SOURCE: Medline Industries, Inc.


March 14, 2011 10:56 ET

Medline's ERASE CAUTI Prevention Program Helps Unity Hospital Reduce the Risk of Catheter-Associated Urinary Tract Infections

Data Shows Innovative Tray and Comprehensive Education Reduces CAUTI Risk

MUNDELEIN, IL--(Marketwire - March 14, 2011) - Unity Hospital in Rochester, New York, is reducing the risk of catheter-associated urinary tract infections by utilizing Medline Industries, Inc.'s ERASE CAUTI program, including an innovative one-layer catheter tray and comprehensive education and training.

According to data from the 340-bed, nonprofit hospital, the facility reduced its urine Nosocomial Infection Markers (NIMs) 32 percent in August 2010 compared to the same time period in 2009. The associated cost for each urine NIM marker is $3,637, which demonstrates a significant cost-avoidance following the introduction of the ERASE CAUTI program, according to Unity Hospital. Urine NIMs are an electronic marker that uses sophisticated algorithms to analyze existing microbiology laboratory and patient census data to identify hospital-acquired infections.

"Although we had a low CAUTI rate in 2009, after implementing the ERASE CAUTI program rates continue to trend downward," said Erica Perez, Unity's clinical educator. "The program ties in education, nursing power and a new industry product that promotes best processes by reinforcing the CDC guidelines to decrease the opportunity for a CAUTI to develop."

According to Perez, the hospital began using the ERASE CAUTI program because it identified gaps in standardization and knowledge regarding the proper insertion technique and clinical indications for using a Foley catheter.

"This initiative is intended to ensure standardized nursing practice across all clinical areas, which we know will lead to better patient outcomes," said Perez.

"The Medline program offered the tools to reduce the inconsistencies we observed in the technique nurses used to insert catheters due to differing protocols at previous facilities where nurses have practiced, variance in how nurses were initially taught the procedure and different types of Foley trays nurses have used in the past," said Perez.

Perez emphasized that Medline's one-layer tray presents the procedure components in an intuitive manner, guiding the nurse through the procedure from left to right. The innovative tray also makes it easier to maintain aseptic technique since all the components are in one tray versus the traditional two layers.

Perez also cites that the checklist on the Foley tray's outer package helps the nurses follow the recommended insertion guidelines from the Centers for Disease Control and Prevention (CDC). A second checklist also helps the nurses identify the clinical indications for catheterization. The checklists are printed on a peel-off sticker to fit in the patient chart or medical record.

The hospital staff also took advantage of the program's online education, which reinforces aseptic technique through learning modules and an interactive competency tool clinicians use to demonstrate knowledge of proper Foley insertion technique. To date, more than 500 nurses have completed the education classes via Medline's e-learning site Medline University. These online modules have been added to the hospital's clinical orientation as a mandatory core competency for new nursing staff.

In addition to clinician education, Perez said that effective patient communication and education about the procedure are important to producing positive outcomes. To help foster patient education, Medline's new tray contains a Patient Care Card™ that looks and feels like a "Get Well" greeting card with key educational elements scripted for the clinician to review at the bedside with the patient and family.

Following a successful trial period last summer, the ERASE CAUTI program was rolled out facility-wide to all acute care units at Unity Hospital in August 2010. 

"The implementation of the ERASE CAUTI program has helped us to improve the standard of care for patients receiving a Foley catheter and has reduced the risk of CAUTI," said Perez. "The reduction in urine NIMs indicates fewer patients may be at risk for developing a CAUTI."

About Unity
Unity Hospital is a 340-bed not-for-profit hospital in Rochester, New York. It is accredited by the Joint Commission, and the hospital's intensive care unit ranks in the top 100 in the Unites States.

1 Catheter-related UTIs: a disconnect in preventive strategies. Physician's Weekly. 2008; 24(6).

About Medline Industries, Inc. 
Medline, the nation's largest privately held manufacturer and distributor of healthcare products, manufactures and distributes more than 100,000 products to hospitals, extended-care facilities, surgery centers, home care dealers and agencies. Headquartered in Mundelein, Ill., Medline has more than 900 dedicated sales representatives nationwide to support its broad product line and cost management services.

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