Description
Goal: Provide education to all OMC nursing staff regarding ASB and s/sx UTI to reduce days of therapy for ASB by end of June 2023 2024
Olympic_Baseline submissions
Olympic
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
Reporting
Regular reporting information on antibiotic use and resistance to doctors, nurses and relevant staff.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Progress on PDSA Cycle 4
Develop education for current inpatient RN Staff
Prediction: increased RN education re: ASB, s/sx UTI will (hopefully) decrease # urine cultures requested by RNs therefore reducing # ASB treated for indications such as “strong smelling urine”
Who: me
When: materials completed by April1, on unit meeting agendas by April 1
What: handout
In process:med/surg RN meeting (email sent x 2)
Completed: Resources gathered: utilizing IDSA ASB guideline, Top Myths of UTIs, Johns Hopkins RN AMS Initiative; Presentation and handout developed; ICU/Tele RNs educated via staff meeting 9/27/23
Implementation lessons – not everyone is going to believe you so be extra prepared.
Failure: not having better guidance in how they should apply the information to their practice
Successes: I ran into one RN the next day and she was already passing along the info to her RN resident
Adopt – continue to educate other RNs and Pharmacist staff using same materials so every one is on same page (hopefully)
Adapt – utilizing similar guidelines, developing Provider specific ASB education [MD education planned on Dec 1]
Your organization has completed the following PDSA cycles. Click a heading to view a cycle's details.
Develop education for RN Staff (via required CA-UTI education)
Prediction: increased RN education re: ASB, s/sx UTI will (hopefully) decrease # urine cultures requested by RNs therefore reducing # ASB treated for indications such as “strong smelling urine”
Who: me (to develop info); OMC RN educator
When: materials completed by march 1
What: handout, PPT
Original plan: work with Education Dept and IPC to include in CA-UTI education modules
Problems: other stakeholders not currently invested/other pressing priorities
Forgot how slow moving implementation in a larger project can be
– Issues: IPC out on maternity leave starting in April (causing the last few months prior to be project wrap up instead of project initiation)
Education Dept transitioning to different software therefore without bandwidth to start new projects
Adapt:
New plan: Target existing RNs on inpatient units via scheduled staff meetings as Phase 1
– In process of getting on RN unit meeting agendas
Cycle 1: Baseline data collection to identify where to focus IQIC project
Needs: report to capture all urine cultures ordered at OMC [completed]
Upload data to REDcap [in progress]
Timeframe: October-Dec 2022
Uploaded >20 urine cultures for baseline report
Internal report obtained which found over 200 potential baseline urine cultures in 3 weeks (Unexpected volume)
Too many urine cultures were identified so additional parameters on scope were needed [to pt hospitalized]
Baseline data submission: hard to find the time to submit all cultures that qualify. Would really benefit from 2 monitors to be more efficient. Easiest to schedule time in my day to submit
Adapt: changes were made to which urine cultures were reported
Cycle 1: Baseline data collection to identify where to focus IQIC project
Needs: report to capture all urine cultures ordered at OMC [completed]
Upload data to REDcap [in progress]
Timeframe: October-Dec 2022
Uploaded >20 urine cultures for baseline report
Internal report obtained which found over 200 potential baseline urine cultures in 3 weeks (Unexpected volume)
Too many urine cultures were identified so additional parameters on scope were needed [to pt hospitalized]
Baseline data submission: hard to find the time to submit all cultures that qualify. Would really benefit from 2 monitors to be more efficient. Easiest to schedule time in my day to submit
Adapt: changes were made to which urine cultures were reported