The Devil is in the Details: Applying CAUTI and CLABSI Criteria ...

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Collecting Summary Data How many patient days are counted for this MICU on June 8? A. 7 B. 6 C. 5 D. 4 E. 3 Patient ADT 101 Smith Home @ 9 am 102 Washington Day 3 103 Doe Adm 10 am 104 ----- 105 Chen Day 2 106 Jones Day 8 107 Gonzales D/C to nursing home @ 4 pm
Collecting Summary Data How many central line days? A. 6 B. 5 C. 3 D. 2 E. 0 Patient ADT Vascular 101 Smith Home @ 9 am PICC home w/ pt 102 Washington Day 3 Peripheral IV 103 Doe Adm 10 am IJ CL inserted at 2 pm 104 ----- 105 Chen Day 2 Swan Ganz and PICC 106 Jones Day 8 Subclavian CL cont 107 Gonzales D/C to nursing home @ 4 pm Peripheral line d/c at 1 pm
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The Devil is in the Details: Applyi
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NHSN Website A Valuable Resource
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Horan TC, Andrus ML, Dudeck MA. CDC
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What If My Physician’s Balk? •
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Major & Specific Infection Types
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Catheter-associated Urinary Tract I
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Major & Specific Infection Types- U
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Indwelling Catheter • A drainage
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48 Hour Rule • If a CAUTI develop
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2 Key Questions • Was an indwelli
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Symptomatic UTI - 2a
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SUTI for ≤1 year olds - Criteria
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Asymptomatic Bacteremic UTI (ABUTI)
Page 29 and 30:
Available selections based on Speci
Page 31 and 32:
Case 1 • Does this patient have a
Page 33 and 34: Case 3 • 84 year old patient is h
Page 35 and 36: Case 4 • What if the one blood an
Page 37 and 38: Central Line-associate Bloodstream
Page 39 and 40: 48 Hour Rule • CLABSIs are attrib
Page 41 and 42: Definition: Central Line The follow
Page 43 and 44: Note • Neither the location of th
Page 45 and 46: LCBI - Criterion 1 Example: Jon Smi
Page 47 and 48: LCBI Criterion 3
Page 49 and 50: One or more blood cultures means th
Page 51 and 52: Determining “sameness” of two o
Page 53 and 54: Determining “sameness” of two o
Page 55 and 56: Case 1 • James is a 28 year old p
Page 57 and 58: Case 1 • Is this a BSI? • If ye
Page 59 and 60: Case 2 • A patient with a PICC pl
Page 61 and 62: An 81 year old patient was in MICU
Page 63 and 64: Case 4 • Patient admitted to MICU
Page 65 and 66: Case 5 • Day 3: All cultures nega
Page 67 and 68: Case 6 • 8/14- A 41 year old fema
Page 69 and 70: Case 6 • What unit should be indi
Page 71 and 72: Case 7 • Day 3: Repair of Patent
Page 73 and 74: Case 8 • Baby girl Jones is born
Page 75 and 76: Case 8 • What criteria would be m
Page 77 and 78: Case 9
Page 79 and 80: Collecting Summary Data • Data co
Page 81 and 82: Collecting SCA Summary Data
Page 83: Collecting Summary Data • MICU -
Page 87 and 88: References • AJIC: American Journ
Page 89: nhsn@cdc.gov
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