical care. Specific interventions developed and implemented thus far include: culture card, reminding staff on correct technique to obtain a urine culture; intentional rounding on patients with an IUC; and educational flyer reminders focusing on appropriate charting, proper IUC, and alternatives to IUC use.
As a result of these interventions, SHGR has seen a process shift in the CAUTI rate.
Sarah Baker BSN, RN
Theresa Bennett-Stratton RN
Dorine Berriel-Cass MA, BSN, RN, CIC
Maggie Carriker MSN, RN, CCRN
Deb Cress MSN, RN NE-BC
Mallory Davis MS
Mary Dougherty DNP, RN, AOCNS
Heather Githu ADN, RN
Amanda Himes MSN, RN-BC, NE-BC
Cheryl Houseman MSN, RN-BC, ACNS-BC
Luann Huizinga BSN, RN
Gaby Iskander MD
Molly Kane-Carbone RN, BSN, MEd, CIC
Theresa Klein BSN, RN, CCRN
Briana Loney PA-C
Amy Majeski MHA, BSN, RN, NE-BC
Andrew Maternowski MD
Jessica McClusky BSN, RN, CRN
Chau Nguyen MS
Carlos Rodriguez MD
Mary Tibbe BSN, RN, CCRN
Nicole M. Zeller BSN, RN