1 / 20

Urine-8 Project: Next Step

Urine-8 Project: Next Step. Mary A. Petersen, MSN, RN: Director of Professional Nursing Practice Betsy Demarest, BBA, RN, CNOR: Director of Surgical Services Trinity Medical Center – Quad Cities. Urine-8 Committee Members. Michelle Blackmer, MSN, FNP-BC, RN Stan Buck, RN, RNFA

morty
Download Presentation

Urine-8 Project: Next Step

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Urine-8 Project: Next Step Mary A. Petersen, MSN, RN: Director of Professional Nursing Practice Betsy Demarest, BBA, RN, CNOR: Director of Surgical Services Trinity Medical Center – Quad Cities

  2. Urine-8 Committee Members • Michelle Blackmer, MSN, FNP-BC, RN • Stan Buck, RN, RNFA • Pam Elliott, MBA, BFA • Chris Hansen, MS, RN • Diane Laake, RN, CMSRN • Paula Maddox, MSN, RN, CCRN • Kathryn Marhoefer, MBA, RN • Michelle Mathias, BSN, RN • Mary A. Petersen, MSN, RN (Committee Chair)

  3. CAUTI Statistics Nationwide 80% of HA UTIs are caused by urinary catheters 5% deaths from HAIs are urinary catheter associated Cost of a CAUTI is estimated at $500-1000, $2800 if bacteremia Source: Michigan Keystone Project, 2008

  4. Trinity CAUTI Rates

  5. First Step • Determine specific nursing opportunities to decrease foley related UTI’s • Conducted a one-day prevalence study • Primary aims of the study included • Quantify the level of use of indwelling urinary catheters • Determine the level of adherence to guidelines

  6. Methods • 2007, 2008 & 2010 all units on each campus surveyed • List obtained identifying all patients with Foley and RN providing direct care • Data collector directly observed the catheterized patients and interviewed RN • Data was collected on a standardized form • 2011 & 2012 implemented Adaptive Design methodology

  7. Foley Practice Areas Reviewed • Presence of a Foley catheter • Catheter secured to the pt’s abdomen or leg • Tamper Evident Seal intact (TES) • Tubing extended to prevent the development of dependent loops of drainage tubing • Tubing secured to patient bed or chair to prevent pulling on system • Drainage system not touching the floor • Urine bag not over filled with urine

  8. Percentage (%) of Compliance with Total Foley Practice Areas 2007 2008 2010 Percentage %

  9. SBAR

  10. Catheter Associated Urinary Tract Infection (CAUTI) PreventionURINE-8

  11. Trinity CAUTI Rates

  12. Trinity SCIP Data 2009 & Today

  13. Nurse Driven Urinary Catheter Removal Protocol

  14. Lessons Learned • Nurse to Nurse Collaboration is a practiced skill • Physician collaboration is key • Physician and Nurse communication / education is paramount • Adaptive Design and daily monitoring drives successful implementation

  15. Conclusion: • HAI’s represent a direct threat to patient safety, healthcare quality and they are costly. • The Urine-8 project has consistently decreased the infection rate and identified the positive financial impact directly attributed to evidence-based nursing practice. • The next step of adding the nurse driven catheter removal protocol will continue to decrease unnecessary Foley days and serve as a tool to meet SCIP criteria and avoid CAUTI.

More Related