This document outlines a strategic plan to reduce catheter-associated urinary tract infections (CAUTIs) among patients. It begins by establishing the philosophy and goals of collaborating with patients, families, and the healthcare team to adopt new standards of care that prevent CAUTIs. Short-term goals include nurses adopting correct catheter insertion and care techniques within one year, while long-term goals aim to provide education to ensure best outcomes. Objectives are outlined for nurses to demonstrate anatomy, catheterization methods, and manage CAUTI patients. The strategic plan involves various phases including "unfreezing" current practices and continual communication during transition to new standards. Literature is cited supporting the risks of CAUTIs and costs of treatment.

3. “The world hates change, yet it is the only thing that
has brought progress.”
Charles Kettering
“However beautiful the strategy, you should
occasionally look at the results.”
Winston Churchill

6. Strategic planning is a tool for organizing the present on the
basis of the projections of the desired future. That is, a
strategic plan is a road map to lead an organization from
where it is now to where it would like to be in five or ten
years.
(1) Where are we now? (The Situation)
(2) How did we get there? (Our Momentum)
(3) Where are we going? (The Direction)
(4) Where should we be going? (Desired Direction)
(5) How will we get there? (The Strategic Plan)

10. Philosophy
By collaborating with the
patients, families, and other health team
members to plan and provide nursing care
that will achieve an optimal level of health
and wellness, and prevent the clients from
CAUTI.

11. • Setting goals to achieve the objectives by
directing the efforts of nurses to adopt new
standards of care in the catheterized patients.
• Short term goal
• Long term goal

12. Objectives
The nurses at the clinical site will be able to:
Demonstrate relevant anatomy.
Discuss the methods of urinary
catheterization and their indications.
Identify catheter-associated complications,
Assess and manage the client with CAUTI’s.
Elaborate strategies those home healthcare
practitioners can employ to ensure best patient
outcomes and minimize complications.

13. Short Term goal Long Term Goal
• Nurses will adopt • Nurses will get Education
correct techniques for and training about
catheterized patients and
catheter insertion and
convey it to their
care to ensue the caregivers to play an
objectives within one integral role in the
year. practitioner's efforts to
ensure best patient
outcomes and reduce the
complications.

14. • Nurses have the knowledge about indications of
catheterization.
• adopt the sterilize method for indwelling urinary
catheter.
• Nurses acquainted about the complications of
catheterization.
• Nurses prevent the client from urinary tract infections.
• Nurses update the relevant anatomy of Genitourinary
system.
• Nurses can identify the risks.
• Evidence based practice in clinical area.
• Lectures arrange for the clinical nurses.
• Update knowledge by holding the seminars, symposiums
and workshops. .

15. Many hospitalized patients require the
placement of indwelling urinary catheters for
days or even weeks at a time.
Urinary tract infections (UTIs) account for up
to 40% of nosocomial infections, with urinary
catheter-related infections causing the vast
majority of nosocomial UTIs.
Nurses can take measures to reduce the
ratio of UTIs by practicing standardize
procedures.

17. Unfreezing Stage
Reducing the forces that are striving to
maintain the status quo and dismantling
the current mindset.
By doing a survey of attitude, it will show
the morale of people.
Deliver information regarding the
adaptation of new standardize procedures.
Build up a trustful relationship among
people.

18. Change or Transition
 This phase can be lengthy and almost certainly
will not happen as a matter of few days.
 Continual Communication with the health team
members, they will feel more involvement and
connected with the process.
 Address the barriers of negative people, inform
them how can we reduce the percentage of UTI
by adaption of change.
 Be open to negotiate with the team members.

20. Literature
• Catheter-associated infection is also a problem in
long-term care, such as care homes, where elderly
residents are catheterized for prolonged periods
and are at risk of acquiring recurrent UTI and the
subsequent long-term complications associated
with the infection. The risk of infection with routine
catheterization is 1-2% per procedure. The risk with
an indwelling catheter is 5% risk per day
accumulating
(Tambyah et al, 2002)

21. Each hospital-acquired UTI results in an
increased length of stay of 5-6 days in
hospital and costs £1,327 to treat.
(Plowman et al, 1999).
Patients who have catheters and develop
UTIs in primary care settings have greater
contact with their GP, visit the hospital more
frequently for outpatient appointments and
receive more visits from district nurses.
(Plowman et al, 1999)

22. • The risk of UTI is associated with the method and
duration of catheterization, the quality of catheter
care and host susceptibility.
(EPIC, 2001)
• The duration of catheterisation is also variable
within healthcare settings and is often related to
the reason for catheterisation. For example, it can
be of short duration (1-7 days) for postoperative
patients, intermediate duration (7-30 days) for the
measurement of urine output in critically ill
patients, or of long duration (more than 30 days)
for those patients with complications related to
intractable incontinence.
(Glynn et al (1997)

23. Each silver alloy urinary catheter tray costs
about $5.30 more than a standard, non coated
urinary catheter tray. However, a recent
economic evaluation indicates that when all the
clinical and economic costs are accounted
for, silver alloy urinary catheters may provide
both clinical and economic benefits in patients
receiving indwelling catheterization for 2 to 10
days.
(Saint S, Veenstra DL, Sullivan SD, 2000)

24. References:
 Integrating Issues Management Into Association Strategic Planning. Michael T.
Pfeiffer,
 in A Sharing of Expertise & Experience, 2: 312-320.
ASAE, Washington, DC, 1984
 Developing a Strategic Marketing Planning and Monitoring System. John R.
McKenzie
 and Alan R. Shark, in A Sharing of Expertise and Experience, 5: 322-328. ASAE,
 Washington, DC, 1987.
 Five Characteristics of Effective Planning in Associations. Glenn H. Tecker, in A
 Sharing of Expertise and Experience, 5: 269-272. ASAE, Washington, DC, 1987.
 The Strategic Management Process: as Model for Associations. Paul S. Forbes, in
A
 Sharing of Expertise and Experience, 6: 278-286. ASAE, Washington, DC, 1987.
 Hunt, Gillian M., Pippa Oakeshott, and Robert Whitaker. "Intermittent
Catheterization: Simple, Safe, and Effective but Underused." British Medical
Journal 312, no. 7023 (Jan. 1996): 103-7.