No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with...

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No catheter, No CAUTI (catheter associated No catheter, No CAUTI (catheter associated urine infection) urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty: <insert faculty>

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Page 1: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No catheter, No CAUTI (catheter associated urine No catheter, No CAUTI (catheter associated urine infection)infection)

Reducing avoidable harm in patients with catheters

January 2015

Faculty: <insert faculty>

Page 2: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No Catheter, No CAUTI - Background

• GSTT/ Health Innovation Network for South London– Project lead – Dr Adrian Hopper

• Reduce patient harm from catheterisation specifically catheter associated urinary tract infections (UTI’s)

• Catheter associated UTI’s are a major cause of hospital acquired bacteriemia– devastating impact on patients

© SaIL Centre 2015

Page 3: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No Catheter, No CAUTI - The facts

• CAUTI– significant financial burden– extended hospital stay – can contribute to delirium & falls

• 26% of catheters inserted in A&E are inappropriate

• 1/3 of urinary catheter-days have been shown to be unnecessary

• Risk of CAUTI begins to increase after 48 hours of insertion

Source: xxxxx

© SaIL Centre 2015

Page 4: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No Catheter, No CAUTI - The facts

Examples of Serious Harm Caused by CAUTIs...

1. Patient JC - 13 emergency admissions, 2 months period in hospital over 18 months due to CAUTI or blocked catheter

2. Patient CR - dementia diagnosis: died from severe sepsis despite critical care treatment following a CAUTI

Source: KHP 2014

© SaIL Centre 2015

Page 5: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No Catheter, No CAUTI-The background

© SaIL Centre 2015

Page 6: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

No Catheter, No CAUTI Group work

Group 1Indications & contraindications of catheters. Why insert a catheter & why not?

Group 2Risks & complications of catheters. List & discuss implications inc to patients & services

Page 7: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Catheters - appropriate use

• Acute urinary retention or chronic urinary retention only if associated with renal impairment

• Clinical need to monitor urine output

• Severe sacral pressure ulcers

• Measurement of post void residual urine volume-if bladder scanner is unavailable

• Instillation of medication-e.g.. Chemotherapy

• Urethral stricture therapy

• Urological investigations

• Management of intractable urinary incontinence

© SaIL Centre 2015

Page 8: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Catheters-inappropriate use

• Urinary incontinence (NB complete continence assessment - inc patient choice in provision of pads & products)

• Advanced age

• Immobility

• Urinary tract infection

• Signs of urethral trauma

• Patient refusal

© SaIL Centre 2015

Page 9: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Risks/ Complications

•Injury/ trauma - urethra / bladder wall punctured

•Perforation of prostate gland

•Catheter associated urine infections

•Narrowing of urethra - secondary to scar tissue caused by repeated use of a catheter

•Bladder stones (usually develop after years of catheterisation)

•Psychological effect

•Pain/ Bladder spasm

© SaIL Centre 2015

Page 10: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Anatomy and catheter placement

© SaIL Centre 2015

Page 11: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Keeping our patients safe- what can we do

• Consider risk/ benefits before insertion

– Use clinical guidance to support decision making

• Review catheters every shift

– Are they needed? Can they be removed?

• Ensure documentation complete

– EPR insertion & continuing care forms to support decision making

• Daily clinical reviews

• Catheter passport

– Empowering & educating patients

Page 12: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Keeping our patients safe- what we can do?

Page 13: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

Coffee Break

© SaIL Centre 2015

http://www.briggsauto.com/blog/briggs-coffee-break-33-pics/
Page 14: No catheter, No CAUTI (catheter associated urine infection) Reducing avoidable harm in patients with catheters January 2015 Faculty:

References

© SaIL Centre 2015


 · Web viewComprehensive Unit-based Safety Program 10 III. Interventions to Prevent CAUTI 11 Step 1: Appropriate Catheter Use Intervention 12 Step 2: Proper Catheter Insertion and

 · Web viewComprehensive Unit-based Safety Program 10 III. Interventions to Prevent CAUTI 11 Step 1: Appropriate Catheter Use Intervention 12 Step 2: Proper Catheter Insertion and

CAUTI: Lessons learned from the HAC penaltyatomalliance.org/wp-content/uploads/2015/04/CAUTI.pdf · 4/8/15 7 Risk Factors for CAUTI • Having a Foley catheter and/or keeping the

CAUTI: Lessons learned from the HAC penaltyatomalliance.org/wp-content/uploads/2015/04/CAUTI.pdf · 4/8/15 7 Risk Factors for CAUTI • Having a Foley catheter and/or keeping the

Preventing Catheter-Associated Urinary Tract Infection (CAUTI): …webbertraining.com/files/library/docs/622.pdf · 2016. 2. 27. · stop-orders – Significant reduction in catheter-associated

Preventing Catheter-Associated Urinary Tract Infection (CAUTI): …webbertraining.com/files/library/docs/622.pdf · 2016. 2. 27. · stop-orders – Significant reduction in catheter-associated

Catheter-associated urinary tract infection by Pseudomonas … · 26-02-2014  · P. aeruginosa causes catheter-associated tx urinary tract infections (CAUTI) through biof ilm formation

Catheter-associated urinary tract infection by Pseudomonas … · 26-02-2014  · P. aeruginosa causes catheter-associated tx urinary tract infections (CAUTI) through biof ilm formation

AHRQ Safety Program for Long-term Care: HAIs/CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting Onboarding Webinar #2.

AHRQ Safety Program for Long-term Care: HAIs/CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting Onboarding Webinar #2.

Antibody-Based Therapy for Enterococcal Catheter ... · catheter-associated urinary tract infection (CAUTI) (3). Short-term urinary catheterization increases the risk of developing

Antibody-Based Therapy for Enterococcal Catheter ... · catheter-associated urinary tract infection (CAUTI) (3). Short-term urinary catheterization increases the risk of developing

7 Catheter-associated Urinary Tract Infection (CAUTI) · 2013. 2. 10. · January 2012 7-1 Device-associated Module CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Event.

7 Catheter-associated Urinary Tract Infection (CAUTI) · 2013. 2. 10. · January 2012 7-1 Device-associated Module CAUTI Catheter-Associated Urinary Tract Infection (CAUTI) Event.

CAUTI Prevention: A Team Insertion Strategy #17229/datastream... · CAUTI may still be classified up to 48 hours after a catheter has been removed for symptomatic patients according

CAUTI Prevention: A Team Insertion Strategy #17229/datastream... · CAUTI may still be classified up to 48 hours after a catheter has been removed for symptomatic patients according

Why Changing the “Catheter Culture” is a TEAM Sport! CAUTI.

Why Changing the “Catheter Culture” is a TEAM Sport! CAUTI.

Infection Control In Hospital - Mahasarakham University · I 2. Prevention of Healthcare Associated Infection I 2.1 Catheter-associated Urinary Tract Infection (CAUTI) Prevention

Infection Control In Hospital - Mahasarakham University · I 2. Prevention of Healthcare Associated Infection I 2.1 Catheter-associated Urinary Tract Infection (CAUTI) Prevention

Preventing catheter-associated urinary tract infections ...CAUTI+Bundle.pdf · Preventing catheter-associated urinary tract infections: 1 The CAUTI Bundle. CAUTI • Reduce and ultimately

Preventing catheter-associated urinary tract infections ...CAUTI+Bundle.pdf · Preventing catheter-associated urinary tract infections: 1 The CAUTI Bundle. CAUTI • Reduce and ultimately

CAUTI Prevention and Antimicrobial Stewardship · Rate of CAUTI (episodes per 1000 catheter-days) was reduced by 52% (P < .001) with use of a reminder or stop order Mean duration

CAUTI Prevention and Antimicrobial Stewardship · Rate of CAUTI (episodes per 1000 catheter-days) was reduced by 52% (P < .001) with use of a reminder or stop order Mean duration

CAUTI Prevention. Definition of CAUTI Urinary tract infection that occurs in a patient who had an indwelling urethral urinary catheter in place 48 hours.

CAUTI Prevention. Definition of CAUTI Urinary tract infection that occurs in a patient who had an indwelling urethral urinary catheter in place 48 hours.

Catheter Associated Urinary Tract Infection (CAUTI): A Prevention Plan

Catheter Associated Urinary Tract Infection (CAUTI): A Prevention Plan

CAUTI (Catheter Associated Urinary Tract Infection) Children's...CAUTI - Background According to the CDC (2017), urinary tract infections (UTIs) are the fourth most common type of

CAUTI (Catheter Associated Urinary Tract Infection) Children's...CAUTI - Background According to the CDC (2017), urinary tract infections (UTIs) are the fourth most common type of

Catheter-Associated Urinary Tract Infection Surveillance Document...2019/02/22  · CAUTI Cannot Re-Occur in the Same Patient Within a 14-Day Period No new CAUTI can be reported within

Catheter-Associated Urinary Tract Infection Surveillance Document...2019/02/22  · CAUTI Cannot Re-Occur in the Same Patient Within a 14-Day Period No new CAUTI can be reported within

Catheter Associated Urinary Tract Infections (CAUTI) · PDF fileCAUTI Reduction Page 1 of 13 Catheter Associated Urinary Tract Infections (CAUTI) Reduction CHOC Children’s: 1201

Catheter Associated Urinary Tract Infections (CAUTI) · PDF fileCAUTI Reduction Page 1 of 13 Catheter Associated Urinary Tract Infections (CAUTI) Reduction CHOC Children’s: 1201

Preventing catheter-associated urinary tract infections ... CAUTI Bundle.pdf · The CAUTI Bundle. CAUTI • Reduce and ultimately prevent cases of symptomatic CAUTI • What is “symptomatic

Preventing catheter-associated urinary tract infections ... CAUTI Bundle.pdf · The CAUTI Bundle. CAUTI • Reduce and ultimately prevent cases of symptomatic CAUTI • What is “symptomatic

CAUTI Care and Removal Program Preventing Catheter-Associated Urinary Tract Infections: What You Need to Know Mohamad Fakih, MD, MPH Associate Professor.

CAUTI Care and Removal Program Preventing Catheter-Associated Urinary Tract Infections: What You Need to Know Mohamad Fakih, MD, MPH Associate Professor.

Catheter-associated Urinary Tract Infection (CAUTI) in the Perioperative Setting s Alayne D. Markland, DO, MSc University of Alabama at Birmingham THE.

Catheter-associated Urinary Tract Infection (CAUTI) in the Perioperative Setting s Alayne D. Markland, DO, MSc University of Alabama at Birmingham THE.