Medical/Dental Professionals

Message from the Chief Medical Officers

Infection Control Basics

CHIEF-MEDICAL-OFFICERS

In an effort to elevate a culture of safety and quality, Kaleida Health is putting a renewed focus on hand hygiene and prevention of catheter-associated urinary infections. This initiative is reflected in the “Message from the CEO” that was delivered to all Kaleida Health employees in April reinforcing the centrality of hand hygiene in effective infection control and in a system-wide commitment to provide  maximal access to hand-cleaning dispensers.

According to the CDC, on average, healthcare providers clean their hands less than half of the times they should. Although Kaleida Health has higher compliance across all of our sites, we still must strive to be at 100 percent compliance all of the time. Hand hygiene is essential to infection control and it is our professional responsibility. Patient and staff safety requires us to clean our hands every time we have contact with our patients and their surroundings.

In the coming months, Kaleida Health will initiate a nurse-driven protocol for removal of catheters in order to decrease catheter days and protect patients. For caution, please minimize use of Foley catheters.  

We can also protect patients by minimizing treatment of colonized catheters without an infection. Do not send a urinalysis on a patient with a Foley catheter unless there are signs or symptoms of catheter-associated urinary infection. If the urinalysis has >10 WBC/hpf, send the culture if the catheter is less than two days old. If the catheter is greater than two days old, replace or remove the catheter and repeat the urinalysis with microscopy. Send for culture only if repeat urinalysis has >10 WBC/hpf.

In a further effort to raise quality measures the system mock survey will be conducted next month. As part of a continual state of improvement and accreditation readiness, the systems performs an internal audit of high risk areas to look for non-conformities and implement corrective action plans

Catheter protocol

 

David Hughes, MD, MPH
Chief Medical Officer
Kaleida Health

Kenneth Snyder, MD, PhD
Vice President, Physician Quality
Kaleida Health

Colin McMahon, MD
Chief Medical Officer
Buffalo General Medical Center/Gates Vascular Institute

David Pierce, MD, FACEP
Chief Medical Officer
Millard Fillmore Suburban Hospital and DeGraff Memorial Hospital

Stephen Turkovich, MD
Chief Medical Officer
Oishei Children’s Hospital