Team Communication Guide- Direction for Use
Record and submit the progress of your team’s activities in safety culture and CAUTI prevention to your organizational lead.
The information will be usedto help nursing home project teams to:
•Facilitate discussion during team meetings and develop action plans
•Improve safety culture
•Prevent CAUTI by assessing prevention strengths and identifying opportunities for improvement
•Guide the project team toward overcoming barriers to CAUTI prevention.
During your monthly team meetings, use this format to discuss progress and barriers toward 100 % implementation of each process measure.Select a team member to complete each of the three sections in the Team Communication Guideat the end of each project quarter with input from the team members.Score each of the items in the tool using the scoring system provided in each quarter.
At the end of each quarter, enter the results from the Team Communications Tracker online inthe HRET Comprehensive Data System (CDS). Data submission will become available on the 1st of the month following each quarter and will be required to be submitted by the 15th of that month
SECTION 1: T.E.A.M.S. BUNDLE
- Circle the % of staff who viewed the onboarding webinar “Enhancing Your Resident Safety Culture” for the first time in this quarter. [the webinar recording can be found in the webinar list on the ltcsafety.org website.]
- Circle the number of times your designated administrative champion met with your project team.
- Circle all the types of data your team shared with your administrative champion( CAUTI infection rate, safety culture results, team communication tool results, and Staff Safety Assessment)
- Circle the # of times your administrative champion participated in safety rounds.
- Circle yes or no if the Staff Safety Assessment Tool was used in the last quarter to survey the staff about how the next resident will be harmed.
- Circle yes or no if the Learn from Defects Tool was used in the last quarter to identify a clinical or operational situation that you do not want to have happen again and to follow-up to ensure safety improvements are achieved.
- Circle yes or no if your team identified and prioritized a catheter associated safety measure to work on in the last quarter.
7a.Circle yes or no if your team has worked through reducing the risk of any safety issues identified in the last quarter
7b. Circle yes or no if your team shared information /lesson learned from that process with staff in the last quarter.
SECTION 2: CATHETER ASSOCIATED URINARY TRACT INECTIONS (CAUTI) STRATEGIES
- Circle the % of staff who have been educated for the first time in this quarter about CAUTI prevention.
- Check all of the topics that apply that your team educated others on the unit.
- Circle the % of residents with indwelling catheters for whom:
- A chart review was done prior to urinary catheter insertion to ensure the indication for use met criteria( see criteria below)
- The catheter was removed promptly when it no longer met criteria
- Aseptic technique was used by personnel trained in insertion technique to insert the catheter
- Re-catheterization was avoided by assessment for alternatives to catheterization.
- A closed drainage system, catheter securement and unobstructed urine flow were maintained
- Alternatives to Incontinent care were documented prior to using a urinary catheter
Source: Gould CV, Umscheid CA, Agarwal RK GUIDELINE FOR PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS 2009
SECTION 3: BARRIERS TO YOUR TEAM’S PROGRESS
Circle the number that most closely indicates the extent to which these barrier elements affected your teams’ progress:
(1=Never/Rarely, 2=Less than 1/2 of time, 3=1/2 of time, 4=More than 1/2 of time, 5=Almost always/Always)
- The staff has insufficient knowledge of the scientific evidence supporting the intervention
- The staff lacks quality improvement skills
- The staff is unclear about CAUTI reduction activities
- There is a lack of leadership support from administration
- There is a lack of leadership support from nurses
- Resources are insufficient to implement interventions
- There is a lack of buy-in from the CNAs