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Fairview Hospital

Fairview Hospital. Geraldine McQuoid Director of Infection Prevention & Control Lucinda Caruso Performance Improvement Analyst. Our goals.

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Fairview Hospital

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  1. Fairview Hospital Geraldine McQuoid Director of Infection Prevention & Control Lucinda Caruso Performance Improvement Analyst

  2. Our goals • Our major goal was to remedy the gaps between evidence based practice as presented in the first “UTI in the Elderly” conference and our current clinical practice • Engage an interdisciplinary staff in policy and practice issues

  3. Policy changes • CAUTI prevention policy • No longer collecting U/A, C/S upon foley catheter insertion • No longer providing Vitamin C to catheterized patients • “MD order exists” is no longer an acceptable indication for catheterization • Interdependent nursing action policy relating to urinary retention • No longer collecting U/A, C/S upon catheter insertion • No longer providing Vitamin C to catheterized patients

  4. What we did • January- conference information shared at councils • February- nursing practice workgroup & journal club met to compare current policies to literature references provided at conference • March- consensus building (one-on-one with physician and nursing leaders) • April/May- policies were changed to reflect evidence based practice. Nursing staff meetings addressed upcoming changes & their rationale. • Now: Formal education is currently ongoing with nurses • Policy changes to be effective June 24th

  5. What made an impact • Paradigm shift- we were practicing defensive medicine (establishing not present on admission status of UTI upon catheter insertion); this was done for the hospital, not the patient • This is less (unnecessary) work for staff; not a hard sell

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