Module 3: Conversations Around Device Necessity
Preventing CAUTI in the ICU Setting Slide Presentation
Slide 1
AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Module 3: Conversations Around Device Necessity
AHRQ Pub No. 15-0073-4-EF
September 2015
Slide 2
Setting the Stage
- ICU with high CAUTI rates
- Unit instituted a nurse-driven protocol for catheter removal
- Day nurse Sally and Ms. X
Image: To the right of text are images of "Nurse Sally" and "Mrs. X."
Slide 3
Is This the Right Call?
On what did Sally base her decision? Was this the right call to make?
Slide 4
The Next Morning: Molly
- Profile of Molly
- Challenges with Ms. X
Image: Photo on right side of slide of "Nurse Molly."
Slide 5
What Do You Think Will Happen?
Images: Photo of "Nurse Sally" and "Nurse Molly."
Slide 6
Questions for You
- What about Sally’s decision to remove the catheter?
- What else could Sally have done?
- What about Molly’s reaction?
- How should Sally and Molly’s manager react?
Slide 7
Discussing the Decision
- Were there enough factors to justify removing the catheter?
- Yes
- What is your ultimate goal?
- Reducing or eliminating CAUTI
Slide 8
Discussing the Communication
If you were Molly, what would you have wanted Sally to do?
Slide 9
Discussing the Behavior
Is Molly’s behavior appropriate?
Slide 10
The Manager's Reaction
Images: Photos of the "Nurse Manager" and "Nurse Molly."
Slide 11
Summary
- Decision tree about catheter removal.
- Importance of communication.
