Beyond the Bundle: The ICU Initiative to Decrease the Incidence of Central Line Associated Bloodstream Infection

Abstract

focus. The team divided into 4 work groups: Bladder Management Practice guideline, Documentation Guidelines/ Order sets, Urologic Equipment, and Education. CAUTI-Team actions: 1) identified a UTI Prevention workflow process to facilitate the appropriate ordering, placement, maintenance and removal of IUC, 2) created best practice CAUTI Prevention Bundle, 3) selected new IUC products & stabilization device, 4) revised care & management of IUC procedures, 5) developed a nursing CAUTI Prevention self-learning module. The CAUTI Prevention Bundle includes: a) physician order set with clinical necessity indicators for IUC, b) competency for staff who insert IUC, c) daily assessment for IUC necessity, d) educational materials for patient & family. The CAUTI interventions were introduced in December 2009. The CAUTI-Team used the self-governance approach to determine best practice & to implement changes. Council members monitored clinical practice & served as liaisons in reporting CAUTI Prevention bundle compliance as well as HA-CAUTI outcomes to their areas.