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Big Picture: What’s the story with catheters on your unit?

Big Picture: What’s the story with catheters on your unit?. Don’t miss the forest for the trees! Think about a journalistic approach: who, what, when, where, why, how. Big Picture: What’s the story on your unit?. Useful to look at the broad picture of your unit

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Big Picture: What’s the story with catheters on your unit?

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  1. Big Picture: What’s the story with catheters on your unit? Don’t miss the forest for the trees! Think about a journalistic approach: who, what, when, where, why, how

  2. Big Picture: What’s the story on your unit? • Useful to look at the broad picture of your unit • and hospital’s systematic approach to catheters • Choose a limited recent sample of your • catheterized patients (e.g., the last 20 catheterized • patients on your unit) • Consider: who, what, when, where, why, and how

  3. Big Picture: What’s the “catheter story” on your unit? • WHO: • who ORDERED those catheters? • ---be sure there was an order! • who PLACED those catheters? • ---looking for broad category of provider, not individuals; e.g., • med student, OR tech, nursing assistant, etc. • WHAT: • what was their training for catheter insertion? • ---do you have documentation of competency?

  4. Big Picture: What’s the “catheter story” on your unit? • WHEN was the catheter placed? • ---chronic catheter present prior to admission? • ---placed when admitted? • ---placed later in hospital stay? • WHERE was the catheter placed? • ---on your unit or elsewhere?

  5. Big Picture: What’s the “catheter story” on your unit? • WHY was the catheter placed? • ---does it meet HICPAC criteria for an approved indication? • HOW was the catheter maintained? • ---do you monitor catheter maintenance technique on your unit? • ---do you educate staff and document competency re: proper • catheter care and maintenance?

  6. Interpreting Your “Catheter Story”:Oregon Mini Case Study of MSVS Unit(last 20 catheterized patients)

  7. Coach’s Role: Transforming Data into ActionEXAMPLE: Mini Case Study, Med Surg Unit(last 20 catheterized patients)

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