Heighten Education Assessment of CAUTI Risk Watch for CAUTI Al Wakra Hospital (A.W.H) Against Catheter Associated Urinary Tract Infection (CAUTI) Assessment of CAUTI Risk Watch for CAUTI Heighten Education

Team: Team Leader: Dr .Mohamed Sadek Members: Dr. Amira Shepl Saleh Dr. Abdul Majeed Maliyakkal Dr. Nasser Sonboli Ms. Rabab Sherif Ms. Kathy Narzoles Mr. Ahmed Elsayed Mrs. Feah Visan Mr. Jherard Castillo Mr. Hassan Maatoug Mr. Bassem Zein-Alabdin

“Decreasing Unnecessary Foley Catheter Utilization, Decreases Catheter Associated Urinary tract Infections”

Aim 1. Have zero percent hospital acquired CAUTI OR 300 days without CAUTI & 100 % compliance with urinary catheter insertion bundle, in the pilot areas, by March 2015. 2. To decrease the utilization of IFC and accordingly the CAUTI rate. 3. To implement bundles (insertion and maintenance) if catheterization is required to prevent CAUTI. 4.Develop a Catheter removal protocol.

Methods: 1. Assessment of CAUTI risk. 2.Include the indication as a mandatory step before catheter insertion, and to be documented & stamped from the concerned physician and nurse. 3. Watch out for CAUTI by the use of the Insertion and Maintenance Prevention Bundles 4. Heighten Education to Healthcare Workers, Patient and Family members 5. Follow-up and monitor the CAUTI rate and compliance to CAUTI prevention bundle. 6.Use silicon catheter instead of latex.

Results 1. Development of the Revised Insertion Bundles highlighting appropriate indication for Indwelling Foley Catheterization, which includes: Acute Urinary Retention or bladder outlet obstruction Strict urinary output measurement if patient not able to collect the urine Incontinence in patient with open sacral or perennial wounds (Incontinence in general is not an indication) Prolonged immobilization (e.g., unstable thoracic or lumbar spine, pelvic fractures, etc.) Improve comfort for end of life care 2. Decrease in the indwelling days among patients in Foley catheters & early removal.

Cumulative days without CAUTI. 6 North, medical inpatient Cumulative days without CAUTI.6 North, medical inpatient .Al Wakra Hospital

Key Learnings 1. Communication and collaboration is the key to this project. Start talking about CAUTI prevention with the staff and clinicians 2. Involved patient and family members in the prevention of CAUTI 3. Reduce use, prevent CAUTI; Utilize the prevention strategies, reduce CAUTI

Recommendations and Next Steps 1. Continuous feedback and collaboration between nursing, clinicians and infection prevention and control has to be established to create a culture of CAUTI reduction 2. Risk assessments has to be done and reviewed regularly to ensure that prevention techniques are being utilized

Heighten Education Watch for CAUTI Assessment of CAUTI Risk Decrease utilization, Decrease CAUTI! Implement Bundles, Prevent CAUTI! Assessment of CAUTI Risk Watch for CAUTI Heighten Education