Facility background:

• Near Bozeman
• Visiting surgeons – orthopedic
• 1 general surgeon
• Affiliated with Billings clinic – part of Cerner system
• A lot of providers – hard to get them to use order sets
• Stewardship
  • Colleen – pharmacist – works on stewardship on the side
  • A lot going on – no dedicated time

Urine cultures:

• Changed reflex criteria mid-year – gets report from all settings
• Everyone that comes into ER gets UA

Data collection:

• Question – what is positive squamous cells?
  • Lab identifies some or many
  • Livingston – anything greater than 10 is abnormal
• Question – capturing method of urine collection?
  • Keep track on separate excel sheet
• Will only pull data from ER