Catheter Associated Urinary Tract Infection (CAUTI): A Prevention Plan Utilizing the Electronic Health Record (EHR) to ensure patient safety and improve patient outcomes. Education created by Kristi Noble MSN RN OCN Clinical EHR Educator September, 2014

Goal Of CAUTI Prevention Educate nursing assistants on preventing and reducing the incidence of a CAUTI by: Correct placement of the catheter drainage bag during transport. Empty the catheter drainage bag every 8 hours, if 2/3 full, and prior to transporting the patient. Using the EHR to document care and output of the urinary catheter.

Objectives for CAUTI Prevention Recall how often to empty the indwelling urinary catheter drainage bag. Identify how often peri and catheter care should be completed and documented on a patient with and indwelling urinary catheter. Identify where the indwelling urinary catheter bag should be placed at all times.

Regulations and Reporting Did you know? Since 2008 the Centers for Medicaid and Medicare Services have not reimbursed the cost of Hospital Acquired infections, such as CAUTI. The estimated cost of treating a CAUTI that develops while in the hospital ranges from $1200 to $2800 per patient.

Importance of using the EHR for documentation Improve patient outcomes Increase patient safety Standardized documentation across multiple departments and affiliates within Munson Healthcare Standardize care and maintenance of an indwelling urinary catheter

Twice a day PAL task for Peri and Catheter care By right clicking and selecting Chart Details you will go directly to I-view for charting.

How to the change the I-view Task from PAL To change the time of the task must select this icon NA’s will be tasked twice a day to the PAL for Peri or Catheter care. Must remember to chart the time that care was completed Placing the cursor in the date box and hitting T, will bring in current date and time

Documenting output and care performed Output documented every 8 hours and as needed Peri-care and catheter care documented twice a day and as needed Task will be on the PAL twice a day. Will take user directly to I-view

Preventing a Catheter Associated Urinary Tract Infection Empty the catheter drainage bag every 8 hours, if 2/3 full, and prior to transporting the patient. Document peri and catheter care in I-view twice a day and as needed. Place the catheter drainage bag below bladder at all times. Assess for a securement device, i.e., Stat lock, on the patients upper thigh, right or left. Document the catheter output in I-view.

Your involvement in ensuring our patients are safe and free from catheter associated urinary tract infections is appreciated, and your care to our patients is invaluable.