Catheter09 Wednesday, October 28.09

  Legacy Project

Catheter09_Wednesday, October 28.09

Time: 14-1500 hrs Place: STB, room N3030

• Review Goals of Project
• Data Collection Process review
  • Review collection problems
  • Clarify collection practices for this project
• Review current output
• Review analysis that is required
• in attendance, Galye, Elaine, Debbie, Kim, Julie, Trish.

Minutes

• Review Goals: decrease incidence and duration of foley catheters. Assess number of catheters that are physician ordered insertions, decrease UTI related to foley catheters.

• Collection issues: not clear on what to record as insertion date or reason for insertion when admit from another facility, ward in center or ICU in own center. Chart documentation is poor and it is difficult to find clear documentation from other facilities or wards in own center.

*All new admission to medicine wards starting October 29.09, the collection rules below will now be applied.

Admit From STB ER

• IF admit from STB-ER
  • Item (R)- Select a "Reason for insertion" as indicated in ER notes. (best guess if notes not clear)
  • foley insertion date/time when done in STB ER. (this date/time could be before your medicine ward admission date/time).
  • physician order check box: marked if YES, blank if NO.
  • Comments: if date/time inserted or reason not clear from ER notes please record in comments that it was best guess.

• Item (W)- where inserted - STB-ER
  • removal date:
    • if removed on your ward record that date.
    • If patient is sent to another medicine ward with foley still in or expires, record the removal date/time the same as the discharge date/time
  • UTI: Blank if No. Check if Yes. (UTI occurs >48 hrs after foley has been or occured in <=48hrs after foley catheter has been removed on your ward).
    • Comments:

Transfer In From another facility, STB ward or STB ICU

• IF the patient is a transfer IN from any other location EXCEPT from the STB ER:
  • Item (R)- "Reason for insertion" - Select: arrived with Foley
  • date/time of foley insertion is the same as date/time of arrival on your ward.
  • physician order checkbox: blank
  • Comments:

• Item (W)- where inserted - select either Other Facility or Other STB Ward or STB ICU.
  • removal date:
    • if removed on your ward record that date.
    • If patient is sent to another medicine ward with foley still in or expires, record the removal date/time the same as the discharge date/time
  • UTI: Blank if No. Check if Yes. (UTI occurs >48 hrs after foley has been in place or if it occured in <=48hrs after foley catheter has been removed on your ward).
  • Comments: transfer the ICU or another ward with foley.