Document

Report
Robin Haag, RN, BC, MA
Director Infection Control/Prevention
& HIV Services
Bundle Approach
Structured way of improving the
processes of care and patient outcomes
 Straightforward set of evidence-based
practices
 When performed collectively have been
proven to improve patient outcomes

CAUTI Prevention Bundle

Catheter insertion using
sterile technique
 Written order for
catheter that includes
justification
 Automatic stop order at
48 hours
 Daily review of catheter
necessity
 Tamper evident seal
unbroken (closed
system)
 Drainage bag lower
than patient’s bladder
 Bag and tubing above
the floor
 Catheter secured to leg
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Free flow of urine
 Linen clip
 Tubing not kinked or
dependent
Daily description of urine
Remove catheter from
patient’s with UTI
Daily peri-care and after
each bowel movement
Patient specific urinal for
bag drainage
 Urinal cleaned after
each use
Hand hygiene before and
after touch any part of a
urinary drainage system
PI Bundle Tool
Check Check Check Check Check
Corrective Actions
Device Prevalence
 Bundle Rounds

 Every Day
 Every Shift

Interdisciplinary rounds
 Assess Need for Catheter
 Active Order List
○ HNs
○ Nursing Directors
○ Providers
Education

Round the Clock
 Actual Data
 Prevention

Competencies
 Nursing
 Providers
○ Doctors
 Housestaff
○ PAs
○ Medical Students

Insertion Observation Form
For the Future
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Ongoing competencies
Bundle PI
Insertion observation
Hospital wide bladder scanning
Only nurses inserting ???
Mini-RCAs for CAUTIs
 Unit Level Accountability
○ Closing the loop
○ Report in Department PI meetings
○ Report to IC/IP meeting
Robin Haag
 (718) 616 - 3106
 [email protected]

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