cautis improvement project launch

CAUTIs IMPROVEMENT

PROJECT LAUNCH

A Tour of the CEC’s Project Resources Jan Gralton

CLINICAL EXCELLENCE COMMISSION

18 February 2016

Why do patients get CAUTIs?

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Catheters are used for inappropriate reasons

Asepsis/infection control is breached during insertion

Asepsis/infection control is breached post-insertion

Inappropriate urine specimen collection

Clinician awareness of catheter is limited

Catheters are left in situ for too long

Lessons are not learnt from previous CAUTIs

events

Catheters are inserted for

wrong indications

Catheters are inserted for

nursing convenience

Catheters are inserted for

specimen collection

Catheter insertion is not documented

in the healthcare record

Catheter is not secured to

body

Catheter is not routinely

checked for breaches

Poor understanding of

catheterisation risks

Catheters are forgotten until

discharge

Catheter is not covered during

ED or shift handover

Patient contaminates

catheter or bag

No catheter removal/review

plan is in place

Inappropriate catheter

choice

Aseptic technique is

not used

Inadequate cleaning pre-insertion

No investigation of

previous events

Not a mandatory HAI

clinical indicator

Insertion competency varies

between clinicians

No removal order is documented

in the healthcare record

Don’t know the appropriate indications

for urine specimen collection

Catheter information is not

documented one place

Reliance on bag and

dipstick observations

Surveillance of CAUTIs

is not undertaken

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Changes to the sticker

• Title specifies acute care, IDC, insertion

• Patient name and MRN added

• Lubricant used

• Catheter securement

• Drainage system

• Review/removal plan

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For EMR2 Release B and higher

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Arabic Traditional Chinese Simplified Chinese Greek

Hindi Italian Korean Vietnamese

Need other languages translated?

Email CEC-HAI@health.nsw.gov.au with your request

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Where to find CEC resources

www.cec.health.nsw.gov.au

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Where to find CEC resources

www.cec.health.nsw.gov.au/programs/cautis

1. Go to

Current

Programs

2. Click on

CAUTIs

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Where to find CEC resources

www.cec.health.nsw.gov.au

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NSW Health Guidelines

Available from

http://www0.health.nsw.gov.au/policies/gl/2015/GL2015_016.html

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Other resources

Agency for Clinical Innovation

Agency for Clinical Innovation - Urology Network: Urology Resources

http://www.aci.health.nsw.gov.au/networks/urology/resources

Agency for Clinical Innovation

Emergency Care Institute

http://www.ecinsw.com.au/node/140

NPS - Preventing CAUTIs

NPS - Preventing CAUTIs

http://www.nps.org.au/conditions/urine-bladder-and-kidney-problems/bladder-disorders/urinary-tract-

infections/for-health-professionals/catheter-associated-bacteriuria/prevention

NPS - Urinary tract infections

NPS - Urinary tract infections: exploring antibiotic treatment (CPD learning)

http://www.nps.org.au/health-professionals/cpd/activities/case-studies/urinary-tract-infections-exploring-

antibiotic-treatment

NPS - Antimicrobials

NPS - Antimicrobials - catheter-associated urinary tract infections (CPD learning)

http://www.nps.org.au/health-professionals/cpd/activities/online-courses/antimicrobials-catheter-associated-

urinary-tract-infections

Thank you

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For further information:

Jan Gralton

HAI Project Officer

P: 02 9269 5582

E: Jan.Gralton@health.nsw.gov.au

CEC-HAI@health.nsw.gov.au

www.cec.health.nsw.gov.au

Join the conversation online @NSWCEC #CAUTI