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REDUCING URINARY TRACT INFECTIONS

REDUCING URINARY TRACT INFECTIONS. PRESENTED BY PAULINE FLEURY STAFF DEVELOPMENT/QUALITY IMPROVEMENT HOLY TRINITY NURSING & REHABILITATION CENTER www.htnr.net fleury@htnr.net. HOW IT STARTED. Who ~ MD’s Identified as quick to order specs

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REDUCING URINARY TRACT INFECTIONS

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  1. REDUCING URINARY TRACT INFECTIONS PRESENTED BY PAULINE FLEURY STAFF DEVELOPMENT/QUALITY IMPROVEMENT HOLY TRINITY NURSING & REHABILITATION CENTER www.htnr.net fleury@htnr.net

  2. HOW IT STARTED • Who ~ MD’s Identified as quick to order specs • Why ~ Poor “Hygiene” practices when CNA’s provide resident care ~ Residents’ own hygiene practice • How ~ How are the nurses assessing? Or are they practicing in a ‘task’ mode?

  3. WHAT WE DID ROUNDS/CONCLUSION PLAN OF ACTION STARTED Met with all involved and reviewed issues Creation of documentation form that addresses symptoms of UTIs MD’s; PA’s; NP’s apprised of this action plan Brought to QI Committee Retrospective audit done from January 2011 to present • Validated incorrect hygiene practices • Hydration/ Toileting status not consistently being monitored • Nurses not always assessing thoroughly

  4. WHAT WE DID {continued} PLAN OF ACTION PLAN OF ACTION Set Threshold at 7% or less based on prior Quality Measures (No industry standard set for healthcare acquired UTIs) DNS reviewed at monthly Nurses/CNA Meetings Asked floor staff about their practice as well as direct observation of such Utilized INTERACT Care Paths and SBAR for assessments Monitored Documentation • Inservices done for nursing staff on recognizing signs and symptoms of UTIs; measures to prevent ~BACK TO BASICS! • Competition for units ~ Broke down UTI rates for each unit monthly, reported at QI and publicly thanked staff for their hard work by recognition in company newsletter and posterboards

  5. The Proof is in the Percentages!!! (2011-present)

  6. WHAT MATTERED & CHALLENGES • Working with individual units • We met our goal • Keeping it simple • Posting the data where all could see • Weekend Coverage with MDs • Nurses need to learn assertiveness skills

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