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C.A.U.T.I. PREVENTION
NURS362 - FALL2015
Elizabeth N., Charleen K., Young-Jin K., Tomi D.
germs can enter the urinary tract when the catheter is being placed or while the catheter
remains in the bladder.
CAUTI has been associated with increased morbidity, mortality, health care costs, & length of
stay.
HAI are infections patients can get while receiving care in a healthcare facility
Key players involved include the healthcare team and the patient. The staff inserts the
catheter and follows up with catheter care. While the patient is the one with the catheter.
STATE: Hawaii
Hawaii : 38% decrease reported between 2012
and 2013
*When a urinary catheter is not put in correctly,
not kept clean, or left in a patient for too long,
germs can travel through the catheter and
infect the bladder and kidneys.*
0% Among the 13 hospitals in Hawaii with
enough data to calculate an SIR, 0% had an SIR
significantly worse than the national SIR of
1.06.
*Still need to improve even with
decrease.*
Untrained person
Inappropriate indications
(women, elderly, impaired
immunity, incontinence
maintenance, etc)
Violation of aseptic
technique (hand washing,
ectc)
Disconnection or
leakage
Non-sterile to obtain
urine sample
Placed longer
than necessary
6.
Design and implement changes to reduce or prevent
problems
Drill down the root cause of the problems utilizing Why? technique. (ex.
Why does our organization have such high incidence of overdue use of urinary
catheter? - Shortage of nursing staff)
8.
Supplemental Measures
Alternatives to
indwelling urinary
catheterization
Portable ultrasound
devices to reduce
unnecessary
catheterization
Antimicrobial/antisepticimpregnated catheter
PDSA:
Plan
Goal - zero occurrence
Measure - # of CAUTI incidence divided by total # of hospitalization X 100
Time - one month
Do
A small test & documentation - See if pts are aware how many days theyve had UC
Study
Learned that most of pts dont know the length of their catheterizations
Act
Implement pt education and place a board in pts room indicating the # of days of
catheterization
references
Centers for Disease Control. (2009). Guideline for Prevention of Catheter-Acquired Urinary Tract Infections 2009. Retrieved from:
http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf.
Center for Disease Control and Prevention. (2015). Healthcare-associated infections progress report. Retrieved from:
http://www.cdc.gov/HAI/pdfs/progress-report/hai-progress-report.pdf
FAQ's about Catheter-Associated Urinary Tract Infections. (2015, January 20). Retrieved from http://www.cdc.gov/hai/pdfs/uti/CAUTI_tagged.pdf
Guideline for Prevention of Catheter-associated Urinary Tract Infections, 2009. (2009, December 29). Retrieved from
http://www.cdc.gov/hicpac/cauti/008_evidenceReview.html
Leone, M. (2012). Prevention of CAUTI: simple and beautiful. The Lancet. Vol. 380, Issue 9857. Pg. 1891-1892. doi:10.1016/S01406736(12)61515-3
Oman, K., Makic, M., et. al. (2011). Nurse-directed interventions to reduce catheter associated urinary tract infection. American Journal of
Infection Control. Vol.40, Issue 6. Pg. 548-553. doi:10.1016/j.ajic.2011.07.018
Simon, M., Klaus, S. & Dunton, N. (2009). Using NDNQI data to manage CAUTI. Article in Nursing Management. Vol. 40, Issue 6. Pg. 16-18.
doi:10.1097/01.NUMA.0000356628.18587.b9
Meddings, J., Reichert, H., & McMahon, LF. (2014). Challenges and proposed improvements for reviewing symptoms and catheters. AM J
Infection Control. Vol.42 Issue10. Pg. s236-s241. doi: 10.1016/j.ajic.2014.05.024.