Urinary Catheter Management Alert (PDF) - Glens Falls Hospital
Urinary Catheter Management Alert (PDF) - Glens Falls Hospital
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