Transcript Soarian Workflow

Soarian Urinary Catheter
Workflow
Purpose: To reduce the risk of infection
from prolonged urinary catheter placement
Facts: Foley Catheter UTI
In 2008, PinnacleHealth had 97 symptomatic UTI
infections.
80 of those patients met the criteria for a Foley
Catheter-associated UTI.
The average Foley Catheter UTI increases a patient’s
medical cost by $1000-$1500 if uncomplicated by
sepsis.
CMS will not reimburse for additional costs related to
the care of a Foley Catheter-associated UTI.
Urinary Catheter (Foley) Workflow
A workflow has been created in Soarian to generate an ALERT to the
Physician’s worklist daily at 0600 AM, if a urinary catheter has been
inserted.
The alert will include 2 suggested actions: you can link to discontinue
the Foley or link to maintain it. If keeping the catheter, you must
document a reason for continuation on the Foley Evaluation Form
every 24 hours until D/C’d.
*Note: If the reason documented is palliative care/terminally
ill, the workflow stops. The workflow will also stop once the order is
discontinued- in both cases, no further Alerts will be posted.
If your patient has an order for a urinary catheter, an Alert
will be posted at 06:00AM every morning. This Alert can
be viewed from the Census Page or the Clinical Summary.
View from the
Patient Census
View from the
Clinical Summary
If viewing from the Census page, click on the arrow to the
left of Alerts to view the Alert information.
Census Page View
Clinical Summary View
You must select decide whether to keep the
Foley or to Discontinue it.
1. Click on the top
arrow to D/C the
urinary catheter
To D/C the urinary
catheter, click on the
arrow the right of the
discontinue message
2. Clicking the “Yes” button will
evoke an auto discontinue order.
A notice is then sent to the
nurse to remove the catheter.
Maintaining the Foley
If you elect to keep the urinary catheter order, you must
click on the arrow to the right of the reason for
continuation message. You will be taken to a form to
document a reason for maintaining the catheter.
View from
the
Patient Census
View from
the
Clinical Summary
A Foley Evaluation Assessment screen appears. Place a check mark by the
appropriate reason (multiple reasons can be selected) and sign the assessment.
This will then remove the alert, however it will reappear tomorrow at 06:00AM and
will continue to require documentation daily until the urinary catheter is
discontinued.
Click here to
sign the
assessment
Note: If the reason selected is
TerminallyIll/Palliative Care, once signed, the
workflow stops.