1. CAUTI / CLABSI NURSING EDUCATION
I-APIC March 25, 2015
Presenters: Carolyn Leader, RN, BSN, CIC and Anita Brewer, MT(ASCP) CIC

2. Why the Need For Education
Practice drift across our organization involving multiple disciplines; Physicians, RNs, CNAs, Laboratory
EMR complex for both physicians and nursing
Rates higher than our goal

3. Educational Goals Develop criteria for catheter usage
Improve catheter insertion technique
Improve catheter care and maintenance
Improve specimen collection technique
Improve timely catheter removal
Improve central and peripheral IV line care and maintenance

4. Preparation and Planning
Two work groups formed
Nursing, Infection Prevention, Education Group
Goals:
Restore and review best practice
Develop mandatory education plan for all RNs and CNAs
Projected 700 colleagues would attend
Discuss culturing process with laboratory
Physician Group
Hospitalist champions, Infectious Disease physician, Infection Prevention Specialists.
Education for physicians
Heighten awareness of indications for urine cultures
Develop algorithm for physician guidance on culturing

5. Preparation and Planning – cont.
Saint Alphonsus Foundation Opportunity Grant
Secured grant for manikins and supplies for hands-on practice
Nursing Leadership Support
SBAR created to summarize need for hands-on education
Approval granted for 2 hours mandatory nursing education for all SARMC RNs and Support Associates [CNAs]

6. Outline of two hour Education
Collaboration with Nursing Education, ED and Nursing Council
Introduction with discussion about culture of safety for our patients that includes reduction of suffering: “to do no harm”
SARMC patient stories highlighting issues we identified with CAUTI and CLABSI care presented by by Senior Leadership

7. Outline of two hour Education cont.
Four stations – 20 minutes each station
Insertion / discontinuation of Foley catheters on male and female manikins using return demonstration
Maintenance of Foley catheters
Educated to best practice for urine specimen collection: Foley’s and clean catch
CLABSI – Central and peripheral line care and maintenance including introduction of alcohol impregnated caps
Learning assessed and summarized with Jeopardy game

9. Ongoing Monthly Audits Monitor CLABSI /CAUTI Data
Foley bundle elements by RN unit champions
Alcohol impregnated cap usage by RN unit champions
Monitor CLABSI /CAUTI Data
Hands-on demonstration for new nursing colleagues using manikins and return demonstration
Annual e-learning
Collaboration with our parent company to improve our EMR documentation

10. Lessons Learned Surgery did not fall under Nursing Leadership
Necessitated special educational arrangements
No formal plan for nursing staff who did not attend mandatory training
Communication had to be brief and concise since we had so many points we wanted to discuss.

11. Remember: CAUTI is naughty!!
QUESTIONS??
Remember: CAUTI is naughty!!