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Urinary Catheter Management Alert (PDF) - Glens Falls Hospital

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• <strong>Hospital</strong> acquired: <strong>Catheter</strong> Associated <strong>Urinary</strong> Tract<br />

Infections (CAUTI)<br />

• Year to date: 15


• Data July 2009 thru June 2011<br />

• GFH average: 0.552/1,000 patient discharges<br />

• National average: 0.358/1,000 patient discharges.<br />

http://www.hospitalcompare.hhs.gov


• Center for Medicare/Medicaid Services (CMS) 2007<br />

cost of care per CAUTI:<br />

• $44,043.00<br />

• <strong>Glens</strong> <strong>Falls</strong> <strong>Hospital</strong> potential loss:<br />

• $ 660,645.00


<strong>Glens</strong> <strong>Falls</strong> <strong>Hospital</strong> (most recent figures):<br />

April 60%<br />

May 56%<br />

June 56%<br />

July 63%<br />

August 66%<br />

State Average*: 92%<br />

National Average*: 93%<br />

*State and National average based on 3 rd Q for 2011


To meet specific CAUTI and SCIP Guidelines the <strong>Urinary</strong> <strong>Catheter</strong><br />

Reason field has been updated: Free text is no longer available<br />

Based upon <strong>Urinary</strong> <strong>Catheter</strong> Reason response, after 24 hours,<br />

clinicians will receive the new alert: <strong>Urinary</strong> <strong>Catheter</strong> <strong>Management</strong><br />

except for when the patient has been identified as having a Chronic<br />

urological condition, Patient on comfort care or Urology patient.


<strong>Urinary</strong> <strong>Catheter</strong> <strong>Management</strong> <strong>Alert</strong><br />

The <strong>Urinary</strong> <strong>Catheter</strong> <strong>Management</strong> alert will continue to fire<br />

every 24 hours until the foley catheter has been discontinued.


.<br />

.<br />

Upon reassessment, if there is a change in patient status and Chronic urological<br />

condition, Patient on comfort care or Urology patient is documented, the alert will stop<br />

firing<br />

When the alert opens, the user’s name will automatically be defaulted in to associate<br />

the provider’s name to the order.<br />

For those not responsible in managing the catheter, documenting Clinician<br />

not managing urinary catheter will satisfy the alert.


Remember to sign the form by clicking on the green check mark in the upper<br />

left hand corner.


<strong>Urinary</strong> <strong>Management</strong>-Continue Indwelling <strong>Catheter</strong><br />

Once the order for <strong>Urinary</strong> <strong>Management</strong>-Continue Indwelling <strong>Catheter</strong> has been<br />

placed, the alert will cease firing for a 24 hour period.


• Clinicians responsible for managing the urinary<br />

catheter will need to reassess the patient’s need for<br />

catheter every 24 hours and document reason in the<br />

alert.<br />

• Once alert has been addressed, the alert will stop<br />

firing until the following day.<br />

• If patient has been identified as having a chronic<br />

urological condition, on comfort care or as a urology<br />

patient, the alert will not fire.


• U.S. Department of Health & Human Services. (2012,<br />

October 11). <strong>Hospital</strong> Compare. Retrieved from U.S.<br />

Department of Health & Human Services:<br />

http://www.hospitalcompare.hhs.gov

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