1. Goals & Roll Out Urinary catheter care bundles
6th December 2010
Goals & Roll Out Urinary catheter care bundles

2. Already in Place? Step 1 Goal - December 2010 Step 2
Organising a team
Identifying pilot sites (3 areas)
Already in Place?
Step 2
Baseline Data
Agree care bundle for local use
Goal - December 2010
Step 3
Testing of care bundle in pilot sites
Implementation in pilot sites
Goal - February 2011
Step 4
Demonstrate reliable implementation
Spread beyond pilot sites
Goal - August 2011 ongoing

3. Forming a Team Heterogeneous in make up, Homogenous in mindset.
Multi-disciplinary
Not too dependant on continence specialists or infection control specialists.
Frontline staff engagement
Doctors??
Enthusiasts and champions

4. Pilot Sites Three areas Areas of high use of urinary catheters
Interested in taking part / engaged
Good leaders / champions for later work.

5. Baseline Data Numbers of urinary catheters being placed
Audit of indications for use
Assessment of infection rate
Unit / ward based
Patient based

8. Urinary Catheter Insertion Bundle

9. Urinary Catheter Maintenance Bundle

11. Already in Place? Step 1 Goal - December 2010 Step 2
Organising a team
Identifying pilot sites (3 areas)
Already in Place?
Step 2
Baseline Data
Agree care bundle for local use
Goal - December 2010
Step 3
Testing of care bundle in pilot sites
Implementation in pilot sites
Goal - February 2011
Step 4
Demonstrate reliable implementation
Spread beyond pilot sites
Goal - August 2011 ongoing

12. SBAR
Situation
Background
Assessment
Recommendation

13. Team Work Using SBAR to report back Consider your current position
Team in place?
Pilot sites chosen / volunteered?
Care bundles agreed?
Baseline data collected?
Testing underway?
Provide a short piece of background to your work to date
Assess your successes / any barriers to taking the work forward
Make recommendations for how the work will be progressed during January / February 2011.
What will you do on your return to work tomorrow.

14. Goals & Roll Out Peripheral Venous Catheter (PVC) care bundles
6th December 2010
Goals & Roll Out Peripheral Venous Catheter (PVC) care bundles

15. Goal - January 2011 Step 1 Goal - March 2011 (LS3) Step 2
Organising a team
Identifying pilot sites (3 areas)
Goal - January 2011
Goal - March 2011 (LS3)
Step 2
Baseline Data
Agree care bundle for local use
Step 3
Testing of care bundle in pilot sites
Implementation in pilot sites
Goal - October 2011
Goal - June 2012 ongoing
Step 4
Demonstrate reliable implementation
Spread beyond pilot sites

16. Forming a Team Heterogeneous in make up, Homogenous in mindset.
Multi-disciplinary
Not too dependant on I.V. specialist nurses or infection control specialists.
Frontline staff engagement
Doctors??
Enthusiasts and champions

17. Pilot Sites Three areas
Areas of high use of peripheral venous catheters
A&E or Admissions units – consideration of when to use them and when not to.
Interested in taking part / engaged
Good leaders / champions for later work.

18. Baseline Data How many PVCs are being placed on the pilot wards
How many are necessary?
How many per day require removal / replacement on the basis of their Visual Infusion Phlebitis Score (VIP) – examples of VIP score tables follow

21. Baseline Data
MRSA / MSSA blood stream infection data on the pilot wards
Consider total blood stream infection data
Hand hygiene compliance may be worth noting at baseline also.

23. DoH England
High Impact Intervention
Peripheral Venous Catheter care bundle.

25. Issues Pre placement antisepsis DoH guidance
CDC guidance currently under review
Licensed products
Cost
Current practice

26. The Health Foundation Safer Patients Network – “Pass it on” collaborative
NHS Tayside are supporting three health boards in Wales to reduce blood stream infections by implementing the PVC bundle.
Same principles
Supporting through a “Virtual” mini-collaborative
Goals and aims are the same
The three organisations will benefit from double the support to implement theses changes.

28. Goal - January 2011 Step 1 Goal - March 2011 (LS3) Step 2
Organising a team
Identifying pilot sites (3 areas)
Goal - January 2011
Goal - March 2011 (LS3)
Step 2
Baseline Data
Agree care bundle for local use
Step 3
Testing of care bundle in pilot sites
Implementation in pilot sites
Goal - October 2011
Goal - June 2012 ongoing
Step 4
Demonstrate reliable implementation
Spread beyond pilot sites

29. SBAR
Situation
Background
Assessment
Recommendation

30. Team Work Using SBAR to report back Consider your current position
Team in place?
Pilot sites chosen / volunteered?
Provide a short piece of background to your work to date
Assess your successes / any barriers to taking the work forward
Make recommendations for how the work will be progressed during January - March 2011, so that some baseline data and agreed care bundle can be presented at LS3
What will you do on your return to work tomorrow?