Bath basin elimination: The use of bathing cloths to reduce catheter-associated urinary tract infection in critically ill patientsName : Dr. Natalia Cineas
Affliation : Deputy Chief Nursing Officer
University : Mount Sinai St. Luke’s
Country : USA
The purpose of this study was to compare the effectiveness of two methods of patient bathing and incontinence care on overall cost and patient outcomes for catheter-associated urinary tract infections (CAUTI) in critically ill patients.
Healthcare-associated infections (HAI) are common, costly, and associated with significant morbidity and mortality. Prevention strategies are often underutilized, particularly for CAUTI. CAUTI rates by hospital are now publically available and the Centers for Medicare and Medicaid Services (CMS) will no longer reimburse hospitals for the additional costs of caring for patients who develop CAUTI. A growing body of evidence supports that the removal of reusable bath basins can reduce CAUTI.
The use of the new bathing and incontinence care protocol continues throughout the hospital, with ongoing tracking of compliance, clinical outcomes and cost. These findings add to the emerging body of evidence supporting the benefit of basin elimination on HAI reduction and the associated economic benefits.
Dr. Natalia Cineas is the Deputy Chief Nursing Officer at Mount Sinai St Luke’s. She is adjunct faculty at Columbia University School of Nursing. For over 4 years, she has been the execution of measures to ensure the attainment of all quality and safety indicators, including Falls Prevention. A proponent of the application of a professional practice model and purposeful hourly rounding to promote nursing care, Dr. Cineas has endorsed the nursing assessment for falls risk and the focus on prevention of falls with injury through critical thinking and application of standard work in nursing care delivery. Dr. Cineas has used evidence-based practice to improve Catheter Associated Urinary Tract Infection rates. Dr. Cineas focused her doctoral dissertation in the success of simulation in attaining competency in purposeful hourly rounding and patient safety. It is her expertise to implement change in practice with a focus on sustaining efforts to improve care in our most vulnerable hospitalized patients. An avid team player, Natalia establishes partnerships to exceed goals and prevent patient harm.