EX-FOLEY-ATE
Cindy Budelmann, RN, CIC
Laurens County Healthcare System
Clinton, South Carolina
THROUGH NETWORKING,
BORROWED….
AN IDEA WAS
MIX
IN A PLAY ON WORDS……..
Remove that Foley when it is no
longer indicated
to wash (a part of the body) with a
granular cosmetic preparation in order to remove
dead cells from the skin's surface;
to peel off in layers, flakes, or scales.

Not much in common, but it’s a start.
Something to work with…….
FOLEY CATHETERS, UTIS….
BORING!
 How to make it fun
 Colorful, cute posters…not academic or serious

Daily rounding
Positive reinforcement…verbalizing “good job!”
 Asking the staff to tell me the indication for the
Foley….that often generates an opportunity for
education
 Ex-Foley-Ate Award
 Gift presentations…don’t forget CNAs


Monthly feedback
Process and outcome data provided each month
 Celebrating successes with food like a waffle
breakfast buffet

BORROWED
Kick off of
campaign with
educational
posters that
include
appropriate and
inappropriate
indications for
Foley use.
Staff nurse
used in the
photo
•
IDEA
•
•
nurse to nurse
not
administration
to nurse
not Infection
Control with
another rule,
policy or
process
just a peer
educating a
peer
EX-FOLEY-ATE
EX-FOLEY-ATE
Colorful -Finance hates
color copies
(expensive)—
but they hate
Hospital
Acquired
Conditions
more (more
expensive)!!
Unexpected—
draws the
employee to
the poster to
see what’s up
EXFOLEY-ATE
Fun—Crazy
spelling and
font
Prize—who
doesn’t want
to win a
prize???
EVERYONE LOVES
RECOGNITION….
AN AWARD IS PRESENTED WITH EACH GIFT
ONE
OF THE
GIFTS…..
SOME
MORE GIFTS……
MORE…
Be
Creative
GIFT BAG TAGS
Cute
Graphics
More
Color
Be
Uplifting
Have Fun
Add
Ribbon
CANDY BAGS…..A
GIFT FOR EVERYONE
COST
FOR GIFTS
$7.50 for clear bags
$79.18 for gifts and ribbon
$66.29 for candy
Grand Total = $152.97
70 gifts
200 candy bags
OTHER FORMS
OF
EDUCATION…..
ANOTHER OPPORTUNITY
TO
EDUCATE…..
VERY
FEW WORDS…..BUT IT SAYS IT ALL!
MORE
VISUAL AIDS ALL SAYING THE
SAME THING…..
REMINDER TO
PATIENTS…..
EDUCATE YOUR
Use ‘plain English” and educate your patient
about the risks of inserting a Foley catheter
Urinary catheters increase:






Likelihood of infection
Patient discomfort
Antibiotic use
Length of stay
Cost
Patients with urinary catheters tend
to stay in bed, making them more
immobile, and increase their risk for
skin breakdown.
DOES

ANY OF THIS WORK?
The goal in our 90 bed hospital with an 8 bed
critical care unit, was to keep Foley catheter
utilization ratio below 63% in CCU.
Our CCU had not met this goal in 11 months.
 After we began the Ex-Foley-ate Campaign, the

CCU met this goal and, in fact, surpassed it,
with a Foley Catheter UR of 54%!!

We celebrated that success
with a waffle breakfast
buffet for the staff.
SO, DOES IT WORK?
Absolutely!
Changing a culture takes time and while we can already
see improvement, there is
 still room to improve
 still ex-Foley-ating to be done
 still CAUTIs to be prevented
 With persistence and positive reinforcement, culture
change will occur
 Foleys will become uncommon
 CAUTIs will be rare

And we are having FUN!
HAVE YOU EX-FOLEY-ATED TODAY?
Go
make
some
fun
and
get
those
Foleys
out!
QUESTIONS??
THOUGHTS OR IDEAS YOU WANT TO SHARE………