cardiology-summit-2019-scientifictracks

Page 41

March 25-26, 2019 | Amsterdam, Netherlands

CARDIOLOGY

AND CARDIAC NURSING

World Congress on

Cardiology Summit 2019

Journal of Cardiovascular Medicine and Therapeutics | Volume 3

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

YEARS

WE “CAUTI” A PROBLEM!

Monette MaboloMoses

Cone Memorial Hospital, USA

ndwelling urinary catheters are commonly used for heart failure inpatients to support strict intake and output

monitoring related to IV diuretic administrations. In our 30 bed heart failure unit, high indwelling catheter

utilization and high Foley days led to increased Catheter Acquired Urinary Tract Infection (CAUTI). As we drilled

down the problem, we identified inconsistent use of the nurse driven urinary catheter protocol and inaccurate

documentation of I & O. These triggers prompted our team to use the IOWA model to identify best practices in

CAUTI prevention.

Methods/Materials:

Using the IOWA model, the team reviewed literature for best practice strategies. Baseline

data on I & O documentation and catheter care practices were collected. Staff were re-educated on the urinary

catheter guidelines, proper Peri and Foley care, use of nurse driven protocol to discontinue Foley catheter and

I&O documentation through daily huddle messages and one on one staff education. Practice was changed in

Intake and Output documentation of catheter output to every 4 hours; Foley/Peri care annual competency was

established and the team selected a Nurse tech and a nurse to be CAUTI champions.

Results:

The unit CAUTI rate in 2013 was 3.16 with 7 CAUTI’s and 949 Foley utilization days. After staff re-edu-

cation and practice change in 2014, the CAUTI rate decreased to 1.22 with 1 CAUTI and 807 in Foley utilization

days. In 2015 the unit CAUTI rate continued to decline despite a slight increase in Foley utilization of 924 days.

By 2016, the unit continued to be CAUTI free, and YTD they remain CAUTI free with Foley utilization reduced to

350 days.

Conclusion:

This evidence based project positively impacted practice by promoting early removal of Foley cath-

eters and accurate documentation of Intake and output. The results demonstrate a dramatic and consistent de-

crease in CAUTI rates, as well as a decrease in catheter days. Adherence to Protocol driven care and commitment

to maintaining increased staff awareness has dramatically reduced the incidence of CAUTI on this department

resulting in the unit’s achievement of 4 years CAUTI free.

Monette MaboloMoses, J Cardiovasc Med Ther 2019, Volume 3

Monette MaboloMoses completed her doctor degree in nursing practice from American Sentinel University in Aurora,

Colorado with a focus in executive leadership. She is currently the director of a 30 bed heart failure unit at Moses Cone

Memorial Hospital, a 500 bed acute care hospital that is a part of a 6 hospital enterprise in Southeastern North Carolina.

She has presented numerous evidence based posters to various national nursing conferences including the American

Nurses Association and the American Association of Critical Care Nurses.

BIOGRAPHY