1. Marjorie Kenney, RN Director of Nursing
How we are improving testing and diagnosis of UTIs at Medway Country Manor
Marjorie Kenney, RN
Director of Nursing

2. Goals Treat only UTIs with specific symptoms
Reduce unnecessary antibiotic use

3. How it is going 

4. What we did Began work about a year ago Education
NPs attended training
Not treating positive cultures when there were no symptoms
Staff education during the C. difficile project on appropriate antibiotic use and UTIs
Cut down on some of the flouroquinalones because of the links to Cdiff
Education
Formal in-service sessions
“Real time” education; followed up, asking questions looking at cultures

5. What seemed to matter? Nurse Practitioner leadership
Talked with families
Educated staff about overuse of abx

6. Challenges and Strategies
Some staff resistance
Association of mental status change with a UTI
A year in, people are more on board
Nurse practitioners lead by not ordering antibiotics; staff notice that people didn’t get sicker and were more comfortable with the change