With the methods used they were able to decrease instances from 135 at baseline to 25 in year three. This reduced cost from 136,000 to around 25,000 dollars for the company. The strategy used was implementation of several factors including electronic health record reminders and no ability to override automatic orders, staff education, patient education, ample supply availability, reminders posted throughout the facilities, and a multidisciplinary team approach to ensure earliest possible removal and proper care. They concluded that thesecombined factors can decrease the amount of CAUTI in an academic medical center hospital environment.With all of the compiled research the conclusion is drawn that a multidisciplinary team approach is the best way to reduce the incidence. Including multiple avenues of checks and balances, staff education, patient education and frequent reminders for all staff members including, nurses, UAP, and physicians. The problem identified is the continued incidence of catheter associated urinary tract infections in spite of current practice guidlines.The PICO question is, How can we implement an interdisciplinary team approach as has been proven effective elsewhere with research and evidence to reduce the incidence of CAUTI? The three key stakeholders would include the bedside nurse and assistive personnel, the assigned management team member designated as the oversight for staff to ensure removal is timely and proper care of indwellingcatheters is complied with, and the patient that will benefit from education and reduced infection rate. The interventions included would be multidisciplinary as this has been proven to reduce infection rates in other studies. Interventions would include an automated daily order to assess for removal, if not removed documentation of continuation criteria identified
Nursing Science6for remaining. A daily report to the manager of all patients with catheters as well as need identified by nurse or clinician for insertion or indicators to keep in place. Education of nurses and assistive personnel on insertion and maintenance with return demonstration if necessary. Education of patients on indicators for catheters remaining in place, proper care ofcatheters including securement and placement of drainage system. A quick daily meeting thatincludes floor nurses and manager to discuss strategies that can reduce the number of catheters including bladder training, obtaining Urology consultations for eligible patients, and overseeing adherence to proper care by UAP. The outcome would be a reduced number of catheters in place and decreased incidence of infection. Two barriers that may be seen could include lack proper catheter care, and incomplete staff communication. Strategies to overcome these barriers will include the daily meeting of the care team, and return demonstration of proper catheter care with documentation by the assigned nurse that proper catheter care has been completed at minimum of two times per each twelve hour shift.