CSI Project

    Clean Cath Club

    Swedish Medical Center, Cherry Hill Campus (Seattle, Washington)

    CSI Summary

    Available only to registered AACN.org users.

    Summary

    CSI Presentation

    Available only to registered AACN.org users.

    Presentation

    CSI Toolkit

    Available only to users with a paid AACN membership.

    Toolkit

    Added to Collection

    Project Topic

    Standardizing and streamlining catheter care in critically ill patients.

    CSI Participants

    Lorraine Abing, RN, BSN, CCRN
    Alex Limoges, RN, BSN, CCRN
    Erin Lomas, RN, BSN, CCRN-CSC
    Suzanne Mooney, RN, BSN

    Project Goals/Objectives

    1. To reduce the incidence of CAUTI in patients with indwelling urinary catheters
    2. To put in place a uniform process for catheter care in the unit
    3. To educate bedside caregivers on proper equipment and technique in providing catheter and meatal care.

    Project Outcomes

    1. Decreased CAUTI rates 64 percent for NCCU (from 22 to 11) and 82 percent for CVICU (from 7 to 2) compared to data from 2014 and pre-project implementation in 2015
    2. Decreased antibiotic use as a result of decrease in number of infections
    3. Reduced UTI-related complications due to decreased incidence of infections
    4. Increased staff compliance as a result of simplifying and streamlining catheter care
    5. Increased staff involvement by owning the problem as well as the solution, bedside caregivers feel empowered and motivated to improve patient outcomes
    6. These outcomes resulted in a projected annual fiscal impact of $158,999 ($96,782 for NCCU; $62,217 for CVICU).

    Permission to Reuse Materials
    The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

    Disclaimer
    The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.