1. Catheter Associated Urinary Tract Infection (CAUTI) Reduction Spread

3. Interventions so far
Indication documentation required for Foley in the EMR bases on modified HOUDINI
Presentations and education delivered at Education council every month since November
Rewards to those removing catheters since mid-December (162 so far)
CBT launched March

4. CAUTI audits-meet HOUDINI?
July–February 2014: CAUTIs (n=32)
Did not meet HOUDINI
37.5% overall did not meet HOUDINI criteria
57% floors (4/7)
32% ICU (8/25)
91% of all infections were identified at ≥5 catheter days

5. ICU & PCU Foley FY14 Utilization
3/6 units at 25th percentile goal =BICU, CICU, NSICU

6. Inpatient Unit Foley FY14 Utilization
2/9 units at Goal of 25th percentile = WCH 4C and Neuroscience Floor

7. WCH PICU utilization
Unit at Goal of 25th percentile = PICU

9. Next steps
I&O catheterization and bladder scan protocol needs to be developed
Nurse driven protocol to discontinue without orders
Doctor’s orders ( indication)
New collection device for specimens with preservative
Foley orders

10. How do we engage staff for in this culture change?
Challenge to Team
How do we engage staff for in this culture change?