1 1 U & I Preventing UTIs Post-surgical Units at Surrey
Memorial Hospital (Orthopedics and General Surgery) Alana Cohen
Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine
Prysunka Susann Camus Filda Grado Jas Sidhu Melanie Skidmore Leah
Tennant Angela Wilson Team Members: SQAN Presentation: November 16,
2012 Slide 2 2 Team Goal Apply National Surgical Quality
Improvement Program (NSQIP) data and methods to reduce Urinary
Tract Infection rates in SMH Postsurgical Patients from 1.6% on
February 29, 2012 to 0.8% by June 30, 2012 Slide 3 3 Improvement
Strategies Use NSQIP risk and non-risk adjusted data to drive
improvement Apply NSQIP best practices Slide 4 4 Quality
Improvement Strategies Team Goals Use Positive Deviance and TRIZ
Carry out Plan-Do-Study-Act (PDSA) cycles to test improvements and
small changes Staff and patient education Regular facilitated
meetings Slide 5 5 What we have done to date Developed Foley plan
of care sticker for Kardexes PDSA Cycles performed on positioning
of catheter bag, integrity of loops, catheter care and
documentation of Foley plan of care on Kardex Chart reviews Slide 6
6 What we have done to date cont Pioneered use of physician
reminder sticker Staff huddles and contests Posters, factoids and
spot checks Patient education Slide 7 7 Results Slide 8 8 Slide 9 9
Lessons learned No quick fixes Important to master the basics
Essential to remind people and to ensure new staff and casual staff
are included in education Key challenge: getting the word out and
getting people to change practice Be persistent Slide 10 10 Hints
for new teams 6-8 staff members is optimal Every team member is
actively involved Facilitated meetings keep us on track Build in
time during meetings to do PDSA cycles Have fun Celebrate successes
Slide 11 11 Wavin the Cath (apologies to Knaan) When we get data,
we will drill down Call us high flyers High flyers wearing the
crown Chorus: When we get data, we will drill down Call us high
flyers. High flyers wearing the crown. We will cut back, We will
cut back. First Verse: From Surrey downtown, Surgical Floor These
are my patients, couldnt ask fo more This is our way, I am a nurse
Caring is first, knowledge we thirst Our patients come first,
theyll be the best, PDSA we always test Patient will heal, this is
for real This is our way, thats all we can say Times struggling,
Getting the word out Were wondering, whats that about now We
actively wait for zero point eight Its not far away, For now we say
Chorus Second Verse: Two person insertion is less exertion, Use the
best practice, tell everyone Hold all our contests, weve just begun
No easy way, Work is the way Lets do this together, make all
believers NSQIP best practice, strive to improve Were making our
way to zero point eight Well not give up, Our team is great! Were
reminding, all the physicians Were stickering, all our Kardexes
Well actively wait for zero point eight Its not far away but for
now we say. Chorus (repeat twice)
