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Include 3 recommendations to promote nurse participation

Create an Evidenced Based Practice Team (EBP) to monitor the reduction rates of CAUTI’s, include Nurses, Infectious Disease, Pharmacy, Quality Improvement and Ethics Committee

Create departmental IUC tracking flow sheets filled in by nurses that will be monitored and analyzed by the EBP team

Utilize the National Healthcare Safety Network Urinary Tract Infection flow sheet (CDC, N.d.)

After a period of 6 months have the Nurse Leadership Console and Hospital Administration rate the financial effectiveness.

Provide a cost breakdown of inpatient stay relating to CAUTI to all nursing staff.

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Recall two events associated with education

Reducing the risk for urinary tract infections reduces the need for antibiotics that are know cause other opportunistic infections such as yeast infections and C.Diff (Story, 2015). The concept of reducing infection dates back all the way to Florence Nightingale.

Indwelling catheters are safety hazards which increase the risk of injury due to falls. This concept is one of foundational cornerstones at SCOHS.  "Safety is our Number 1 Priority here at Sentara."

These concepts have prepared us for leadership roles in practice.

A nurse is a patient advocate and should strive for patient safety. A nurse leads for healthcare change that is focused on the client first. Other healthcare professionals may focus attention on the disease processes first before patient care.

Use nursing evidence-based practice to provide care that is individualized to each patient's needs.

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YOUTUBE LINK
https://youtu.be/ALUH7e4KB-k

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What challenges and or barriers are the nurses facing revolving around the reducing costs associated with CAUTI?

Challenges include convincing treatment teams that there are no clinical indications for the extended use of IUCs.

Dissemination of IUC removal guidelines to staff

Ethical board review: risk versus benefit does keeping an IUC in place reduce the risk of falls in elderly clients with incontinence.

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Why are nurses’ involvement important with reducing costs associated to CAUTI?  How will the Nurse help to improve or resolve the issue of CAUTI?

By removing the IUC's early, costs associated with infection are reduced to both the client and the hospital

Nurses should know that HAI infections are not paid by insurances (Peasah, McKay, Harman, Al-Amin, & Cook, 2013).

Reducing risk of infections decreases the risks of opportunistic infections such as C. Diff because of antibiotic use (Story, 2015).

How will the Nurse help to improve or resolve the issue of CAUTI?

Nurses eliminate IUC if conditions are not met by the CDC or CMS

Strive to remove the IUC in 24-48 hours

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What roles do nurses have in participation of reducing healthcare costs relating to Catheter Associated Urinary Tract Infections (CAUTI)?

Identify criteria from the Center for Disease Control & Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS) for clients that require indwelling urinary catheters (IUC) and protocols for time based removal.

Identify what clients are at highest risk for developing CAUTI to reduce morbidity and mortality

How are nurse improving or exacerbating the issue?

Nurses understand the mechanisms that lead to a CAUTI.

Nurses should understand CAUTI increases client's risk for conditions such as pyelonephritis, endocarditis, cystitis and other conditions (Center for Disease Control & Prevention [CDC], 2017).

Nurses that are overworked  may overlook timeline for IUC removal

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YOUTUBE LINK
https://youtu.be/fTVxQJAkAmQ

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Nurses need to be part of the process to help decrease healthcare costs related to Catheter Associated Indwelling Urinary Infections (CAUTI).

CAUTI is the leading type of Hospital Acquired infection  (HAI) (Anderson & Townsend, 2013).

CAUTI accounts for about 30% of HAI  (American Nurses Association [ANA], 2015).

HAI Cost $33 billion per year (ANA, 2015).

CAUTI accounts for about >$340 million a year (Gould, Umscheid, Agarwal, Kuntz, & Pegues, 2009).

An average for 1 day of inpatient care is $2,289 for nonprofit hospitals (Rappleye, 2015).

Photo (Google, 2017)

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Sentara College of Health Sciences