AHRQ Safety Program for Long-term Care: HAIs/CAUTI
Onboarding Webinar Series Chat Summary
1. Building Your Culture of Safety Team
Will a recording of the webinar be made available?
All live events are recorded and available on www.ltcsafety.org within 72 hours of the live event. The
website Username: ltcsafety and Password: ltcsafety. The Onboarding 1 recording is now available.
Are the slides from today’s event available to program participants?
All the slides for live events are available on www.ltcsafety.org within 72 hours of the live event. The
website Username: ltcsafety and Password: ltcsafety. The Onboarding 1 slides are now available.
What informal leaders might you want to include in your facility’s LTC Program team?
Participant Suggestions:
 Infection Preventionist and Infection
 Social Services
Controller
 Physical Therapist
 Director of Nursing (DON)
 Registered Dietician
 Charge Nurses
 Residential Care Service (RCS) and
Resident Care Staff
 Nurse Managers
 Nurse Educator
 Activity and Recreational Therapy Staff
 Influential CNAs and CNA mentors
 Housekeeping and Environmental Services
 Resident Safety Manager
 Director of Staff Development (DSD)
 Medical Director
 Business Office Manager
 Physician Assistants
 Facility Volunteers
 Licensed Practical Nurses (LPNs)
 Family Members
 Certified Nursing Assistants (CNAs)
What are some challenges or barriers that may impact your ability to effectively communicate?
Challenges identified by participants:
 Time
 Staff may think “we have always done it
this way; why change now?”
 Staff workload
 Distractions
 Trust
 Multiple buildings or the size of the
 Staff not being active listeners
facility
 Power struggles between staff
 Limited computer access and
members
technology resources
 Staff attendance

Different shift times
 Staff buy-in
 Language barriers
 Staff attitudes
 Staff are afraid of repercussions
Cohort 3
April 30, 2015
Is there a current meeting at your facility that already brings the LTC Program team together?
Participant Suggestions:
 Monthly performance improvement
 Data meeting
meeting
 Joint Commission meeting
 Quality assurance & performance
 Leadership meeting
Improvement meeting
 Advisory board
 Infection control meeting
 Nurse managers meeting
 Safety and risk assessment meeting
 Staff meeting
 Weekly fall prevention meeting
 Huddles
 Weekly clinical meetings
 Beside rounding
 End-of-life care meeting
Do you have a particular recommendation on specific change theory or conceptual framework to use
to change/empower team member’s participation in a change cycle?
Today’s presenter, Jen Pettis, recommends Lewin’s Model of Change and Chinn and Kramer’s Integrated
Theory and Knowledge Development in Nursing. However, if you are looking for more concrete tools
and processes TeamSTEPPS is a great resource; long-term care specific resources and tools are also
available on the TeamSTEPPS Long-term Care website.
We have a resident who self-catheterizes 3-4 times a day; is that counted as a CAUTI?
No. A resident only has a CAUTI if they have an indwelling urinary catheter, meet the CAUTI criteria
symptoms and urine tests results, and have no other explanation for their symptoms. An indwelling
urinary catheter is a drainage tube inserted into the urinary bladder through the urethra, left in place
and connected to a closed collection system. In-and-out catheters, suprapubic catheters and
nephrostomy tubes are not included in the NHSN criteria used to identify a CAUTI, so residents with
these devices are not considered to have a CAUTI.
It's not clear exactly what we are to train the staff with.
Each live onboarding webinar is accompanied with training materials designed to educate all facility staff
on the topic covered during the live event. The following are included with the downloadable materials:
 Training guidance
 10-15 minute video with an accompanying presentation slide set that can be customized
 An activity or discussion guide designed for staff to practice new skills
 Relevant tools and resources
 Four brief questions for staff to evaluate the material
 A certificate of completion, to be given to staff after they have completed the onboarding
training and its evaluation
Will facilities be able to see the results of the skills survey? And what percentage of the facility staff
needs to complete the surveys?
The results from the initial skills survey will be available the week of June 1. You will be able to access
your facility report directly from the CDS platform. Onboarding 3 on Thursday, May 14 will go over data
collection and surveys.
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