Reducing the Risk of Catheter Associated Urinary Tract Infection
Catheter associated urinary tract infection (CAUTI) is the most frequent hospital acquired infection. It is well known that many times Foley catheters are inappropriately used and left in longer than needed, which can increase the risk for infection. Meadowlands Hospital Medical Center participated in a quality project with the New Jersey Hospitals Association, Partnership for Patients initiative to reduce CAUTI rates and promote best practice. On June 4, 2013, we presented our story of preventive measures to reduce the risk of CAUTI infections. Since all initiatives were in-place, we have been CAUTI free for the past 7 months and reduced the use of Foley catheters.
MHMC clinical staff has attended educational classes, coaching calls, and has made many changes to our urinary catheter policy and placed it on our intranet. Our staff was also educated about the revisions to the policy. Informational posters were placed on patient units with the protocols and informed the nurses of the use of our bladder scanner.
The Infection Control Officer relocated her office to be in-between ICU and the Telemetry Unit which allows more interaction with the staff and physicians during rounds to discuss if the Foley or if any other line is necessary.
Other infection control measures we have taken:
- Daily bathing of our ICU patients with Chlorhexidine 2%, to reduce multi drug resistant organism infections and eliminating the need for basins which can be a source of infection.
- Revision of our posters in patient rooms with infection prevention education for patient and families, incorporating the Wave Campaign initiatives such as reminding their healthcare provider to remove unnecessary lines and Foley as soon as possible. It also includes information on multi drug resistant organisms, hand hygiene, and encourages them to remind their health care worker to wash their hands.
- Ordered disposable antimicrobial cubicle curtains
- Going forward when purchasing new replacement computer keyboards will purchase ones that can actually be put in a washer.
- To disinfect the air and surfaces in patient rooms we use the Yanex Mobile Xenon UV Antimicrobial System.
- To improve patient safety we are educating our staff with the science of safety. We have implemented safety rounds with senior leadership asking staff what they think the next patient harm event could be, and made improvements to prevent them.