Health Medical Homework Help

Project is reduction of CAUTI in patients that have had indwelling bladder catheters placed in ED.  

History:

• in 2017, 5 CAUTI linked to ED placed catheters
• in 2018 implemented 2 RN cath placement, bladder scanning prior to placement and strick indications for placement
• in 2019, 2 CAUTI  linked to ED placed catheters
• in 2020, 4 CAUTI  linked to ED placed catheters (presumably linked to national trend, see article from CDC https://www.cdc.gov/hai/data/portal/covid-impact-hai.html
• Plan: include unlicensed staff for CAUTI prevention and proper care principals (see https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html ) include keep bag empty, no kinks, below bladder…
• Proposed Education solution:
  • Competency based education of  proper care principals for unlicensed staff (e.g. transporters, EMTs, etc).
  • Set up 5 simulation rooms with proper and improper catheter use (e.g. kinked tubes, bags on patient stomachs, bags on floor, bags too full, etc)
  • Have staff ID correct and incorrect rooms and what actions are needed for improper cath use.
  • Outcomes measured by continued CAUTI surveillance systems.
  • Cost/benefit analysis:
  • Educator time to validate staff (three 8-hour days 24 hours x $60/h = $1560 )
  • Simulation rooms (will use 5 vacant patient rooms of a closed down unit, cost $0)
  • 5 catheter and bag kits (5x 2$8 ea= $40)
  • Unlicensed staff time (20 staff @ ~$30/hr x 0.5 hours= 300)
  • Total estimated cost= $1900
  • Est. cost of CAUTI =  $13,793/patient     [https://www.ahrq.gov/hai/pfp/haccost2017-results.html]
  • therefore: 7.2x savings return on investment for each CAUTI prevented ($13,793/$1900)
  • Stakeholders:
  • ED managers
  • Non-licensed staff
  • patients