implementing a foley insertion bundle
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Robin Haag, RN, BC, MA Director Infection Control/Prevention & HIV Services. Implementing a Foley Insertion Bundle. Bundle Approach. Structured way of improving the processes of care and patient outcomes Straightforward set of evidence-based practices - PowerPoint PPT PresentationTRANSCRIPT
IMPLEMENTING A FOLEY INSERTION
BUNDLE
Robin Haag, RN, BC, MADirector 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
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 DayEvery Shift
Interdisciplinary roundsAssess Need for CatheterActive Order List
○ HNs○ Nursing Directors○ Providers
Education Round the Clock
Actual DataPrevention
CompetenciesNursingProviders
○ DoctorsHousestaff
○ PAs○ Medical Students
Insertion Observation Form
For the Future 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
