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Fear the Foley Free the Foley

Fear the Foley Free the Foley. LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention and Employee Health Tifani Kinard MHA, MBA, BSN, RN Director of Emergency Care Center. Floyd Medical Center, Rome, GA. Located in Northwest GA 304 bed facility ICU with 16 beds CCU with 8 beds

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Fear the Foley Free the Foley

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  1. Fear the FoleyFree the Foley LINDA HUDDLESTON, RN, MSN, CIC Director of Infection Prevention and Employee Health Tifani Kinard MHA, MBA, BSN, RN Director of Emergency Care Center

  2. Floyd Medical Center, Rome, GA • Located in Northwest GA • 304 bed facility • ICU with 16 beds • CCU with 8 beds • Medical residency program • Hospitalists • Emergency Care Center with 52 beds and 78,000 annual visits; Level II Trauma Center; JCAHO certified Stroke Center

  3. OBJECTIVES • List the best practices to prevent CAUTI • Identify obstaclesin decreasing both CAUTI and indwelling catheter utilization • Describe interventionsthat decrease CAUTI and indwelling catheter utilization

  4. What we know…… • The urinary tract is the most common site of Hospital Acquired Infections (HAIs) • Accounts for more than 30% of infections reported by acute care hospitals • More than 13,000 deaths each year (35/day) • Complications associated with CAUTI • Discomfort • Prolonged hospital stays • Increased cost and mortality

  5. BEST Evidence Practices • Develop and implement a policy with best practices • Ensure that trained personnel insert catheter • Use hand hygiene • Perform routine hygiene • Evaluate necessity of catheter every 24 hours • Use a closed drainage system • Use smallest gauge catheter if possible • Replace system if a break in asepsis occurs • Evaluate alternate methods • Avoid irrigation • Use barrier precautions for insertion • Do not change catheter routinely • Obtain urine samples aseptically SHEA Compendium of Strategies to Prevent HAIs, 2008

  6. Is there a special brew for overcoming the CAUTI ?

  7. Overcoming Obstacles/Welcoming Opportunities: Focus on the ECC • 73% of all Foley’s house wide were placed in the ECC • HABIT – always insert Foley in ECC • Lack of knowledge that an indwelling urinary catheter is harmful • Trained staff? • Convenience

  8. Our Brew….. Just don’t do it • Champion • Partnership between Infection Prevention, Lean Six Sigma and the ECC • Education • Mass re-education • Accountability • Documentation in Clinical Record • Daily Omnicell Report • Follow up with Individual nurses

  9. Accountability

  10. Results • 18 months ago 73% of all Foley’s house wide were placed in the ECC……today 42% of Foley’s are placed in the ECC. • Cost savings of $2921.68

  11. QUESTIONS?

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