101 Wrap-up:

• Presented results to infection prevention (Larissa)
  • Presented to PNT committee (Josh)
• Medical director – said ASB rate was low, explained ASB is being treated at same level as larger facilities, was accepted

201:

• Would like to focus on education (similar to Copper Queen)
  • Focus on physicians and nurses
  • Start conversation by asking questions
• ER provider – everyone got urine culture – now left
  • Physicians not wanting to change orders of other physicians
• Josh goes to interdisciplinary team meeting about swing beds and brings up concerns about antibiotics
  • Josh reviews antibiotics
  • New nurses – have made recommendations – now nurses reach out to Josh about doses/duration
    • Duration of therapy shortened
• Got CIC education scholarship – will be working on it
• Biofire – urine panel will be approved by FDA soon
  • Some concerns – very sensitive – treating things not there (could not be true infection)
  • Could help avoid sending urine culture to reflex
  • Have had issues with c diff
  • Gathering data about when it is right or not (compared to cultures)
    • Some only using biofire and not sending off for culture
• New Redcap survey:
  • Like being able to enter the doctor
• Looking forward
  • Would like to use at other antibiotics, other disease states
    • Bring on surgery at their facility soon

Goals:

• Education and get ASB results back to facility
  • Meet with Jamie from Copper Queen to discuss how she did education
  • Seems like a lot of patients still come in just looking for antibiotics