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Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.
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Other Topics: Anticoagulation | CAUTI | Central Lines | Downtime (internal access only)

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A focus on Preventing CAUTI
Catheter Associated Urinary Tract Infections or CAUTI’s are preventable and account for 15% of all hospital acquired infections...every day a catheter is in place the risk of infection increases. 

MGH CAUTI RESOURCES

The most effective means to prevent a CAUTI is to remove the catheter ASAP!

A.R.M. your patients against CAUTI by:

Avoid the use of catheters…consider Alternatives (See toolkit)

Reduce the number of days a catheter is in place by regularly assessing the need for              
the catheter. Remember the most effective means to prevent CAUTI is to remove the
catheter as soon as possible. If the correct POE order template (see toolkit) is used
a daily electronic reminder will be triggered.  Without an order or use of a scripted 
order this step is missed

Maintain the catheter below the level of the bladder and avoid dependent loops. Perform daily catheter care using warm soap and water. Maintain a closed system and avoid disconnecting the catheter from the drainage bag. Use only the sterile port to obtain urine specimens. Secure the catheter to to prevent urethral trauma and traction.  Insert catheters using aseptic technique.

MGH CAUTI Toolkit

Alternatives to Foley Catheters









External catheter Female [video]
Ordering Information: Purewick external female catheter available via “special purchase” thru ebuy: People Soft number #555070.
Directions for use

 

 

 

 

 

 

 

Hollister Male Urinary Pouch
Ordering Information: Availlable via "special purchase" through eBuy using peoplesoft number PS#411410.


Bedside female urinals

Ordering Information: Availlable via "special purchase" through eBuy using peoplesoft number #326427

HealthStream Offerings
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MGH Contacts:

For more information about CAUTI or improvement strategies, please contact your:

 
FYIs

 


REFERENCES

“Nurse-directed interventions to reduce catheter-associated urinary tract infections”

Oman, K. S., Makic, M. B., Fink, R., Schraeder, N., Hulett, T., Keech, T. & Wald, H. (2012). Nurse-directed interventions to reduce catheter- associated urinary tract infections. American Journal of Infection Control, 40(6), 548-553.

Ben Franklin

 

Did You Know?

Benjamin Franklin is considered to be the inventor of the first flexible urinary catheter.  His older brother John suffered from frequent kidney stones. Ben created a pliable bendable catheter to decrease his discomfort.

 

EXTERNAL REVIEWERS

According to the Centers for Disease Control (CDC), each year, millions of people acquire an infection while receiving care, treatment, and services in a health care organization.

Joint Commission logo
The Joint Commission's National Patient Safety Goal number #7 Focuses on: Reduce the risk of health care associated infections or HAI’s.   Goal number 07.06.01 addresses the implementation of evidence –base practices to prevent indwelling catheter-associated urinary track infections.

More information: Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals at http://www.shea-online.org/about/compendium.cfm

More info on:
National Patient Safety Goal: NPSG.07.06.01

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Joint Commission Accreditation Manual

CMS logo
Centers for Medicare and Medicaid Services (CMS)

Magnet Recognition

Magnet_logoThe American Nurses Credentialing Center (ANCC) requires Magnet-designated organizations to track nationally-benchmarked nursing sensitive indicators (NSIs) to continually inform improvement efforts related enhancing patient outcomes. Examples of NSIs include, but are not limited to: patient falls, hospital-acquired pressure ulcers, blood stream infections, ventilator-associated pneumonia, and restraint use.

 

 

 

 

 

 

 

 

 

 

 

GLOSSARY OF TERMS

There are numerous terms and acronyms in healthcare that may be unfamiliar. Please click here to visit a Glossary of Terms that may be helpful. And please email any suggested additions.

This month's featured term: CAUTI
When a patient develops a urinary tract infection and has had an indwelling urinary catheter in place for > 2 calendar days, and the patient did not have evidence of an infection on admission, it is considered a healthcare-associated Catheter-associated Urinary Tract Infection or CAUTI. Also, if an indwelling urinary catheter was in place for > 2 calendar days and then removed and the patient develops a UTI on the day of discontinuation or the next day, this is also considered a CAUTI. A combination of specific symptoms, urine culture results and in some cases urinalysis results are used to define a CAUTI

Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.
If you have questions or suggestions related to the EED portal, please contact Georgia Peirce at (617) 724-9865 or via email at gwpeirce@partners.org.

updated 2.6.19

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