Module 3: Conversations Around Device Necessity

Preventing CAUTI in the ICU Setting Slide Presentation

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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

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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."

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Is This the Right Call?

On what did Sally base her decision? Was this the right call to make?

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The Next Morning: Molly

  • Profile of Molly
  • Challenges with Ms. X

Image: Photo on right side of slide of "Nurse Molly."

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What Do You Think Will Happen?

Images: Photo of "Nurse Sally" and "Nurse Molly."

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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?

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Discussing the Decision

  • Were there enough factors to justify removing the catheter?
    • Yes
  • What is your ultimate goal?
    • Reducing or eliminating CAUTI

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Discussing the Communication

If you were Molly, what would you have wanted Sally to do?

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Discussing the Behavior

Is Molly’s behavior appropriate?

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The Manager's Reaction

Images: Photos of the "Nurse Manager" and "Nurse Molly."

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Summary

  • Decision tree about catheter removal
  • Importance of communication

Return to CAUTI Tools Resources Page

Page last reviewed December 2017
Page originally created November 2015
Internet Citation: Module 3: Conversations Around Device Necessity. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/cauti-icu/facil-guide/mod3-slides.html