HAI Affinity Group CAUTI Prevention: The Nurse Driven Protocol for Catheter Removal April 10, 2013 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice.

Slides:

Advertisements

Similar presentations

Medication Reconciliation in Home & Community Care Jo Dunderdale, RN, MA Program Development & Planning Leader Home & Community Care Vancouver Island Health.

Advertisements

Delegation to unlicensed assistive personnel. Delegation Guidelines The Nurse Practice Act establishes the standard that each licensed nurse is accountable.

Donation Best Practice: “HUDDLES” Pat McCabe, RN Clinical Specialist Washington Hospital Center & Inova Fairfax Hospital Presentation Questions?

Interdisciplinary Approach to Stroke Patients Stormont-Vail HealthCare Primary Stroke Center.

Creating a system of Documentation Objectives: 1. To understand and overcome the barriers that hinder compliance with implementation of a stoke protocol.

Mary A. Petersen, MSN, RN: Director of Professional Nursing Practice Betsy Demarest, BBA, RN, CNOR: Director of Surgical Services Trinity Medical Center.

Urinary Catheter Removal Protocol Nurse Driven Protocol: Go Live June 24, 2014.

VHQC Medical Quality Improvement Focus Healthcare-Associated Infections and More November 10, 2011.

A Nurse Driven Protocol for Urinary Catheter Removal Objectives: 1.Describe the benefits of a standardized urinary catheter removal process. 2.Outline.

CAUTI Prevention.

CAUTI Care and Removal Program How to Implement the Program Mohamad Fakih, MD, MPH Medical Director Infection Prevention and Control St. John Hospital.

HAI Affinity Group The Essentials of CAUTI Prevention March 13, 2013 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff.

Conducting A Root Cause Analysis

Nurse-Initiated Removal of Unnecessary Urinary Catheters: How to Implement the Program 1.

[Hospital Name | Presenter name and title | Date of presentation]

“Embedded Faculty: A Value For Multiple Stakeholders” Kimberly Fenbert, DNP, CPNP-PC January 21, 2014.

LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention and Employee Health.

NICU CLABSI Affinity Group Meeting September 12, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.

SUSP: Improving Surgical Care through TRIP and CUSP

LEARN FROM A DEFECT Emily Pasola RN, MSN, CNL Clinical Nurse Leader Surgical Intensive Care Unit Saint Joseph Mercy Hospital Ann Arbor, Michigan.

NICU CLABSI Affinity Group Meeting May 9, 2012

Welcome to the GHA Infection Prevention Power Hour January 17, 2013 Denise M. Flook, RN, MPH, CIC Georgia Hospital Association

Indiana Healthcare Associated Infection Initiative Kickoff.

Cohort 1 Coaching Call March Facilitators: Lisa Carhuff Kathy McGowan Joyce Reid.

Patient/Family Centered Safe Care: Putting Patients First Quality Improvement and Patient Safety Your Role in Patient/Family Centered Safe Care.

CSTS Staff Empowerment Christine A. Goeschel ScD MPA MPS RN.

11/10/20111 On The Cusp Journey: Sentara CarePlex Hospital Gail J. Rudder RN, CRNI Infection Preventionist November 10 th, 2011.

Data…Data…Data April 19, 2011 Sam Watson VP for Patient Safety and Quality MHA Keystone Center On the CUSP: Stop CAUTI 1.

HAI Collaborative Meeting September 12, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.

HAI Collaborative Meeting August 8, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.

Disclosures  Nothing to disclose  No discussion of “off-label” use of medications.

Guidance Training CFR §483.75(i) F501 Medical Director.

Police providing crime information and evidence Public Safety Infrastructure Fund Grants Presenter: Superintendent Peter Brigham Title: Assistant Director,

LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention and Employee Health Tifani Kinard MHA, MBA, BSN, RN Director of Emergency Care Center.

Patient/Family Centered Safe Care Putting Patients First 40/20 by ‘13 The Board’s Role in Patient/Family Centered Safe Care.

Mohamad Fakih, MD, MPH Professor of Medicine Wayne State University School of Medicine Medical Director, Infection Prevention and Control St. John Hospital.

Small and Rural Critical Access Hospitals July 19, 2011.

Finances were a critical barrier to providing an innovative, evidence-based, bladder bundle A more pleasing and attractive poster could have been organized.

A Team Members Guide to a Culture of Safety

Small Rural/CAH Learning Community Meeting May 23, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.

© 2009 On the CUSP: STOP BSI Nurse Empowerment Christine A. Goeschel RN MPA MPS ScD (candidate) Tennessee Center for Patient Safety December 2, 2009.

Nurse Empowerment On the CUSP: Stop BSI

Patient/Family Centered Safe Care Putting Patients First 40/20 by ‘13 What Executive Leaders Need to Know About Patient/ Family Safe Care.

AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Toolkit: Building a Culture of Safety National Content Webinar April 16, 2015.

Patient and Family Engagement in the ED Sue Collier, RN, MSN, FABC Clinical Content Development Lead Health Research & Education Trust American Hospital.

Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School.

Reducing Unnecessary Urinary Catheter Use in the Emergency Department Margarita E. Pena, MD, FACEP Medical Director, Clinical Decision Unit St. John Hospital.

Cohort 2 Coaching Meeting March 13, 2013 Denise Flook, RN, MPH, CIC Cohort 2 and HAI Affinity Group Lead Vice President, Infection Prevention/Staff Engagement.

Meredith Sunshine RN Georgia College and State University NRSG 4600 May 4, 2015.

Use of a Standardized Process To Reduce Central Venous Catheter Utilization in a Community Hospital Vicki V. Sweeney, R.N.; 1 Ashley Perkins, R.N.; and.

Driver Diagrams Reduction of Early Elective Deliveries OHA HEN 2.0.

“ Change of Urinary Tract Infection Prevalence at a Skilled Nursing Care (SNF) Facility or Long Term Care Facility (LTCF): Lessons Learned Michael Liu.

R EDUCING ALL CAUSE HARM Memorial Medical Center Port Lavaca, TX Presented By Erin Clevenger, RN.

Patient/Family Centered Safe Care Putting Patients First 40/20 by ‘13 What Leaders Need to Know About Patient/ Family Centered Safe Care.

The Power of Observation Penny Hill, RN, MPH, CIC Infection Prevention San Juan Regional Medical Center.

Assessing Competency in Clinical Care: Competing Demands and Realities Angela Egner, Chief Learning Officer Lisa Langdale, Director, Clinical Excellence.

Template for a 48”x36” poster Enabling Technologies and Processes

Strategic Process & Outcomes Improvement Kathy Paro Keith Hardwick

MHA Immersion Pilot Project

CAUTI Immersion Project

Heighten Education Assessment of CAUTI Risk Watch for CAUTI

Catheter Associated Urinary Tract Infection (CAUTI) Reduction Spread

Toward Eliminating Central Line Associated Blood Stream Infections

Hospital Engagement Network

Introduction to CAUTI and CLABSI Initiatives

On the CUSP: Stop CAUTI Patient and Family Engagement in the ED

KEYS TO SUCCESS/INSIGHTS SUSTAIN/SPREAD CHANGES

VP for Patient Safety and Quality

CAUTI / CLABSI NURSING EDUCATION

Getting to Zero …from Board to front line, connecting all the dots!

Presentation transcript:

HAI Affinity Group CAUTI Prevention: The Nurse Driven Protocol for Catheter Removal April 10, 2013 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 2 Objectives Describe the benefits of a standardized urinary catheter removal process. Outline the essential elements of a Nurse Driven Protocol for urinary catheter removal Discuss barriers to implementing a Nurse Driven Protocol and how they can be overcome 2

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 3 Where We Are 3

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 4 The Nurse As A Driver of Reduction of Catheter Days If the catheter is not present then the CAUTI is not going to develop Effective method is a nurse driven protocol to reduce catheter days 4

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 5 5 Identify the What and Why – Reduce urinary catheter days using a reliable, standard process – Prevent CAUTI, reduce patient harm Obtain leadership support: 1. Administration 2. Nursing 3. Physician Identify both nurse and physician leaders to be the point people for the initiative. – Nursing: potential candidates include nursing director, or a very effective nurse manager/charge nurse – Physician: who will support the use of a nurse driven protocol Starting at the Beginning

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 6 6 Partner with nursing, case management, infection prevention, and physicians. Evaluate areas with high prevalence of utilization. Use point prevalence to help decide initial units. Start with one general medical/surgical unit. Identify the Where

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 7 7 Recruit the Team and Begin the Work Identify front line staff to assist in developing process Share the data and goals Develop a process using evidence-based processes

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 8 8 Important Essentials The nurse should note the catheter's presence and evaluate the indication during the patient's daily nursing assessment. Discuss during Bedside Report – Does the patient have a urinary catheter? – What is the reason for use? Involve the patient and the family The patient’s nurse will initiate the urinary catheter discontinuation process if there are no appropriate indications for utilization present.

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 9 Test Your Process, Improve, Spread, Sustain Use small tests of change Improve the process Standardize and receive approvals Implement fully – Education and competency Spread Measure and provide feedback Sustain 9

Learn. Act. Improve. Spread. Keep the Drum Beat Going. CONTACT INFORMATION Denise Flook