BEST PRACTICES
March 15

What’s your CAUTI prevention plan? Engaging unit champions could be your answer

CAUTI unit champion leads training

Most frontline staff know the best practices for preventing catheter-associated urinary tract infections (CAUTI). But it’s not always easy to put theory into practice.

Here’s the problem: Many clinicians are practicing with limited access to resources, different skill levels and ingrained clinical habits that can keep them from following best practices consistently. On a hectic, understaffed hospital unit with many patients, they can struggle to do everything that’s critical to keeping patients safe.

The result is discouraging: CAUTIs continue to be one of most common hospital-acquired infections (HAIs), equaling more than 9.5% of infections reported by hospitals.1 CAUTIs cause patient discomfort, discharge delays, increased mortality, higher costs and lower hospital reimbursement. In fact, more than 13,000 deaths are associated with CAUTI each year.1

13,000

patient deaths are caused by CAUTIs every year

But there are ways to change these numbers. One key to better outcomes is to engage unit-based champion clinicians and give them the resources to lead prevention efforts across different hospital units. “Bedside nurses are passionate and are continuously trying to improve practices and do the right thing,” says Christine Ninchich, MSN, RN, Medline Clinical Resource Manager, Acute Care.

How frontline champions can help lead CAUTI prevention

When you provide clinicians with the “opportunity to make changes and be heard within their unit and their hospital, you can be more successful at reducing CAUTI rates,” Ninchich explains.

It’s all about building a prevention team that includes the right champions. Clinicians that care deeply about driving a culture of safety and inspiring frontline staff to always follow best-practices for CAUTI prevention: reducing the use and duration of indwelling urinary catheters (IUCs), minimizing their duration of use and following aseptic technique.

Kerry Bach, BSN, RN, Medline Clinical Resource Manager, Acute Care

“You need a champion in every unit who’s going to focus on keeping everyone on task.”

Kerry Bach, BSN, RN, Medline Clinical Resource Manager, Acute Care.

And evidence shows that this model works. When the Comprehensive Unit-based Safety Program (CUSP) from the Agency for Healthcare Research and Quality (AHRQ) was applied to more than 900 hospital units, CAUTI rates decreased an average of 16%.2

So how do you build a unit-based champion team?

Our Urological Solution for CAUTI prevention includes a CAUTI-Prevention Champion Team Playbook that guides you on how to select the right champions in your prevention team.

Champions should be frontline clinicians who know CAUTI prevention best practices. They should be strong leaders and communicators, and show a passion for mentoring others. A typical champion team includes the following roles:

1. CAUTI Champion Lead oversees your prevention team by coordinating and documenting all activities and meetings, and encouraging team communication and feedback.This individual should have deep knowledge of CAUTI prevention best practices and the time to dedicate to the project lead role.

2. Senior Executive helps set your safety goals, get you the resources you need and makes sure that your prevention efforts are a priority at the hospital. Senior leaders should meet with the team and frontline staff regularly and communicate the team’s mission and goals to other stakeholders in the organization.

3. CAUTI Coach encourages teamwork and communication on the unit, engaging and guiding bedside staff in CAUTI prevention. CAUTI coaches should have clinical expertise in urinary catheter care practices and working knowledge of IUC-related policies and procedures.

4. CAUTI Manager works with other team members to help your frontline staff participate in prevention efforts and understand the right policies and procedures. This includes developing staff education like train-the-trainer presentations, bulletin boards, activities and other learning tools.

5. Infection Preventionist/CAUTI-Improvement Advisor helps the team design strategies to improve current prevention practices by studying data on IUC use and identifying the root cause of infection events. This can begin with a discovery assessment to find any existing gaps in practice that could be leading to CAUTI.

Key takeaway

Reaching the best outcome depends on getting everyone involved to support a culture of prevention—from the executive suite to bedside clinicians. “Buy in from senior leadership helps place initiatives as a patient safety priority, and will aide in system wide change,” Ninchich says. At the same time, adds Bach, “You’ve got to involve the bedside nurses and empower them with the training and resources they need to help drive consistent best practices on every unit.

Explore these additional resources to help your champions lead CAUTI prevention in every unit:

Learn about CAUTI prevention best practices, education and training and the right system of products from Medline’s Urological Solution.

Discover champion education and training from Medline University.

Sign up for a discovery assessment to help you identify gaps in your CAUTI prevention.

References:

1. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection (CAUTI) and Non-Catheter-Associated Urinary Tract Infection (UTI) and Other Urinary System Infection (USI) Events. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Accessed March 3, 2021.

2. Association for Professionals in Infection Control and Epidemiology. On the CUSP: Stop CAUTI Supplement—Spring 2014. Available at: https://musite.s3.amazonaws.com/Urological+Solution/APIC-On-CUSP-Stop-CAUTI-Supplement+(1).pdf Accessed March 3, 2021.