Instructions

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Archimedex: How To Use The Cather Associated Urinary Tract Infection (CAUTI) Calculator


Contents

1. One Page Summary

3. Detailed Directions

2. Introduction and Citations


One Page Summary


Instructions For CAUTI Calculator: 1-Page Summary

1. Go to the Archimedex website at www.ArchimedexLLC.com and left click on “CAUTI Calculator” in the main banner

2. Identify a positive urine culture that you feel may be a possible CAUTI

3. Start by answering the 4 questions in Step #1 and when all answers are submitted left-click “Go To Next Step” button

a) Each question will appear after the previous questions has been answered with a valid reposne

b) Check the “Ruling Box” after each question to see if you have a valid response submitted or if you should stop as the positive urine culture does not meet definition for CAUTI

4. When arriving to Step #2, check the boxes where a patient had the associated symptom or an active Foley Catheter on that day

a) Check the boxes where the patient was in the hospital for the current encounter. However, a CAUTI can be attributed to the current encounter if all criteria are met the day of or the day after discharge. If the patient was discharged on any day between culture collection and Day +4, make sure to check the boxes for the day of and day after discharge. (See Appendix A)

http://www.archimedexllc.com/


Introduction


Introduction and Citations for the CAUTI Calculator

IntroductionThe CAUTI Calculator was developed to provide Infection Preventionists the ability to both learn the CAUTI

surveillance definitions, and offer a double check for complex cases. To use the CAUTI Calculator you must first identify a positive urine culture and then enter data required into the CAUTI Calculator to determine if this

patient’s positive urine culture meets the National Health Safety Network (NHSN) definition of a CAUTI. Each time you complete the CAUTI Calculator process, you will have the ruling for that single positive urine culture.

You must utilize the CAUTI Calculator for one culture at a time. The CAUTI Calculator is not a diagnostic test and is not to be used for diagnosis. Rather, the CAUTI Calculator will take the guess work out of CAUTI surveillance

for NHSN reporting and allow IPs to focus more on improving patient safety.

Citations1. The rules utilized for the Catheter Associated Urinary Tract Infection (CAUTI) calculator are the NHSN

2014 definitions that can be found on the CDC website: http://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf.

2. Additional information about the validation of the CAUTI Calculator and that automation of CAUTI surveillance can be found in the peer-reviewed publication published in AJIC: http://www.ncbi.nlm.nih.gov/pubmed/24581026.

http://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf



http://www.ncbi.nlm.nih.gov/pubmed/24581026




Buttons for the CAUTI Calculator

The “Instructions” button is on the Step #1 page at the bottom. When you left click the button it will display all of the instructions for using the CAUTI Calculator.

The “Clear Responses” button is present on all the pages in the CAUTI Calculator. When you left click the button it will remove all your responses to any questions you have answered and uncheck all boxes.

The “Go To Next Step” button is present on the Step #1 page and will appear only after you answer all four questions. When you left click the button you will be taken to Step #2.

The Archimedex logo is present at the bottom of all the pages in the CAUTI Calculator. When you left click the logo you will be taken to the Archimedex Home Page at http://www.archimedexllc.com.

The “Show Ruling” button is on the Step #2 (10^5) and the Step #2 (>=10^3 and <10^5) pages. When you left click the button it will update the “Ruling Box” with ruling for your scenario.

The “Start New Case” buttons is on the Step #2 (10^5) and the Step #2 (>=10^3 and <10^5) pages. When you left click the button you will be taken back to Step #1 with no responses entered. You only want to left click the button when you are finished with the current positive urine culture and you want to start from the beginning with a different positive urine culture.

The “Ruling Box” is the text box that will return any relevant information about the positive urine culture you are processing through the calculator. The “Ruling Box” will let the user know when their positive urine culture has met the definition of a CAUTI or has not met the definition.



Detailed Instructions


Instructions For CAUTI Calculator: Locating CAUTI Calculator

1. Go to the Archimedex website at www.ArchimedexLLC.com

2. Left click on “CAUTI Calculator” in the main banner

3. Identify a positive urine culture that you feel may be a possible CAUTI, and enter the following information about that urine culture in the “CAUTI Calculator” to determine if it meets the NHSN definition for a CAUTI



Instructions For CAUTI Calculator: Step #1

1. Read the instructions at the top of the page and enter the responses to the 4 questions above that pertain to the urine culture you have identified a) Note: The next questions will only appear when a valid response is provided

(Ex: 2nd question appears when 1st question has a valid response)

b) Look to the “Ruling Box” on the right after every response to see if you have a valid response, this box will also tell you to “Stop” if your response indicates that this urine culture is not a CAUTI

2. Enter the urine culture collection date and left click out of the collection date box

3. When you have entered all the correct responses the “Go to Next Step” button will appear; left click the “Go to Next Step” button


Instructions For CAUTI Calculator: Step #2 (>=10^5)

1. In Step #1, question #3, if you entered “>=10^5” you will arrive to the page shown below; read the instructions at the top of the page a) Note: If you entered “>=10^3 and <10^5” skip to next slide for instructions.

2. Proceed to check the boxes where a patient had the associated symptom or an active Foley Catheter on that daya) Note: Check the boxes where the patient was in the hospital for the current encounter. However, a

CAUTI can be attributed to the current encounter. If all criteria are met the day of or the day after discharge. If the patient was discharged on any day between culture collection and Day +4, make sure to check the boxes for the day of and day after discharge. (See Appendix A)

3. Left click “Show Ruling” and see the results in the “Ruling Box” to the right


Instructions For CAUTI Calculator: Step #2 (>=10^3 and <10^5)

1. In Step #1, question #3, if you entered “>=10^3 and <10^5” you will arrive to the page shown below; read the instructions at the top of the page a) Note: If you entered “>=10^5” go to previous slide for instructions.

2. Proceed to check the boxes where a patient had the associated symptom , an active Foley Catheter, or a positive urinalysis on that daya) Note: Check the boxes where the patient was in the hospital for the current encounter. However, a

CAUTI can be attributed to the current encounter. If all criteria are met the day of or the day after discharge. If the patient was discharged on any day between culture collection and Day +4, make sure to check the boxes for the day of and day after discharge. (See Appendix A)

3. Left click “Show Ruling” and see the results in the “Ruling Box” to the right


Instructions For CAUTI Calculator: Appendix A

1. In Step #1, question #3, if you entered “>=10^3 and <10^5” you will arrive to the page shown

Date post:	27-Jun-2015
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