cautis improvement project launch
TRANSCRIPT
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 [email protected] with your request
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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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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
www.cec.health.nsw.gov.au
Join the conversation online @NSWCEC #CAUTI