Jill Duis RN, infection preventionist at Jefferson Community Health Center in Fairbury was selected to be a part of a panel discussion on catheter associated urinary tract infections at a quality conference of the Nebraska Hospital Engagement Network. Duis was asked to participate because of Jefferson Community Health Center’s excellent results in this project. The conference was held July 29 in LaVista.
Duis said JCHC has participated in a national healthcare initiative designed to improve patient safety and care for the past 3 years. The goal of the CAUTI portion of the project is to reduce the use of urinary catheters, and thus reduce the number of catheter associated urinary tract infections.
As a part of the project, physicians have reviewed and documented why it is a necessary for a patient to have a catheter. Nurses have reviewed with physicians every 24 hours whether there is a continued need for a catheter for each patient who has had one. If there is not a continuing need, the catheter is removed. JCHC also developed a nurse-driven catheter protocol which allows nursing to remove a catheter when a patient meets certain criteria, and to provide appropriate interventions for the emptying of the bladder. JCHC has also changed catheterization kits to include cleansing agents to reduce the risk of bacteria and therefore reduce the incidence of infection. JCHC has also collected data on every patient who has a catheter placed throughout this project.
JCHC’s incidence of catheter associated urinary tract infections is very low. Although JCHC had 0 catheter associated urinary tract infections when the program began, it is very important to JCHC to keep this 0-incidence record. Duis said the last recorded catheter associated urinary tract infection was Aug. 25, 2010. That is 1,332 days (as of July 30.)
“We are committed to keeping our patients free of catheter associated urinary tract infections,” Duis said.